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Effect of Attention Based Exercises in Balance Control and Fall Risk in Elderly Females - An Interventional Study

Arunima Sasidharan*1, L Gladson Jose2

1. Narayana Hrudayalaya Institute of Physiotherapy, Banglore, Karnataka, India
2. Dr. MV Shetty College of Physiotherapy, Kavoor, Mangalore, Karnataka, India
Background: Fall related injuries in elderly population are one of the most disabling predicaments, particularly in the age group of 60-70 years. Postural restoration, therefore, is one of the major concerns demanding attention in elderly individuals with balance impairments. This study aimed to determine the effect of attention focussed balance interventions in improving balance and reducing the risk of falling in female elderly population. Methods: In this experimental interventional study, 54 subjects in the age range of 60-70 years, with age related balance impairments were recruited from an old age home using purposive sampling technique with the set inclusion and exclusion criteria. Group A (n=27) (Experimental group) received attention-based balance exercise intervention for five days/week, for a total duration of 12 weeks and Group B (n=27) (Control group) received normal mobility training for five days / week for 12 weeks. Outcome measures included Berg balance scale and John Hopkins Fall Risk Assessment Tool. Results: Results after statistical analysis within and between groups indicated that Group A subjects highly benefitted from the attention focussed intervention provided to them for 12 weeks duration (36.37-47.26). In Group B, though a significant difference was noted in the balance of individuals, changes were less compared to the experimental group with a t value of -16.480 and a P value of 0.000. Conclusion: Application of a component of cognition i.e., attention along with balance exercises can rectify the balance impairments and reduce the risk of falls in this population.

Relationship Between Strength of Scapular Muscles and Forward Neck Posture in Young Adults

Noel Saju*, M Renukadevi

JSS College of Physiotherapy, Mysore, Karnataka, India
Background and Aim: Neck pain ranks among the most common musculoskeletal problems, second only to back pain in prevalence. The increasing prevalence of cellular telephone usage between young population has emerged as an important contributing determinant to the rising incidence of forward neck posture (FNP). This study aimed to assess the relationship between scapular muscle strength and the FNP in young adults. Methods: The study conducted was an observational research involving 54 participants selected based on predefined inclusion and exclusion criteria from a physiotherapy college. The participants were aged between 18 and 25 years and were students at the JSS College of Physiotherapy. Those with forward neck posture were included, while individuals experiencing neck pain were excluded. Additionally, participants with restricted shoulder range of motion (ROM) due to pain or stiffness were not considered. Muscle power strength was judged utilizing a dynamometer and forward neck posture was analyzed by measuring the craniovertebral angle using Image J software. The equating between variables was driven utilizing Pearson’s coefficient. Results: The data underwent analysis utilizing SPSS version 22 software. A statistical P value of

Appraising Efficacy of Cognitive Pain Management Strategies for the Rehabilitation of Non-Chronic Sciatica: A Randomized Control Trial

Pratik A Gohil1*, Anjali Gohil2

1. College of Physiotherapy, Vidhyadeep University, Surat, Gujarat, India
2. Akshar Physiotherapy Clinic Bharat, Surat, Gujarat, India
Background: Low back ache receives considerable attention in the medical field due to its high occurrence in civil society. Despite its high occurance rate, there is no clear conservative treatment approach available. This has motivated many researchers to delve further into the study of lower back ache. Thus after an extensive review of literature, this study has chosen non-chronic sciatica from the vast domain of low back ache to establish possible treatments so as to address the problem before it becomes chronic. Objectives: To determine the effectiveness of cognitive pain management strategies in improving pain as determined by McGill pain questionnaire (SF-MPQ-2) scores among non-chronic cases of sciatica. Methodology: Thirty patients in the age group of 40 to 60 years who were clinically diagnosed with non-chronic sciatica and fulfilled inclusion and exclusion criteria were divided randomly into two equal groups. One group received a conventional physical therapy approach while the other group received cognitive pain management strategies along with conventional management for a two-week period and the outcome on pain was assessed. Results: A paired t-test was used to find the difference between pre and post-treatment. It showed statistically relevant changes in the SF-MPQ-2 scores in the experimental group which used cognitive pain management strategies. T-value was 3.70557 and the P-value was 0.00092. The result was significant at P
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