Anwesh Pradhan - Academia.edu (original) (raw)
Papers by Anwesh Pradhan
Non-invasive blood pressure measurement with a brachial cuff sphygmomanometer is an important ass... more Non-invasive blood pressure measurement with a brachial cuff sphygmomanometer is an important assessment tool in the diagnosis and management of hypertension and disturbed hemodynamic status. However, when compared to intra-arterial BP, the accuracy of BP measured by non-invasive methods remains questionable. The study attempted to estimate the difference in blood pressure measured by the two methods, as well as analyse the impact of left ventricular morphology and functions on the magnitude of the BP difference recorded by invasive and non-invasive methods. Methods: The subjects were patients undergoing diagnostic coronary angiography for the evaluation of chest pain. The morphology and functions of the left ventricle were determined as part of the routine pre procedural screening. NIBP and IAP were measured twice during the CAG at the radial and aortic levels. Noninvasive BP was measured using a brachial cuff of mercury sphygmomanometer by the auscultatory method. Results of our study revealed that in non-invasive BP both the systolic and the diastolic pressures were higher than their corresponding recordings obtained by invasive methods. The ECHO-derived left ventricular hypertrophy and left ventricular diastolic function correlated positively with the systolic and diastolic pressure differences respectively. Conclusion: Hence we suggest evaluation of the above parameters by echocardiography after obtaining a high BP by non-invasive methods can be done before the commencement of antihypertensive drugs A pre-treatment echo will give a clue on the differences.
Indian Journal of Physiotherapy and Occupational Therapy., 2018
The main impact of pathologies in geriatric population is falling due to abnormal gait deviations... more The main impact of pathologies in geriatric population is falling due to abnormal gait deviations. Thus, fear of falling reduces their mobility that prevents independent living in geriatrics. Mobility depends on person's ability and perception to complete a task. Multiple task training is an interaction of motor and somatosensory inputs. Improvement of gait in geriatrics depends upon the type of task and environment, potentially due to cognitive dysfunction and reduced cognitive performance. Purpose of this study: Geriatric persons were trained with multiple task activity and mental tasking which may help them to improve their gait balance in the altered environment and eventually improve their gait task and reduced chances of fall. Materials and Method: 40 normal geriatric individuals were taken in 2 groups. One group was trained with multiple task exercise while the other was trained with the same and cognitive task for the period of 4 weeks. Gait balance is measured by Berg balance score and Time up and go test. Results: The independent t-test shows significant (p<0.05) difference between groups and the mean comparison shows multiple tasking with cognitive tasking has a better impact in improving gait balance in geriatric population. Conclusion: Multiple tasks exercises with cognitive task can be used as a better tool to improve the gait balance than the multiple task exercises
International Journal of Life Science and Pharma Research, 2023
Lumbosacral radiculopathy is a frequently reported health issue in middle-aged people, with a pre... more Lumbosacral radiculopathy is a frequently reported health issue in middle-aged people, with a prevalence varying from about 2.2% to 8%. Neurodynamic mobilization (NM) and Neurodynamic sustained natural apophyseal glide (N-SNAG) techniques were proven effective for Lumbosacral radiculopathy. But controversies are prevalent regarding the effectiveness of their treatment in previous studies. N-SNAG is also a comparatively new technique that is clinically being used around, but more literature is needed to analyze its effectiveness. Hence, we aimed to evaluate the efficacy of N-SNAG in comparison with NM and conventional general exercises in treating lumbosacral radiculopathy on pain, mobility, disability, muscle activation, and health-related quality of life (HRQL). One hundred and twenty-seven patients aged between 30 and 50 years were randomly allocated into 3 different treatment groups, where the first and second groups received N-SNAG and NM with general exercises, and the third (control) group received general exercises only. Range of motion of lumbar and hip flexion, active straight leg raising, low back pain, radiculopathy pain, muscle activation of biceps femoris and gastrocnemius muscles, disability, and HRQL were evaluated at baseline, and the end of 1 st week, 2 nd week, 7 th week and 18 th week for all the groups. Two-way repeated measure ANOVA with Bonferroni's t-test revealed significant (p<0.05) improvement in the range of lumbar and hip flexion, LBP, radiculopathy pain, active SLR, disability, and HRQL in both within groups and between groups. Muscle activation of biceps femoris and gastrocnemius also improved significantly (p<0.05) in all three groups, but no significant (p>0.05) differences were seen between groups. The study concludes that N-SNAG is more efficient than NM and general exercise in improving pain, lumbar and hip flexion range, SLR, disability, Muscle activation, and HRQL in Lumbosacral radiculopathy patients.
