Shyam Jungade - Academia.edu (original) (raw)

Papers by Shyam Jungade

Journal of Clinical and Diagnostic Research, 2021

The diagnosis and management of vertigo is still a challenge. Vertigo is managed by heterogenous ... more The diagnosis and management of vertigo is still a challenge. Vertigo is managed by heterogenous group of specialists, including Otolaryngologists, Neurologists and Physiotherapists. The cause of vertigo could be vestibular, central or cervicogenic. The current review was undertaken as an attempt to highlight the various gaps in knowledge about vertigo of varied aetiologies. Cervicogenic vertigo is caused due to neck pathologies and is considered by some authors to be one of the most common vertigo syndromes. However, there is little mention of it in otolaryngology textbooks. Barriers across the specialties and lack of communication between the specialists are an impediment in vertigo management. This review has attempted to highlight the likely multifactorial aetiologies and fallacies in the pathophysiology of Meniere’s disease. The clinical overlaps in cervicogenic and vestibular vertigo have been discussed, some of them being, the occurrence of aural symptoms and neck pain in both the entities. This review article brings out the need to revisit the pathophysiology of vestibular vertigo syndromes and include cervicogenic dizziness in the list of vertigo syndromes in Otolaryngology textbooks. The authors found a dire need of an interdisciplinary approach to elucidate the cause of vertigo of varied presentation with the goal of better patient management.

Journal of Complementary and Integrative Medicine, 2020

BackgroundAutism spectrum disorders (ASDs) fall under neurodevelopmental disorders and are charac... more BackgroundAutism spectrum disorders (ASDs) fall under neurodevelopmental disorders and are characterized by impaired social interaction and communication, restricted interests, and repetitive behaviors. The current available treatments aim at functional rehabilitation with resultant partial improvement in few and the persistent handicap in rest of them. Manual physical therapy or manual manipulation therapy has the basis in structural rehabilitation of the patient and has been proposed to act by both peripheral and central mechanisms.Case presentationTo study improvement in different components of ASD by manual physical therapy, the therapy comprised of soft tissue therapy, in the form of myofascial release (MFR) of deep fascia of leg and foot muscles. The child with ASD, treated by manual physical therapy had global improvement in all the deficits.ConclusionsThis is probably first case of autism reported to have almost complete symptom resolution, with any single form of treatment ...

Physical & Occupational Therapy In Geriatrics, 2020

Background and purpose: Various factors influence balance and mobility in older people. The purpo... more Background and purpose: Various factors influence balance and mobility in older people. The purpose of this study was to examine the influence of age, gender, and body mass index (BMI) on balance and mobility in Indian Community-Dwelling older people. Design: Cross-sectional, observational study. Methods: Elderly men (n ¼ 53) and women (n ¼ 47) aged between 65 and 83 years were assessed using Berg balance scale (BBS), functional reach test (FRT), and timed up & go (TUG) test. Participants were categorized into normal weight, overweight, and obese. Results: Age was significantly correlated with all the measures (BBS: r ¼ À0.91; FRT: r ¼ À0.46; TUG: r ¼ 0.81). No significant difference was noted among weight groups in all the measures. Gender differences were found in BBS (p ¼ 0.048) and FRT (p < 0.0001), but not found in TUG (p ¼ 0.14). Conclusion: BMI had no influence on balance and mobility. Age was significantly correlated with all the measures. Gender differences were found in balance, but not in mobility.

Background: The neck pain comes from multifactorial origin and affects approximately 70% of indiv... more Background: The neck pain comes from multifactorial origin and affects approximately 70% of individuals at some point in their lives being considered a frequent problem of disability. Pilates has been widely used physical conditioning method that improves posture and develop body sense. Although the neck pain symptoms are common within the population, no study has investigated the effectiveness of the Pilates method as a possible treatment for neck pain. The aim this study is to assess the effectiveness of the Pilates and Yoga method on pain, function and quality of life in patients with chronic mechanical neck pain. Methodology: Thirty patients diagnosed with chronic mechanical neck pain were randomly assigned to receive Pilates exercises (group A) and Yoga exercises (group B). Outcome measures such as numerical pain rating scale and neck disability index was taken to assess pain and functional status respectively. The exercise program lasted for 3 weeks. Results: Neck disability i...

Journal of Datta Meghe Institute of Medical Sciences University, 2021

Background: Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects individ... more Background: Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects individuals across social, ethnic, and geographic groups. Autistic children have difficulty with gross motor and fine motor functioning difficulties including a wide range of signs and symptoms. Toe walking due to tendo-achilles (TA) tightness is commonly observed gait in autistic children altering foot posture in them. The knowledge about the abnormalities may be useful for the assessment and treatment planning of ASD children. Material and Methods: We evaluated TA tightness, ROM of the ankle joint, and compare the effect of Manual Therapy (MET) and conventional therapy for improving TA flexibility and foot posture. Procedure: A comparative study included twenty diagnosed autistic children as per inclusion criteria which were divided into two groups, Group A was given conventional therapy in the form of passive stretching, whereas Group B was given manual therapy in the form of muscle energy t...

