Raziya Nagarwala - Academia.edu (original) (raw)

Papers by Raziya Nagarwala

International Journal of Health Sciences and Research

Background: Exercise capacity plays an essential role in determining quality of life in both dise... more Background: Exercise capacity plays an essential role in determining quality of life in both disease & health. Field tests can be used to determine aerobic capacity since they are easy to perform. The step test is another exercise test that can be used to assess aerobic capacity. An alternative to 6MWT is 6-minute step test which is a self-paced test. The 6-minute step test (6MST) requires less time and space to be performed and might be used as an alternative to assess exercise capacity in primary care. Materials and methodology: 300 healthy participants of both genders were included. Each participant performed a 6-minute step test on a 20 cm high wooden step. The participants were instructed to walk up and down the step as much as possible within the time duration. Individuals with neuromuscular, orthopedic, or cardiopulmonary diseases were excluded from study. Pre & post vitals such as heart rate & SPO2 were recorded. The steps were counted by the therapist. Results: The included...

International journal of physiotherapy and research, Feb 11, 2018

Background: Respiratory Condition is an umbrella term. It includes many respiratory diseases, amo... more Background: Respiratory Condition is an umbrella term. It includes many respiratory diseases, amongst which COPD is a leading cause of distress. Hospitalized Patients with COPD often suffer from anxiety due to many underlined causes. Anxiety is an unpleasurable emotional state; it goes hand in hand with COPD condition. Effect of music on anxiety reduction and physiological parameters is culturally known but lacks much attention in treatment settings. So the purpose of this study is to find out the effect of music on physiological parameters and anxiety in COPD patients. Materials and Methods: In this Experimental type of study, carried out in tertiary care hospitals in Pune city, 42 patients were selected by purposive sampling technique as per inclusion criteria, both male and females with COPD and MMRC dyspnoea grade 2 and 3. Pre intervention physiological parameters i.e. Respiratory rate, Heart rate, Blood pressure along with anxiety score using State Trait Anxiety Inventory Scale were checked and noted. After the Music intervention of 15-20 minutes all the outcome measures were checked again and noted. Data collected was analyzed using Paired t-test and Wilcoxon method. Result and Conclusion: P values for RR, PR, SBP, DBP and STAI are 0.00, 0.00, 0.012, 0.001 and 0.00 respectively which are (<0.05) statistically significant. Mean values of RR, PR and STAI have shown significant change, pre and post intervention; whereas mean BP stayed the same. So the study concludes that music has significant effect on physiological parameters and anxiety, and it can be incorporated as a non pharmacological intervention in clinical settings.

Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2014

Purpose: Increase in demand on the respiratory system leads to recruitment of abdominal muscles [... more Purpose: Increase in demand on the respiratory system leads to recruitment of abdominal muscles [transverses abdominals] as accessory respiratory muscle. This correlation between the muscle strength and the pulmonary function test is studied in this research.

Journal of the Indian Academy of Geriatrics, 2018

Background: Balance is defined as the ability to maintain the centre of gravity within the base o... more Background: Balance is defined as the ability to maintain the centre of gravity within the base of support during human daily life activities'. Due to physiological process of ageing, there's decreased ability to generate force in the lower extremity muscles resulting in falls which have a deep impact on functional activity performance. The purpose of this study is to see the improvement in stability and performance of ADL's in response to ankle exercise program and proprioceptive training in community-dwelling elderly population and to compare the effect of both. Method: This comparative experimental study included 40 ambulatory elderly individuals, both male and female of the age group of >65 years. The individuals with known neurological or cardiac condition were excluded. Then the subjects were recruited in 2 groups, 20 each. Group 1: Ankle exercise program (strengthening and stretching exercise for ankle musculature). Group 2: Proprioceptive training (proprioceptive exercise of the foot). The intervention period was for four weeks (5 sessions per week). Result: On the statistical analysis of data by using SPSS v16, level of significance kept at <0.005 it was found that on Wilcoxon test the difference was significant post-intervention (p= 0.000) for both groups. On Mann Whitney U test, the change wasn't significant (p = 0.069 for POMA and 0.3 for ABC). Conclusion: The study concludes that there's a significant improvement in stability and functional activity for the performance of ADL's after the ankle exercise program and proprioceptive training.

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2014

Objective : The purpose of the study was to compare the values of ankle brachial index (ABI) meas... more Objective : The purpose of the study was to compare the values of ankle brachial index (ABI) measured by Doppler and by sphygmomanometer. Method : Thirty people were assessed for the ABI measurement through Doppler method by one investigator and by sphygmomanometer method done by another investigator. Results : The correlation between the ABI taken with sphygmomanometer and with Doppler was 0.745. The value suggests positive correlation between the two. But kappa score was 0.267 with p value 0.143 implied that ABI measurement with Doppler could not be replaced with measurement with help of sphygmomanometer. Conclusion : Best method of measuring ABI is with Doppler. ABI Measurement with sphygmomanometer does not give good result as compared to Doppler.

Indian Journal of Respiratory Care

Introduction: The 6-minute walk test (6MWT) is a validated tool of submaximal intensity used as a... more Introduction: The 6-minute walk test (6MWT) is a validated tool of submaximal intensity used as an objective measure of functional exercise capacity. Changes in 6-minute walk distance (6MWD) are used to evaluate the efficacy of therapeutic interventions. American Thoracic Society (ATS) guidelines state that the walking course for the 6MWT must be 30 m. In a primary care physiotherapy setting, a 30 m straight course is often not available. Space limitations often force clinicians and researchers to conduct 6MWT on shorter courses. The purpose of this study was to determine the influence of 5, 10, 15, and 30 m course lengths on 6MWD and physiological parameters during the 6MWT. Materials and methods: A total of 80 healthy adults from 18 to 30 years performed four 6MWTs along 5, 10, 15, and 30 m course lengths in a corridor randomly, on consecutive days. The 6MWD and vital parameters on all four course lengths were recorded. Walking speed and maximal oxygen uptake (VO2 max) were calcul...

Indian journal of respiratory care, Jun 30, 2023

Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individua... more Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individual with a fixed step height of the stepper, which can be an advantage for taller people to perform mHST. Biomechanical characteristics change with each individual. Hence, by simply modifying the step height, the test can be individualized. Therefore, the aim of the study is to check whether an individualized change in the height of the stepper according to the hip joint angle affects the cardiorespiratory fitness index. Materials and methods: This is a comparative type of study conducted on 70 healthy young adults. Participants performed mHST using a stepper of height of 40 cm for males and 33 cm for females and an adjustable step test using a stepper with individualized calculated step height with a fixed hip angle of 70°. Outcome measures were physical fitness index (PFI) and maximal oxygen uptake (VO 2 max). Results: This study shows that there is a significant difference between the adjustable step test and mHST for PFI (p = 0.000) and VO 2 max (p = 0.000). The effect size of the adjustable step test for PFI and VO 2 max was large (r = 0.705; r = 0.629, respectively). Conclusion: Our study concludes that the height-adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max. Clinical significance: Height adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max.

Indian Journal of Respiratory Care

Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individua... more Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individual with a fixed step height of the stepper, which can be an advantage for taller people to perform mHST. Biomechanical characteristics change with each individual. Hence, by simply modifying the step height, the test can be individualized. Therefore, the aim of the study is to check whether an individualized change in the height of the stepper according to the hip joint angle affects the cardiorespiratory fitness index. Materials and methods: This is a comparative type of study conducted on 70 healthy young adults. Participants performed mHST using a stepper of height of 40 cm for males and 33 cm for females and an adjustable step test using a stepper with individualized calculated step height with a fixed hip angle of 70°. Outcome measures were physical fitness index (PFI) and maximal oxygen uptake (VO 2 max). Results: This study shows that there is a significant difference between the adjustable step test and mHST for PFI (p = 0.000) and VO 2 max (p = 0.000). The effect size of the adjustable step test for PFI and VO 2 max was large (r = 0.705; r = 0.629, respectively). Conclusion: Our study concludes that the height-adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max. Clinical significance: Height adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max.

INDIAN JOURNAL OF PHYSICAL THERAPY, 2016

ABSTRACT: Background: Core stability and core strength is of maximum importance in almost all the... more ABSTRACT: Background: Core stability and core strength is of maximum importance in almost all the activities of daily living. This study is done to check the influence of core strength on lower extremity balance. Method: 50 young healthy adults both males and females between the age group of 18-25 years with mean age of 21.73±1.45 years, were included in the study and those involved in any kind of sports activity were excluded. Then their core strength was checked by pressure biofeedback method and static balance was tested by Single Leg Balance Test. Results: Pearson correlation test was used, which showed a significant correlation between core muscle strength and balance (p˂ 0.05). Conclusion: Core muscle strength influences static balance.

Background and Aims: Coronary Artery Bypass Grafting (CABG) carries a risk for serious non-cardia... more Background and Aims: Coronary Artery Bypass Grafting (CABG) carries a risk for serious non-cardiac complications, such as atelectasis, hypoxia and secretion retention. The purpose of this study is to compare the effect of both Respiratory Muscle Training (RMT) and conventional physio therapy techniques on improving respiratory muscle strength and thus preventing the pulmonary complication after CABG in Phase –I Rehabilitation. Subjects and Method: Total 30 patients were included with average age of 59.6 ± 6.7years. They were randomly assigned into (C.G) control group (N=15) and (E.G) experimental group (N=15). In C.G patients were given chest expansion exercises, including Incentive spirometer, secretion removal maneuver and mobilization. The E.G underwent the same protocol and also the Respiratory Muscle Training (RMT). Patients were evaluated on first and seventh post-operative days for maximal inspiratory pressures (PImax), Peak expiratory flow rate (PEFR), oxygen saturation (SpO...

International Journal Of Community Medicine And Public Health

Background: COVID-19 disease is highly contagious and transmission rates are very high. In any bi... more Background: COVID-19 disease is highly contagious and transmission rates are very high. In any biological disaster like this, fear, uncertainty, and stigmatization are common. Even after discharge, they may suffer from varying degrees of long-term mental health problems mainly due to isolation. Physiotherapists play an important role in the rehabilitative phase of these. Therefore, the need of this study is to understand the psychological impact caused because of the COVID-19 disease and take this into consideration while treating the patients so that the rehabilitation protocol is effective maximally.Methods: Permission was taken from the ethical committee before beginning the research. Subjects who met the inclusion criteria were selected as per voluntary enrolment. A validated self-made questionnaire was forwarded and response was obtained from 167 subjects. Descriptive data analysis was done.Results: After suffering from COVID-19 disease, out of the 167 participants that were a ...

International Journal Of Community Medicine And Public Health

Background: In majority of heavy industries and factories safety footwear is a mandatory safety o... more Background: In majority of heavy industries and factories safety footwear is a mandatory safety obligation, thus a necessity for workers in industrial settings, contributing to foot problems, interfering with work capacity. Therefore, there is an urgent need to find prevalence of foot problems occurring due to safety footwear. To find the prevalence of foot problem associated with wearing safety footwear in factory employees.Methods: Factory employees working in industrial setting wearing safety footwear for prolonged duration on regular basis were included in the study. Subjects having any recent ankle and below knee fractures in last 6 months were excluded. Samples were collected from different industrial settings, with the help of a self-made questionnaire. Descriptive analysis of the data collected was done and the responses were converted into percentiles and represented in graphical form.Results: 62.50% subjects complain pain in the heel and bottom of the foot (plantar fasciit...

VIMS Health Science Journal

ABSTRACT: Background: Cardiovascular diseases are the number one cause of death worldwide. As we ... more ABSTRACT: Background: Cardiovascular diseases are the number one cause of death worldwide. As we know Cardiovascular Physiotherapy has undisputable role in management of these Cardiac Diseases. Yet evidences suggests that we can see lot of non- adherence of these patients towards therapy. Therefore, this study helps us to understand the awareness and perception of Cardiac Patients towards Cardiovascular physiotherapy as this will tell us patient’s level of understanding about the importance and implications of it on their condition and what are their perceptions regarding this therapy. Method: A self-made questionnaire was administered to people who are diagnosed of Cardiac Condition in various hospitals in Pune City and Descriptive data analysis was done using Microsoft Excel Software. Results: Only 35% subjects were aware of Cardiovascular Physiotherapy, 65% agreed that Cardiovascular Physiotherapy is important for their recovery, 55% thought it has positive effect on their Cardi...

Indian Journal of Respiratory Care, 2022

Objective: The present study was conducted to translate the original English version of Modified ... more Objective: The present study was conducted to translate the original English version of Modified Borg Scale (CR-10) in Hindi language and validate Hindi translated version of the scale for its use in healthy Indian adult population. Subjects and Methods: An observational analytical study was conducted on 50 healthy Indian subjects (24 males, 26 females) who were recruited from a tertiary healthcare setup. The study was conducted in two parts: 1st part included translation of English version of Modified Borg Scale (CR-10) in Hindi language by cross-cultural adaptation process. 2nd part included validation of Hindi translated version of Borg CR-10 scale by correlating subjective values of rating of perceived exertion (RPE) with the objective parameters of heart rate (HR) and maximal oxygen consumption (VO2 max) during a Bruce treadmill protocol. Results: Spearman correlation coefficient was computed between subjective and objective measures. The results of the study showed that there ...

The Journal of Medical Sciences, 2022

Background: Metabolic equivalents (METs) are used during exercise testing as an estimate of funct... more Background: Metabolic equivalents (METs) are used during exercise testing as an estimate of functional capacity. There are specifically designed questionnaires to find out MET and exercise capacity. The Duke Activity Status Index (DASI) is a self-administered questionnaire designed to assess physical function and predict exercise capacity. The Modified Chinese version Veterans Specific Activity Questionnaire (VSAQ) is a 13-item self-administered questionnaire that estimates functional capacity expressed in METs. Materials and methods: Two hundred and thirty participants were included in the study according to inclusion criteria and were made to answer DASI and Modified Chinese version VSAQ, and METs were calculated. Participants performed treadmill test, i.e., Bruce Protocol. All the vital parameters were assessed before and after the completion of the treadmill test and METs achieved at that stage were noted. Results: The limits of agreement between DASI, VSAQ, and Bruce Protocol were assessed using Bland-Altman method. Duke Activity Status Index and Bruce Protocol showed p-0.001, CI-95%, and Modified Chinese version of VSAQ and Bruce Protocol showed p-0.001, CI-95%. The mean of MET calculated by the Modified Chinese version of VSAQ was statistically close to the mean of MET calculated by Bruce Protocol MET. Conclusion: There is no agreement between DASI and the Modified Chinese version of VSAQ with Bruce Protocol in healthy individuals. The Modified Chinese version of VSAQ has closer MET values to Bruce Protocol. Hence, the Modified Chinese version of VSAQ may be considered for the assessment of functional capacity in the Indian population.

Indian Journal of Community Medicine, 2021

Background: Valve problems are congenital or acquired and require surgical correction or replacem... more Background: Valve problems are congenital or acquired and require surgical correction or replacement of the valve. Post surgery functional capacity reduces causing reduction in muscle strength and functional capacity. There being dearth in literature and evidences the study aimed at assessing the functional status of this population. Materials and methodology: Twenty Two participants were included who underwent a valve replacement surgery. Each participant performed sit to stand and two minute walk test. Individuals were haemodynamically stable were included. Individuals with locomotor disability were excluded from study. Results: The unpaired t test was used to compare the vital parameters between both tests. The p values of Heart rate pre was (0.37) and post (0.128). The p values of RR pre and post was (1.00) and post (0.02). The p values of systolic blood pressure were (0.961) and (1.00) respectively. The p values of saturation pre and post was (0.329) and (0.34). The p values of...

Association of Medical Researchers of India , India., 2016

Background: Incidence of Coronary Artery Disease (CAD) and there of Coronary Artery Bypass Graft ... more Background: Incidence of Coronary Artery Disease (CAD) and there of Coronary Artery Bypass Graft (CABG) surgery are increasing day by day. Presence of anxiety in post CABG surgery patients; which is noted frequently, is a major concern. The patho-chemical effects of anxiety, leads to delayed recovery period from the surgery and redevelopment of CAD in these patients. Shavasana is a yogic method for relaxation and it is proposed to reduce anxiety. It is important to assess the practical significance and the suitability of incorporating Shavasana into the early phase of cardiac rehabilitation programme after CABG surgery. Method: Sixty subjects who had undergone coronary artery bypass grafting were randomly allocated into two treatment groups on post operative day 1; Group A i.e. control group which received usual phase I cardiac rehabilitation and Group B which received phase I Cardiac rehabilitation and Shavasana session for ten minutes once a day. This treatment was given for seven...

Background and purpose of the study was to compare Pursed-lip breathing and Mouth taping for reli... more Background and purpose of the study was to compare Pursed-lip breathing and Mouth taping for relieving dyspnoea and analyse their effectiveness. Method: Subjects of age group 18-34 years and normal BMI were randomly divided into two groups, group A (n= 40) for PLB technique and group B (n= 40) for MT technique. Each subject’s Heart rate, Respiratory rate, Blood pressure, Treadmill walking time and level of dyspnoea according to Modified Borg CR10 scale was assessed before and after the intervention. Results: Both the techniques showed significant improvement by virtue of an increased treadmill walking time, the subject’s dyspnoea status during the treadmill walking and lesser time for recovery to baseline vital parameters. Significant reduction in post-test RR after PLB (p=0.030) and MT (p=0.012) respectively were seen. Although, when compared to each other, MT and PLB techniques showed no significant differences with respect to the dyspnoea relieving time(p=0.08)and treadmill walki...

Chronic Obstructive Pulmonary Disease (COPD) is common, preventable and treatable disease is char... more Chronic Obstructive Pulmonary Disease (COPD) is common, preventable and treatable disease is characterized by persistent respiratory symptoms like dyspnea and airflow limitations. There are many objective and subjective scales which are used to assess different factors affected due to COPD like quality of life, well-being of patients, dyspnea, endurance, etc. GOLD is diagnostic criteria for diagnosis as well as for assessment of COPD. Barthel Index based on dyspnea, COPD assessment test and BODE are used to assess the dyspnea, wellbeing of patients, endurance and mortality of patients respectively in patients. To study the Correlation between Barthel Index based on dyspnea (BI-d), COPD assessment test (CAT), BODE and GOLD classification as staging systems of COPD was the aim of this study. MethodologyWith the help of convenient sampling 23 COPD patients were taken as a sample. PFT was performed for all the samples and according to PFT results their disease staging was determined. Al...

International Journal of Health Sciences and Research

Background: Exercise capacity plays an essential role in determining quality of life in both dise... more Background: Exercise capacity plays an essential role in determining quality of life in both disease & health. Field tests can be used to determine aerobic capacity since they are easy to perform. The step test is another exercise test that can be used to assess aerobic capacity. An alternative to 6MWT is 6-minute step test which is a self-paced test. The 6-minute step test (6MST) requires less time and space to be performed and might be used as an alternative to assess exercise capacity in primary care. Materials and methodology: 300 healthy participants of both genders were included. Each participant performed a 6-minute step test on a 20 cm high wooden step. The participants were instructed to walk up and down the step as much as possible within the time duration. Individuals with neuromuscular, orthopedic, or cardiopulmonary diseases were excluded from study. Pre & post vitals such as heart rate & SPO2 were recorded. The steps were counted by the therapist. Results: The included...

International journal of physiotherapy and research, Feb 11, 2018

Background: Respiratory Condition is an umbrella term. It includes many respiratory diseases, amo... more Background: Respiratory Condition is an umbrella term. It includes many respiratory diseases, amongst which COPD is a leading cause of distress. Hospitalized Patients with COPD often suffer from anxiety due to many underlined causes. Anxiety is an unpleasurable emotional state; it goes hand in hand with COPD condition. Effect of music on anxiety reduction and physiological parameters is culturally known but lacks much attention in treatment settings. So the purpose of this study is to find out the effect of music on physiological parameters and anxiety in COPD patients. Materials and Methods: In this Experimental type of study, carried out in tertiary care hospitals in Pune city, 42 patients were selected by purposive sampling technique as per inclusion criteria, both male and females with COPD and MMRC dyspnoea grade 2 and 3. Pre intervention physiological parameters i.e. Respiratory rate, Heart rate, Blood pressure along with anxiety score using State Trait Anxiety Inventory Scale were checked and noted. After the Music intervention of 15-20 minutes all the outcome measures were checked again and noted. Data collected was analyzed using Paired t-test and Wilcoxon method. Result and Conclusion: P values for RR, PR, SBP, DBP and STAI are 0.00, 0.00, 0.012, 0.001 and 0.00 respectively which are (<0.05) statistically significant. Mean values of RR, PR and STAI have shown significant change, pre and post intervention; whereas mean BP stayed the same. So the study concludes that music has significant effect on physiological parameters and anxiety, and it can be incorporated as a non pharmacological intervention in clinical settings.

Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2014

Purpose: Increase in demand on the respiratory system leads to recruitment of abdominal muscles [... more Purpose: Increase in demand on the respiratory system leads to recruitment of abdominal muscles [transverses abdominals] as accessory respiratory muscle. This correlation between the muscle strength and the pulmonary function test is studied in this research.

Journal of the Indian Academy of Geriatrics, 2018

Background: Balance is defined as the ability to maintain the centre of gravity within the base o... more Background: Balance is defined as the ability to maintain the centre of gravity within the base of support during human daily life activities'. Due to physiological process of ageing, there's decreased ability to generate force in the lower extremity muscles resulting in falls which have a deep impact on functional activity performance. The purpose of this study is to see the improvement in stability and performance of ADL's in response to ankle exercise program and proprioceptive training in community-dwelling elderly population and to compare the effect of both. Method: This comparative experimental study included 40 ambulatory elderly individuals, both male and female of the age group of >65 years. The individuals with known neurological or cardiac condition were excluded. Then the subjects were recruited in 2 groups, 20 each. Group 1: Ankle exercise program (strengthening and stretching exercise for ankle musculature). Group 2: Proprioceptive training (proprioceptive exercise of the foot). The intervention period was for four weeks (5 sessions per week). Result: On the statistical analysis of data by using SPSS v16, level of significance kept at <0.005 it was found that on Wilcoxon test the difference was significant post-intervention (p= 0.000) for both groups. On Mann Whitney U test, the change wasn't significant (p = 0.069 for POMA and 0.3 for ABC). Conclusion: The study concludes that there's a significant improvement in stability and functional activity for the performance of ADL's after the ankle exercise program and proprioceptive training.

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2014

Objective : The purpose of the study was to compare the values of ankle brachial index (ABI) meas... more Objective : The purpose of the study was to compare the values of ankle brachial index (ABI) measured by Doppler and by sphygmomanometer. Method : Thirty people were assessed for the ABI measurement through Doppler method by one investigator and by sphygmomanometer method done by another investigator. Results : The correlation between the ABI taken with sphygmomanometer and with Doppler was 0.745. The value suggests positive correlation between the two. But kappa score was 0.267 with p value 0.143 implied that ABI measurement with Doppler could not be replaced with measurement with help of sphygmomanometer. Conclusion : Best method of measuring ABI is with Doppler. ABI Measurement with sphygmomanometer does not give good result as compared to Doppler.

Indian Journal of Respiratory Care

Introduction: The 6-minute walk test (6MWT) is a validated tool of submaximal intensity used as a... more Introduction: The 6-minute walk test (6MWT) is a validated tool of submaximal intensity used as an objective measure of functional exercise capacity. Changes in 6-minute walk distance (6MWD) are used to evaluate the efficacy of therapeutic interventions. American Thoracic Society (ATS) guidelines state that the walking course for the 6MWT must be 30 m. In a primary care physiotherapy setting, a 30 m straight course is often not available. Space limitations often force clinicians and researchers to conduct 6MWT on shorter courses. The purpose of this study was to determine the influence of 5, 10, 15, and 30 m course lengths on 6MWD and physiological parameters during the 6MWT. Materials and methods: A total of 80 healthy adults from 18 to 30 years performed four 6MWTs along 5, 10, 15, and 30 m course lengths in a corridor randomly, on consecutive days. The 6MWD and vital parameters on all four course lengths were recorded. Walking speed and maximal oxygen uptake (VO2 max) were calcul...

Indian journal of respiratory care, Jun 30, 2023

Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individua... more Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individual with a fixed step height of the stepper, which can be an advantage for taller people to perform mHST. Biomechanical characteristics change with each individual. Hence, by simply modifying the step height, the test can be individualized. Therefore, the aim of the study is to check whether an individualized change in the height of the stepper according to the hip joint angle affects the cardiorespiratory fitness index. Materials and methods: This is a comparative type of study conducted on 70 healthy young adults. Participants performed mHST using a stepper of height of 40 cm for males and 33 cm for females and an adjustable step test using a stepper with individualized calculated step height with a fixed hip angle of 70°. Outcome measures were physical fitness index (PFI) and maximal oxygen uptake (VO 2 max). Results: This study shows that there is a significant difference between the adjustable step test and mHST for PFI (p = 0.000) and VO 2 max (p = 0.000). The effect size of the adjustable step test for PFI and VO 2 max was large (r = 0.705; r = 0.629, respectively). Conclusion: Our study concludes that the height-adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max. Clinical significance: Height adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max.

Indian Journal of Respiratory Care

Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individua... more Aims and background: Modified Harvard step test (mHST) checks the aerobic fitness of an individual with a fixed step height of the stepper, which can be an advantage for taller people to perform mHST. Biomechanical characteristics change with each individual. Hence, by simply modifying the step height, the test can be individualized. Therefore, the aim of the study is to check whether an individualized change in the height of the stepper according to the hip joint angle affects the cardiorespiratory fitness index. Materials and methods: This is a comparative type of study conducted on 70 healthy young adults. Participants performed mHST using a stepper of height of 40 cm for males and 33 cm for females and an adjustable step test using a stepper with individualized calculated step height with a fixed hip angle of 70°. Outcome measures were physical fitness index (PFI) and maximal oxygen uptake (VO 2 max). Results: This study shows that there is a significant difference between the adjustable step test and mHST for PFI (p = 0.000) and VO 2 max (p = 0.000). The effect size of the adjustable step test for PFI and VO 2 max was large (r = 0.705; r = 0.629, respectively). Conclusion: Our study concludes that the height-adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max. Clinical significance: Height adjustable step test estimates better PFI and shows better oxygen consumption or better VO 2 max.

INDIAN JOURNAL OF PHYSICAL THERAPY, 2016

ABSTRACT: Background: Core stability and core strength is of maximum importance in almost all the... more ABSTRACT: Background: Core stability and core strength is of maximum importance in almost all the activities of daily living. This study is done to check the influence of core strength on lower extremity balance. Method: 50 young healthy adults both males and females between the age group of 18-25 years with mean age of 21.73±1.45 years, were included in the study and those involved in any kind of sports activity were excluded. Then their core strength was checked by pressure biofeedback method and static balance was tested by Single Leg Balance Test. Results: Pearson correlation test was used, which showed a significant correlation between core muscle strength and balance (p˂ 0.05). Conclusion: Core muscle strength influences static balance.

Background and Aims: Coronary Artery Bypass Grafting (CABG) carries a risk for serious non-cardia... more Background and Aims: Coronary Artery Bypass Grafting (CABG) carries a risk for serious non-cardiac complications, such as atelectasis, hypoxia and secretion retention. The purpose of this study is to compare the effect of both Respiratory Muscle Training (RMT) and conventional physio therapy techniques on improving respiratory muscle strength and thus preventing the pulmonary complication after CABG in Phase –I Rehabilitation. Subjects and Method: Total 30 patients were included with average age of 59.6 ± 6.7years. They were randomly assigned into (C.G) control group (N=15) and (E.G) experimental group (N=15). In C.G patients were given chest expansion exercises, including Incentive spirometer, secretion removal maneuver and mobilization. The E.G underwent the same protocol and also the Respiratory Muscle Training (RMT). Patients were evaluated on first and seventh post-operative days for maximal inspiratory pressures (PImax), Peak expiratory flow rate (PEFR), oxygen saturation (SpO...

International Journal Of Community Medicine And Public Health

Background: COVID-19 disease is highly contagious and transmission rates are very high. In any bi... more Background: COVID-19 disease is highly contagious and transmission rates are very high. In any biological disaster like this, fear, uncertainty, and stigmatization are common. Even after discharge, they may suffer from varying degrees of long-term mental health problems mainly due to isolation. Physiotherapists play an important role in the rehabilitative phase of these. Therefore, the need of this study is to understand the psychological impact caused because of the COVID-19 disease and take this into consideration while treating the patients so that the rehabilitation protocol is effective maximally.Methods: Permission was taken from the ethical committee before beginning the research. Subjects who met the inclusion criteria were selected as per voluntary enrolment. A validated self-made questionnaire was forwarded and response was obtained from 167 subjects. Descriptive data analysis was done.Results: After suffering from COVID-19 disease, out of the 167 participants that were a ...

International Journal Of Community Medicine And Public Health

Background: In majority of heavy industries and factories safety footwear is a mandatory safety o... more Background: In majority of heavy industries and factories safety footwear is a mandatory safety obligation, thus a necessity for workers in industrial settings, contributing to foot problems, interfering with work capacity. Therefore, there is an urgent need to find prevalence of foot problems occurring due to safety footwear. To find the prevalence of foot problem associated with wearing safety footwear in factory employees.Methods: Factory employees working in industrial setting wearing safety footwear for prolonged duration on regular basis were included in the study. Subjects having any recent ankle and below knee fractures in last 6 months were excluded. Samples were collected from different industrial settings, with the help of a self-made questionnaire. Descriptive analysis of the data collected was done and the responses were converted into percentiles and represented in graphical form.Results: 62.50% subjects complain pain in the heel and bottom of the foot (plantar fasciit...

VIMS Health Science Journal

ABSTRACT: Background: Cardiovascular diseases are the number one cause of death worldwide. As we ... more ABSTRACT: Background: Cardiovascular diseases are the number one cause of death worldwide. As we know Cardiovascular Physiotherapy has undisputable role in management of these Cardiac Diseases. Yet evidences suggests that we can see lot of non- adherence of these patients towards therapy. Therefore, this study helps us to understand the awareness and perception of Cardiac Patients towards Cardiovascular physiotherapy as this will tell us patient’s level of understanding about the importance and implications of it on their condition and what are their perceptions regarding this therapy. Method: A self-made questionnaire was administered to people who are diagnosed of Cardiac Condition in various hospitals in Pune City and Descriptive data analysis was done using Microsoft Excel Software. Results: Only 35% subjects were aware of Cardiovascular Physiotherapy, 65% agreed that Cardiovascular Physiotherapy is important for their recovery, 55% thought it has positive effect on their Cardi...

Indian Journal of Respiratory Care, 2022

Objective: The present study was conducted to translate the original English version of Modified ... more Objective: The present study was conducted to translate the original English version of Modified Borg Scale (CR-10) in Hindi language and validate Hindi translated version of the scale for its use in healthy Indian adult population. Subjects and Methods: An observational analytical study was conducted on 50 healthy Indian subjects (24 males, 26 females) who were recruited from a tertiary healthcare setup. The study was conducted in two parts: 1st part included translation of English version of Modified Borg Scale (CR-10) in Hindi language by cross-cultural adaptation process. 2nd part included validation of Hindi translated version of Borg CR-10 scale by correlating subjective values of rating of perceived exertion (RPE) with the objective parameters of heart rate (HR) and maximal oxygen consumption (VO2 max) during a Bruce treadmill protocol. Results: Spearman correlation coefficient was computed between subjective and objective measures. The results of the study showed that there ...

The Journal of Medical Sciences, 2022

Background: Metabolic equivalents (METs) are used during exercise testing as an estimate of funct... more Background: Metabolic equivalents (METs) are used during exercise testing as an estimate of functional capacity. There are specifically designed questionnaires to find out MET and exercise capacity. The Duke Activity Status Index (DASI) is a self-administered questionnaire designed to assess physical function and predict exercise capacity. The Modified Chinese version Veterans Specific Activity Questionnaire (VSAQ) is a 13-item self-administered questionnaire that estimates functional capacity expressed in METs. Materials and methods: Two hundred and thirty participants were included in the study according to inclusion criteria and were made to answer DASI and Modified Chinese version VSAQ, and METs were calculated. Participants performed treadmill test, i.e., Bruce Protocol. All the vital parameters were assessed before and after the completion of the treadmill test and METs achieved at that stage were noted. Results: The limits of agreement between DASI, VSAQ, and Bruce Protocol were assessed using Bland-Altman method. Duke Activity Status Index and Bruce Protocol showed p-0.001, CI-95%, and Modified Chinese version of VSAQ and Bruce Protocol showed p-0.001, CI-95%. The mean of MET calculated by the Modified Chinese version of VSAQ was statistically close to the mean of MET calculated by Bruce Protocol MET. Conclusion: There is no agreement between DASI and the Modified Chinese version of VSAQ with Bruce Protocol in healthy individuals. The Modified Chinese version of VSAQ has closer MET values to Bruce Protocol. Hence, the Modified Chinese version of VSAQ may be considered for the assessment of functional capacity in the Indian population.

Indian Journal of Community Medicine, 2021

Background: Valve problems are congenital or acquired and require surgical correction or replacem... more Background: Valve problems are congenital or acquired and require surgical correction or replacement of the valve. Post surgery functional capacity reduces causing reduction in muscle strength and functional capacity. There being dearth in literature and evidences the study aimed at assessing the functional status of this population. Materials and methodology: Twenty Two participants were included who underwent a valve replacement surgery. Each participant performed sit to stand and two minute walk test. Individuals were haemodynamically stable were included. Individuals with locomotor disability were excluded from study. Results: The unpaired t test was used to compare the vital parameters between both tests. The p values of Heart rate pre was (0.37) and post (0.128). The p values of RR pre and post was (1.00) and post (0.02). The p values of systolic blood pressure were (0.961) and (1.00) respectively. The p values of saturation pre and post was (0.329) and (0.34). The p values of...

Association of Medical Researchers of India , India., 2016

Background: Incidence of Coronary Artery Disease (CAD) and there of Coronary Artery Bypass Graft ... more Background: Incidence of Coronary Artery Disease (CAD) and there of Coronary Artery Bypass Graft (CABG) surgery are increasing day by day. Presence of anxiety in post CABG surgery patients; which is noted frequently, is a major concern. The patho-chemical effects of anxiety, leads to delayed recovery period from the surgery and redevelopment of CAD in these patients. Shavasana is a yogic method for relaxation and it is proposed to reduce anxiety. It is important to assess the practical significance and the suitability of incorporating Shavasana into the early phase of cardiac rehabilitation programme after CABG surgery. Method: Sixty subjects who had undergone coronary artery bypass grafting were randomly allocated into two treatment groups on post operative day 1; Group A i.e. control group which received usual phase I cardiac rehabilitation and Group B which received phase I Cardiac rehabilitation and Shavasana session for ten minutes once a day. This treatment was given for seven...

Background and purpose of the study was to compare Pursed-lip breathing and Mouth taping for reli... more Background and purpose of the study was to compare Pursed-lip breathing and Mouth taping for relieving dyspnoea and analyse their effectiveness. Method: Subjects of age group 18-34 years and normal BMI were randomly divided into two groups, group A (n= 40) for PLB technique and group B (n= 40) for MT technique. Each subject’s Heart rate, Respiratory rate, Blood pressure, Treadmill walking time and level of dyspnoea according to Modified Borg CR10 scale was assessed before and after the intervention. Results: Both the techniques showed significant improvement by virtue of an increased treadmill walking time, the subject’s dyspnoea status during the treadmill walking and lesser time for recovery to baseline vital parameters. Significant reduction in post-test RR after PLB (p=0.030) and MT (p=0.012) respectively were seen. Although, when compared to each other, MT and PLB techniques showed no significant differences with respect to the dyspnoea relieving time(p=0.08)and treadmill walki...

Chronic Obstructive Pulmonary Disease (COPD) is common, preventable and treatable disease is char... more Chronic Obstructive Pulmonary Disease (COPD) is common, preventable and treatable disease is characterized by persistent respiratory symptoms like dyspnea and airflow limitations. There are many objective and subjective scales which are used to assess different factors affected due to COPD like quality of life, well-being of patients, dyspnea, endurance, etc. GOLD is diagnostic criteria for diagnosis as well as for assessment of COPD. Barthel Index based on dyspnea, COPD assessment test and BODE are used to assess the dyspnea, wellbeing of patients, endurance and mortality of patients respectively in patients. To study the Correlation between Barthel Index based on dyspnea (BI-d), COPD assessment test (CAT), BODE and GOLD classification as staging systems of COPD was the aim of this study. MethodologyWith the help of convenient sampling 23 COPD patients were taken as a sample. PFT was performed for all the samples and according to PFT results their disease staging was determined. Al...