Annals of the Romanian Society of Cell Biology, 2021
Low back pain with lumbosacral radiculopathy is also considered as a self-limiting condition by m... more Low back pain with lumbosacral radiculopathy is also considered as a self-limiting condition by many authors. Almost 50% cases resolve by one or two weeks and around 90% cases resolve by six months. [1] Whereas chronic low back pain with lumbosacral radiculopathy mostly causes disability. [2.] It is also considered as one of the leading cause of disability in people under 45 years of age and third cause of disability above 45 years of age. [3.] It has been seen that lumbosacral radiculopathy is the leading cause of disability in the developed world and accounts for billions of dollars of healthcare costs annually.[1] Low back pain (LBP) alone affects up to 80% of the population at some point in life, and 1% to 2% of the United States adult population is disabled because of LBP. Various survey data on the prevalence of LBP estimates range from 28% to 40% of the population. Various study in United states shows the increase in low back pain patient reporting to clinic for treatments. Lumbosacral radiculopathy refers to symptoms of pain, tingling, numbness or weakness that travel down the low back and into the lower extremity. Usually low back pain is accompanied with lumbosacral radiculopathy. Lumbosacral radiculopathy usually occurs due to impingment of the nerve or nerve root caused by a disc herniation or foraminal compressions. Most of the population has encountered low back pain and radiculopathy in their life time. A major portion of the patients visit the physiotherapy departments with low back pain with or without radiculopathy every year. Although the incidence of low back pain is estimated to be 5% to 10% with a lifetime prevalence of 60% to 90%. [1]The prevalence of lumbosacral radiculopathy varies from about 2.2% to 8% and the incidence ranges from 0.7% to 9.6%. [4]
Journal of Society of Indian Physiotherapists/Journal of society of Indian physiotherapists, 2024
Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2018
The main impact of pathologies in geriatric population is falling due to abnormal gait deviations... more The main impact of pathologies in geriatric population is falling due to abnormal gait deviations. Thus, fear of falling reduces their mobility that prevents independent living in geriatrics. Mobility depends on person's ability and perception to complete a task. Multiple task training is an interaction of motor and somatosensory inputs. Improvement of gait in geriatrics depends upon the type of task and environment, potentially due to cognitive dysfunction and reduced cognitive performance.
International journal of current research and academic review, May 20, 2017
Article Info Auto rickshaw drivers are prone to Low Back Pain (LBP) due to occupational exposure.... more Article Info Auto rickshaw drivers are prone to Low Back Pain (LBP) due to occupational exposure. But LBP among auto-rickshaw drivers have hardly been studied. The drivers work long durations in strenuous postures and seat themselves often with onetwo passengers in front. The present study was to determine the prevalence and risk factors of LBP in auto-rickshaw drivers of Kolkata.500 auto-rickshaw drivers were randomly surveyed in auto-stands of various parts of Kolkata. A Nordic Pain questionnaire was used to determine prevalence, the 101 Numerical Pain Rating Scale measured current pain intensity and the Oswestry Disability Index evaluated disability due to LBP. Risk factors included age, height, BMI, socio-demographic and occupational details, shoulder to handle distance, knee to break distance, pain intensity, vibration and posture during driving. The Ovako Working postural Analysis System (OWAS) was used to analyze the posture during driving and a Vibrometer was used to analyze the vibration. Logistic regression analysis was performed to ascertain the association of risk factors with LBP. A Pearson"s chi square test was performed to determine the association between two categorical variables. The 12 months prevalence of LBP was 79.8% and 7 days point prevalence was 36%. Forward bent and twisted sitting posture (OWAS action level 2) was significantly associated with LBP.
Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2018
The main impact of pathologies in geriatric population is falling due to abnormal gait deviations... more The main impact of pathologies in geriatric population is falling due to abnormal gait deviations. Thus, fear of falling reduces their mobility that prevents independent living in geriatrics. Mobility depends on person's ability and perception to complete a task. Multiple task training is an interaction of motor and somatosensory inputs. Improvement of gait in geriatrics depends upon the type of task and environment, potentially due to cognitive dysfunction and reduced cognitive performance.
Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2018
The normal pattern for reaching to a target is not seen in hemiparesis, as patients are seen to u... more The normal pattern for reaching to a target is not seen in hemiparesis, as patients are seen to use compensatory trunk movements to accomplish the same task. As much as this compensatory behavior allows them to accomplish the task regardless of the motor deficit, it however, may not be desirable for skill requisition. Past studies have shown that limiting these compensatory movements effectively improves reaching activity in adult hemiparetics. However in those studies, the investigators analyzed the effects of training for a very brief period. Thus in this study we are aiming to determine the effect of task-oriented training with trunk restraint on reaching activity in adult hemiparetics, where 20 adult hemiparetics over the age of 40 years were recruited and were randomly allocated to control (n=10) and experimental (n=10) groups. Participants of both groups were assigned a reaching task for 60 repetitions in a single session in 3 directions for 10 sessions within 2 weeks period. Trunk restraint was introduced to the experimental group while performing the reaching task. Pre and post-intervention scores of the Reaching Performance Scale (RPS) were analyzed. Participants of both the groups show significant (p< 0.05) change in RPS scores. Inter group post intervention RPS scores show a significant (p<0.05) differences. Additionally, when the mean values between the groups were compared, the post intervention RPS scores of the experimental groups were higher than the control group, implying better performance in the former.
Non-invasive blood pressure measurement with a brachial cuff sphygmomanometer is an important ass... more Non-invasive blood pressure measurement with a brachial cuff sphygmomanometer is an important assessment tool in the diagnosis and management of hypertension and disturbed hemodynamic status. However, when compared to intra-arterial BP, the accuracy of BP measured by non-invasive methods remains questionable. The study attempted to estimate the difference in blood pressure measured by the two methods, as well as analyse the impact of left ventricular morphology and functions on the magnitude of the BP difference recorded by invasive and non-invasive methods. Methods: The subjects were patients undergoing diagnostic coronary angiography for the evaluation of chest pain. The morphology and functions of the left ventricle were determined as part of the routine pre procedural screening. NIBP and IAP were measured twice during the CAG at the radial and aortic levels. Noninvasive BP was measured using a brachial cuff of mercury sphygmomanometer by the auscultatory method. Results of our study revealed that in non-invasive BP both the systolic and the diastolic pressures were higher than their corresponding recordings obtained by invasive methods. The ECHO-derived left ventricular hypertrophy and left ventricular diastolic function correlated positively with the systolic and diastolic pressure differences respectively. Conclusion: Hence we suggest evaluation of the above parameters by echocardiography after obtaining a high BP by non-invasive methods can be done before the commencement of antihypertensive drugs A pre-treatment echo will give a clue on the differences.
Indian Journal of Physiotherapy and Occupational Therapy., 2018
The main impact of pathologies in geriatric population is falling due to abnormal gait deviations... more The main impact of pathologies in geriatric population is falling due to abnormal gait deviations. Thus, fear of falling reduces their mobility that prevents independent living in geriatrics. Mobility depends on person's ability and perception to complete a task. Multiple task training is an interaction of motor and somatosensory inputs. Improvement of gait in geriatrics depends upon the type of task and environment, potentially due to cognitive dysfunction and reduced cognitive performance. Purpose of this study: Geriatric persons were trained with multiple task activity and mental tasking which may help them to improve their gait balance in the altered environment and eventually improve their gait task and reduced chances of fall. Materials and Method: 40 normal geriatric individuals were taken in 2 groups. One group was trained with multiple task exercise while the other was trained with the same and cognitive task for the period of 4 weeks. Gait balance is measured by Berg balance score and Time up and go test. Results: The independent t-test shows significant (p<0.05) difference between groups and the mean comparison shows multiple tasking with cognitive tasking has a better impact in improving gait balance in geriatric population. Conclusion: Multiple tasks exercises with cognitive task can be used as a better tool to improve the gait balance than the multiple task exercises
International Journal of Life Science and Pharma Research, 2023
Lumbosacral radiculopathy is a frequently reported health issue in middle-aged people, with a pre... more Lumbosacral radiculopathy is a frequently reported health issue in middle-aged people, with a prevalence varying from about 2.2% to 8%. Neurodynamic mobilization (NM) and Neurodynamic sustained natural apophyseal glide (N-SNAG) techniques were proven effective for Lumbosacral radiculopathy. But controversies are prevalent regarding the effectiveness of their treatment in previous studies. N-SNAG is also a comparatively new technique that is clinically being used around, but more literature is needed to analyze its effectiveness. Hence, we aimed to evaluate the efficacy of N-SNAG in comparison with NM and conventional general exercises in treating lumbosacral radiculopathy on pain, mobility, disability, muscle activation, and health-related quality of life (HRQL). One hundred and twenty-seven patients aged between 30 and 50 years were randomly allocated into 3 different treatment groups, where the first and second groups received N-SNAG and NM with general exercises, and the third (control) group received general exercises only. Range of motion of lumbar and hip flexion, active straight leg raising, low back pain, radiculopathy pain, muscle activation of biceps femoris and gastrocnemius muscles, disability, and HRQL were evaluated at baseline, and the end of 1 st week, 2 nd week, 7 th week and 18 th week for all the groups. Two-way repeated measure ANOVA with Bonferroni's t-test revealed significant (p<0.05) improvement in the range of lumbar and hip flexion, LBP, radiculopathy pain, active SLR, disability, and HRQL in both within groups and between groups. Muscle activation of biceps femoris and gastrocnemius also improved significantly (p<0.05) in all three groups, but no significant (p>0.05) differences were seen between groups. The study concludes that N-SNAG is more efficient than NM and general exercise in improving pain, lumbar and hip flexion range, SLR, disability, Muscle activation, and HRQL in Lumbosacral radiculopathy patients.
Annals of the Romanian Society of Cell Biology, 2021
Low back pain with lumbosacral radiculopathy is also considered as a self-limiting condition by m... more Low back pain with lumbosacral radiculopathy is also considered as a self-limiting condition by many authors. Almost 50% cases resolve by one or two weeks and around 90% cases resolve by six months. [1] Whereas chronic low back pain with lumbosacral radiculopathy mostly causes disability. [2.] It is also considered as one of the leading cause of disability in people under 45 years of age and third cause of disability above 45 years of age. [3.] It has been seen that lumbosacral radiculopathy is the leading cause of disability in the developed world and accounts for billions of dollars of healthcare costs annually.[1] Low back pain (LBP) alone affects up to 80% of the population at some point in life, and 1% to 2% of the United States adult population is disabled because of LBP. Various survey data on the prevalence of LBP estimates range from 28% to 40% of the population. Various study in United states shows the increase in low back pain patient reporting to clinic for treatments. Lumbosacral radiculopathy refers to symptoms of pain, tingling, numbness or weakness that travel down the low back and into the lower extremity. Usually low back pain is accompanied with lumbosacral radiculopathy. Lumbosacral radiculopathy usually occurs due to impingment of the nerve or nerve root caused by a disc herniation or foraminal compressions. Most of the population has encountered low back pain and radiculopathy in their life time. A major portion of the patients visit the physiotherapy departments with low back pain with or without radiculopathy every year. Although the incidence of low back pain is estimated to be 5% to 10% with a lifetime prevalence of 60% to 90%. [1]The prevalence of lumbosacral radiculopathy varies from about 2.2% to 8% and the incidence ranges from 0.7% to 9.6%. [4]
Journal of Society of Indian Physiotherapists/Journal of society of Indian physiotherapists, 2024
Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2018
The main impact of pathologies in geriatric population is falling due to abnormal gait deviations... more The main impact of pathologies in geriatric population is falling due to abnormal gait deviations. Thus, fear of falling reduces their mobility that prevents independent living in geriatrics. Mobility depends on person's ability and perception to complete a task. Multiple task training is an interaction of motor and somatosensory inputs. Improvement of gait in geriatrics depends upon the type of task and environment, potentially due to cognitive dysfunction and reduced cognitive performance.