Journal of Datta Meghe Institute of Medical Sciences University, 2019

Background: This study will help to plan the treatment protocol for reducing immediate sacroiliac... more Background: This study will help to plan the treatment protocol for reducing immediate sacroiliac joint pain with the help of K-tape in women after full term normal delivery and provide better quality of life to get back their activities of daily living more comfortably.Aim and Objectives: Aim of the study is to find out the impact of k-taping in sacroiliac joint pain in women after full term normal delivery. With following objectives 1) To study the impact of kinesiological taping in Sacroiliac joint pain in women after full term normal delivery. 2) To study the quality of life (QOL) in women with sacroiliac joint pain after full term normal delivery. Materials and Methods: study population: women with sacroiliac joint pain after full term normal delivery. Outcome measures- (A) Numeric pain rating scale (NPRS), (B)Roland Morris Disability Questionnaire (RMDQ). Intervention: The intervention period was of 72 hours where K-tape done in experimental group with exercise and only exerci...

Indian Journal of Otolaryngology and Head & Neck Surgery, 2020

Vertigo and dizziness are one of the commonest and least understood symptom. Vestibular vertigo o... more Vertigo and dizziness are one of the commonest and least understood symptom. Vestibular vertigo of Meniere’s disease and Benign Paroxysmal positional vertigo (BPPV) and cervicogenic dizziness are classified as separate entities. Cervicogenic dizziness is not considered the domain of Otolaryngologists, as it is mainly related to neck proprioceptors. Headache and neck pain, have been found to be associated with both Meniere’s disease and BPPV, so is cervicogenic dizziness. The present study was undertaken to study the association between cervical signs and symptoms in patients with Vestibular Vertigo of Meniere's disease, Benign Paroxysmal Positional Vertigo and cervicogenic dizziness. 132 patients complaining of vertigo and diagnosed with Meniere’s disease, BPPV or cervicogenic dizziness were examined for symptoms and signs related to neck, shoulder and muscle tightness and asymmetry. Most of the patients of Meniere’s Disease (80% for unilateral and 88.23% for bilateral), Benign Paroxysmal Positional Vertigo (75%for right sided BPPV, 66.67% for left sided BPPV) and cervicogenic dizziness (90%) had associated symptoms of neck pain or headache, and were found to be positive for neck tightness and/or asymmetry of shoulder. Headache was more common in patients with Meniere’s Disease. Vestibular Dizziness of Meniere’s Disease, Benign Paroxysmal Positional Vertigo and Cervicogenic Dizziness may be spectrum of the same disease with underlying myofascial problems. Meniere’s Disease of Idiopathic or primary type needs to be revisited as Cervicogenic Hydrops.

IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain, 2020

Dysphagia in elderly could be attributable to a number of etiological causes ranging from neurolo... more Dysphagia in elderly could be attributable to a number of etiological causes ranging from neurologic causes like stroke, malignancies, motility disorders, cervical osteophytic compression and changes in cervical spine curvature. There are studies which have reported the occurrence of dysphagia in patients with cervical spine osteophytes. However, the loss of cervical lordosis as a cause of dysphagia has not received much attention and is primarily a diagnosis of exclusion. Most of the studies have focused on dysphagia following anterior cervical spine surgery. This is probably first report of a case of dysphagia attributable to cervical spine curvature change due to neck muscle spasm, which was treated by manual therapy, in a 70 year old male, where all other known causes of dysphagia were excluded. We found improvement in angle of cervical lordosis between C-2 and C-7 vertebrae both by "Posterior tangent technique" and "Cobb Angle Method".

International Journal of Physiotherapy, 2020

Background: Autism Spectrum Disorder (ASD) is a disorder of neurodevelopment, which affects indiv... more Background: Autism Spectrum Disorder (ASD) is a disorder of neurodevelopment, which affects individuals across social, ethnic, and geographic groups. Autistic children have difficulty with gross motor and fine motor functioning difficulties, including a wide range of signs and symptoms. Toe walking due to TA tightness is commonly observed gait in autistic children altering foot posture in them. The knowledge about the abnormalities can be useful for the assessment and treatment planning of ASD children. We evaluated TA tightness, ROM of the ankle joint, and compare the effect of manual therapy (MET) and conventional therapy for improving TA flexibility and foot posture. Methods: An RCT included 20 diagnosed autistic children(13male,7female) as per inclusion criteria the subjects were divided into two groups, i.e., group A and B, the group A was given Conventional Therapy in the form of passive stretching whereas Group B was given Manual Therapy in the form Muscle Energy Technique. The participants were clinically examined and evaluate TA tightness in the form of Elastography, Range of motion, and foot posture. Data were taken as pre and after post-intervention. Results: There were significant changes in elastography readings, foot posture index, and range of motion in both groups post-intervention, but significant improvement was observed in group B as compared to group A, i.e., p>0.05. Conclusion: This has been concluded that there is a significant effect of Manual therapy in the form of muscle energy technique for improving TA flexibility and foot posture as compared to conventional treatment.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH