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Papers by Anagha Mangaonkar

Objectives: COVID-19 is an ongoing pandemic of highly contagious respiratory disease caused by th... more Objectives: COVID-19 is an ongoing pandemic of highly contagious respiratory disease caused by the novel corona virus SARS-CoV-2. Along with fever and respiratory symptoms of dyspnea and dry cough, musculoskeletal symptoms like fatigue, myalgia have also been reported. COVID-19, primarily affecting the lungs, takes a toll on the exercise capacity. The aim is to study the impact of COVID-19 on fatigue and exercise capacity. Methods: Seventy five stable adult inpatients who tested positive for COVID-19 on RT PCR were recruited. Serum CPK and CRP levels were recorded. Patients rated their level of fatigue on Fatigue Assessment Scale (FAS) and were then asked to perform the One Minute Sit to Stand test (1MSTS). Pearson’s correlation coefficient (r) was used to test the correlation of fatigue with serum CPK, serum CRP and exercise capacity respectively. Results: Mean level of fatigue rated on FAS was 16.90±4.36. Serum CPK levels were observed to be raised in 8% of the patients with a mea...

International Journal of Physiotherapy, 2018

Background: Physiotherapists are looked upon as role models for practicing a healthy lifestyle. T... more Background: Physiotherapists are looked upon as role models for practicing a healthy lifestyle. They require a good amount of flexibility and endurance to meet the professional demands. Enhanced flexibility of hamstrings plays a crucial role for physiotherapists to maintain good fitness levels and prevent injuries. Suryanamaskar and dynamic stretching exercises have been proved effective in improving hamstring flexibility in various studies. However, no study proves which technique is better. The objective of this study was to assess the effect of Suryanamaskar and dynamic stretching on Hamstring flexibility and also to compare the effect of suryanamaskar and dynamic stretching on Hamstring flexibility. Methods: This was a comparative experimental study done on 30 Physiotherapy students. The subjects were selected by the inclusion criteria and were equally divided into two groups. Suryanamaskar and dynamic stretching were given as intervention program for four weeks to group 1 and two respectively. The measurements of active knee extension test and back savers sit and reach test were separately assessed for both the groups pre and post four weeks. Results: Statistical analysis proved that there was a significant effect in increasing hamstring flexibility bilaterally in both groups with a P value<0.0001. Intergroup comparison showed that suryanamaskar was more effective in improving hamstring flexibility bilaterally with a P value<0.0001. Conclusion: This study concluded that suryanamaskar was more effective to improve hamstring flexibility compared to dynamic stretching exercises.

Indian Journal of Critical Care Medicine, 2021

Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinica... more Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinically presenting with common symptoms of fever, dry cough, and breathlessness within 14 days of exposure. Its severity ranges from mild to severe, latter manifesting into severe acute respiratory syndrome. As a part of multidisciplinary team, physiotherapy along with medical management was administered to patients with COVID-19 in an acute care setup. This retrospective study aims to explore various patient characteristics and will aid in identifying the impairments associated with the disease, giving a direction to the physiotherapy community in planning future management strategy to improve quality of life. Patients and methods: The present study is a unicentric study wherein prospective analysis of retrospective data of patients referred for physiotherapy from May 13 to July 31, 2020, was performed. (i) Characteristics of patients, (ii) associated comorbidities, (iii) hospital course since the time of admission to discharge, (iv) mode of oxygen delivery, (v) pre-and post-physiotherapy treatment values of oxygen saturation and heart rate, and (vi) physiotherapy treatment were recorded. The archived data were analyzed using the commercially available SPSS software version 24. Wilcoxon's matched pair test was used to compare pre-and post-treatment oxygen saturation and heart rate, and McNemar's test was used to compare mode of oxygen delivery and pre-and post-physiotherapy treatment. Results: Descriptive analysis of data showed a better outcome in terms of grade of dyspnea and rate of discharge on day 14 of physiotherapy treatment. Hence, a comparative analysis of day 1 and day 14 was performed for mode of oxygen delivery, oxygen saturation, and heart rate. A statistically significant improvement was observed in the heart rate (p = 0.001) and oxygen delivery (p = 0.000). However, no significant difference in the level of oxygen saturation was found (p = 0.6433). Conclusions: Physiotherapy treatment in conjunction with medical treatment can be effectively administered in patients with COVID-19 in acute care setup taking into consideration the health status and the hemodynamic stability of the patients. It emphasizes the role of physiotherapy in the alleviation of symptoms, facilitating early weaning and recovery enabling early discharge from the hospital.

Physiotherapy - The Journal of Indian Association of Physiotherapists

Coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2... more Coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to lower psychological well-being and high levels of anxiety in general public. SARS-CoV-2 causes acute respiratory distress syndrome, which can lead to breathlessness requiring mechanical ventilation and Intensive care management. Physiotherapy plays a crucial role in the management of intubated as well as nonintubated patients admitted in the ICU, thereby helping the patients progress in their recovery. This case study highlights the importance of a Tailor-made Physiotherapy Intervention in improving the quality of life of a 48-year-old male, with a history of Diabetes Mellitus and Moderate Alcohol intake who presented in our dedicated COVID Government Tertiary Care Hospital with complaints of fever, breathlessness on walking, and fatigue. After the evaluation by the Physiotherapist on the basis of International Classification of Functioning Model, the patient was educated about the condition, and a Physiotherapy Intervention plan was formulated with emphasis on Pulmonary Rehabilitation considering the health status and vital parameters of the patient. From our experience, we conclude that a Tailor-made Physiotherapy Intervention in hand with medical management is essential to restore function and improve the quality of life of patients with COVID-19.

Journal of Evidence Based Medicine and Healthcare

Coronavirus disease (Covid-19) is caused by infection from the novel SARS CoV2. The higher potent... more Coronavirus disease (Covid-19) is caused by infection from the novel SARS CoV2. The higher potential of this virus to spread has caused a worldwide pandemic situation and a serious public health crisis 1 . This case report aims to highlight the responses and benefits attained from physiotherapy management in COVID 19 patients at a dedicated tertiary care hospital with distinct characteristics and age group. Today, India is in the midst of the coronavirus pandemic wherein all its healthcare workers are relentlessly fighting against the unseen enemy. SARS CoV2 which was identified in the Wuhan city of China in December 2019 primarily affects the respiratory system causing abnormal pulmonary mechanics due to ventilation perfusion mismatch and / or intrapulmonary shunting. This case series is an attempt to discuss various physiotherapeutic interventions administered to patients admitted in the wards of a government tertiary care hospital dedicated for Covid-19 management and its benefit...

Objectives: COVID-19 is an ongoing pandemic of highly contagious respiratory disease caused by th... more Objectives: COVID-19 is an ongoing pandemic of highly contagious respiratory disease caused by the novel corona virus SARS-CoV-2. Along with fever and respiratory symptoms of dyspnea and dry cough, musculoskeletal symptoms like fatigue, myalgia have also been reported. COVID-19, primarily affecting the lungs, takes a toll on the exercise capacity. The aim is to study the impact of COVID-19 on fatigue and exercise capacity. Methods: Seventy five stable adult inpatients who tested positive for COVID-19 on RT PCR were recruited. Serum CPK and CRP levels were recorded. Patients rated their level of fatigue on Fatigue Assessment Scale (FAS) and were then asked to perform the One Minute Sit to Stand test (1MSTS). Pearson’s correlation coefficient (r) was used to test the correlation of fatigue with serum CPK, serum CRP and exercise capacity respectively. Results: Mean level of fatigue rated on FAS was 16.90±4.36. Serum CPK levels were observed to be raised in 8% of the patients with a mea...

International Journal of Physiotherapy, 2018

Background: Physiotherapists are looked upon as role models for practicing a healthy lifestyle. T... more Background: Physiotherapists are looked upon as role models for practicing a healthy lifestyle. They require a good amount of flexibility and endurance to meet the professional demands. Enhanced flexibility of hamstrings plays a crucial role for physiotherapists to maintain good fitness levels and prevent injuries. Suryanamaskar and dynamic stretching exercises have been proved effective in improving hamstring flexibility in various studies. However, no study proves which technique is better. The objective of this study was to assess the effect of Suryanamaskar and dynamic stretching on Hamstring flexibility and also to compare the effect of suryanamaskar and dynamic stretching on Hamstring flexibility. Methods: This was a comparative experimental study done on 30 Physiotherapy students. The subjects were selected by the inclusion criteria and were equally divided into two groups. Suryanamaskar and dynamic stretching were given as intervention program for four weeks to group 1 and two respectively. The measurements of active knee extension test and back savers sit and reach test were separately assessed for both the groups pre and post four weeks. Results: Statistical analysis proved that there was a significant effect in increasing hamstring flexibility bilaterally in both groups with a P value<0.0001. Intergroup comparison showed that suryanamaskar was more effective in improving hamstring flexibility bilaterally with a P value<0.0001. Conclusion: This study concluded that suryanamaskar was more effective to improve hamstring flexibility compared to dynamic stretching exercises.

Indian Journal of Critical Care Medicine, 2021

Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinica... more Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinically presenting with common symptoms of fever, dry cough, and breathlessness within 14 days of exposure. Its severity ranges from mild to severe, latter manifesting into severe acute respiratory syndrome. As a part of multidisciplinary team, physiotherapy along with medical management was administered to patients with COVID-19 in an acute care setup. This retrospective study aims to explore various patient characteristics and will aid in identifying the impairments associated with the disease, giving a direction to the physiotherapy community in planning future management strategy to improve quality of life. Patients and methods: The present study is a unicentric study wherein prospective analysis of retrospective data of patients referred for physiotherapy from May 13 to July 31, 2020, was performed. (i) Characteristics of patients, (ii) associated comorbidities, (iii) hospital course since the time of admission to discharge, (iv) mode of oxygen delivery, (v) pre-and post-physiotherapy treatment values of oxygen saturation and heart rate, and (vi) physiotherapy treatment were recorded. The archived data were analyzed using the commercially available SPSS software version 24. Wilcoxon's matched pair test was used to compare pre-and post-treatment oxygen saturation and heart rate, and McNemar's test was used to compare mode of oxygen delivery and pre-and post-physiotherapy treatment. Results: Descriptive analysis of data showed a better outcome in terms of grade of dyspnea and rate of discharge on day 14 of physiotherapy treatment. Hence, a comparative analysis of day 1 and day 14 was performed for mode of oxygen delivery, oxygen saturation, and heart rate. A statistically significant improvement was observed in the heart rate (p = 0.001) and oxygen delivery (p = 0.000). However, no significant difference in the level of oxygen saturation was found (p = 0.6433). Conclusions: Physiotherapy treatment in conjunction with medical treatment can be effectively administered in patients with COVID-19 in acute care setup taking into consideration the health status and the hemodynamic stability of the patients. It emphasizes the role of physiotherapy in the alleviation of symptoms, facilitating early weaning and recovery enabling early discharge from the hospital.

Physiotherapy - The Journal of Indian Association of Physiotherapists

Coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2... more Coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to lower psychological well-being and high levels of anxiety in general public. SARS-CoV-2 causes acute respiratory distress syndrome, which can lead to breathlessness requiring mechanical ventilation and Intensive care management. Physiotherapy plays a crucial role in the management of intubated as well as nonintubated patients admitted in the ICU, thereby helping the patients progress in their recovery. This case study highlights the importance of a Tailor-made Physiotherapy Intervention in improving the quality of life of a 48-year-old male, with a history of Diabetes Mellitus and Moderate Alcohol intake who presented in our dedicated COVID Government Tertiary Care Hospital with complaints of fever, breathlessness on walking, and fatigue. After the evaluation by the Physiotherapist on the basis of International Classification of Functioning Model, the patient was educated about the condition, and a Physiotherapy Intervention plan was formulated with emphasis on Pulmonary Rehabilitation considering the health status and vital parameters of the patient. From our experience, we conclude that a Tailor-made Physiotherapy Intervention in hand with medical management is essential to restore function and improve the quality of life of patients with COVID-19.

Journal of Evidence Based Medicine and Healthcare

Coronavirus disease (Covid-19) is caused by infection from the novel SARS CoV2. The higher potent... more Coronavirus disease (Covid-19) is caused by infection from the novel SARS CoV2. The higher potential of this virus to spread has caused a worldwide pandemic situation and a serious public health crisis 1 . This case report aims to highlight the responses and benefits attained from physiotherapy management in COVID 19 patients at a dedicated tertiary care hospital with distinct characteristics and age group. Today, India is in the midst of the coronavirus pandemic wherein all its healthcare workers are relentlessly fighting against the unseen enemy. SARS CoV2 which was identified in the Wuhan city of China in December 2019 primarily affects the respiratory system causing abnormal pulmonary mechanics due to ventilation perfusion mismatch and / or intrapulmonary shunting. This case series is an attempt to discuss various physiotherapeutic interventions administered to patients admitted in the wards of a government tertiary care hospital dedicated for Covid-19 management and its benefit...