International journal of current research and academic review, May 20, 2017
Article Info Auto rickshaw drivers are prone to Low Back Pain (LBP) due to occupational exposure.... more Article Info Auto rickshaw drivers are prone to Low Back Pain (LBP) due to occupational exposure. But LBP among auto-rickshaw drivers have hardly been studied. The drivers work long durations in strenuous postures and seat themselves often with onetwo passengers in front. The present study was to determine the prevalence and risk factors of LBP in auto-rickshaw drivers of Kolkata.500 auto-rickshaw drivers were randomly surveyed in auto-stands of various parts of Kolkata. A Nordic Pain questionnaire was used to determine prevalence, the 101 Numerical Pain Rating Scale measured current pain intensity and the Oswestry Disability Index evaluated disability due to LBP. Risk factors included age, height, BMI, socio-demographic and occupational details, shoulder to handle distance, knee to break distance, pain intensity, vibration and posture during driving. The Ovako Working postural Analysis System (OWAS) was used to analyze the posture during driving and a Vibrometer was used to analyze the vibration. Logistic regression analysis was performed to ascertain the association of risk factors with LBP. A Pearson"s chi square test was performed to determine the association between two categorical variables. The 12 months prevalence of LBP was 79.8% and 7 days point prevalence was 36%. Forward bent and twisted sitting posture (OWAS action level 2) was significantly associated with LBP.
Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2018
The main impact of pathologies in geriatric population is falling due to abnormal gait deviations... more The main impact of pathologies in geriatric population is falling due to abnormal gait deviations. Thus, fear of falling reduces their mobility that prevents independent living in geriatrics. Mobility depends on person's ability and perception to complete a task. Multiple task training is an interaction of motor and somatosensory inputs. Improvement of gait in geriatrics depends upon the type of task and environment, potentially due to cognitive dysfunction and reduced cognitive performance.
Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2018
The normal pattern for reaching to a target is not seen in hemiparesis, as patients are seen to u... more The normal pattern for reaching to a target is not seen in hemiparesis, as patients are seen to use compensatory trunk movements to accomplish the same task. As much as this compensatory behavior allows them to accomplish the task regardless of the motor deficit, it however, may not be desirable for skill requisition. Past studies have shown that limiting these compensatory movements effectively improves reaching activity in adult hemiparetics. However in those studies, the investigators analyzed the effects of training for a very brief period. Thus in this study we are aiming to determine the effect of task-oriented training with trunk restraint on reaching activity in adult hemiparetics, where 20 adult hemiparetics over the age of 40 years were recruited and were randomly allocated to control (n=10) and experimental (n=10) groups. Participants of both groups were assigned a reaching task for 60 repetitions in a single session in 3 directions for 10 sessions within 2 weeks period. Trunk restraint was introduced to the experimental group while performing the reaching task. Pre and post-intervention scores of the Reaching Performance Scale (RPS) were analyzed. Participants of both the groups show significant (p< 0.05) change in RPS scores. Inter group post intervention RPS scores show a significant (p<0.05) differences. Additionally, when the mean values between the groups were compared, the post intervention RPS scores of the experimental groups were higher than the control group, implying better performance in the former.