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Papers by pradnya dhargave

Indian journal of physical therapy and research, 2022

DOAJ (DOAJ: Directory of Open Access Journals), Dec 31, 2021

Acta Scientific Orthopaedics

International Journal of Innovative Science and Research Technology, 2020

COVID-19 is a new pandemic disease which was reported initially at the city of Wuhan in the Hubei... more COVID-19 is a new pandemic disease which was reported initially at the city of Wuhan in the Hubei province ofChina on 31 December 2019. 1Recent events have reported its presence in more than 150 countries and with 132758 confirmed cases and a total of 4955 deaths as on 13th March 2020.2Although the death rate due to the disease is 6% or less, the persons who are affected in a short span of time is at an alarming rate.3 In this context, World Health Organization (WHO) have declared the disease as pandemic on 11th March 2020.

International Journal of Yoga, 2019

Background: Duchene muscular dystrophy (DMD) is a progressive muscular disorder. Cardiac disorder... more Background: Duchene muscular dystrophy (DMD) is a progressive muscular disorder. Cardiac disorder is the second-most common cause of death in children with DMD, with 10%–20% of them dying of cardiac failure. Heart rate variability (HRV) is shown to be a predictor of cardio-autonomic function. Physiotherapy (PT) is advised for these children as a regular treatment for maintaining their functional status. The effect of yogic practices on the cardio-autonomic functions has been demonstrated in various neurological conditions and may prove beneficial in DMD. Materials and Methods: In this study, 124 patients with DMD were randomized to PT alone or PT with yoga intervention. Home-based PT and yoga were advised. Adherence was serially assessed at a follow-up interval of 3 months. Error-free, electrocardiogram was recorded in all patients at rest in the supine position. HRV parameters were computed in time and frequency domains. HRV was recorded at baseline and at an interval of 3 months up to 1 year. Repeated-measures ANOVA was used to analyze longitudinal follow-up and least significant difference for post hoc analysis and P < 0.05 was considered statistically significant. Results: In our study, with PT protocol, standard deviation of NN, root of square mean of successive NN, total power, low frequency, high-frequency normalized units (HFnu), and sympathovagal balance improved at varying time points and the improvement lasted up for 6–9 months, whereas PT and yoga protocol showed an improvement in HFnu during the last 3 months of the study period and all the other parameters were stable up to 1 year. Thus, it is evident that both the groups improved cardiac functions in DMD. However, no significant difference was noted in the changes observed between the groups. Conclusion: The intense PT and PT with yoga, particularly home-based program, is indeed beneficial as a therapeutic strategy in DMD children to maintain and/or to sustain HRV in DMD.

Acta Scientific Orthopaedics

This case report describes a 25-year-old male, who presented with chronic low back pain. The chie... more This case report describes a 25-year-old male, who presented with chronic low back pain. The chief complains included unable to sit for a longer time that would aggravate his pain, which also hinders his occupation as software engineer. There was no significant history of any other pathology or any co-morbidities. Clinical investigation confirmed L4-L5 intervertebral disc prolapse with no neural compression. Proper guidance towards ergonomics and successful physical therapy management using Pain Neuroscience Education, electro therapy, and exercise therapy for low back pain. At the end of fourth session, the patient was completely pain free, functional and restarted his work. He was called for follow up on 10 th day and found to have no relapse of pain.

RGUHS Journal of Physiotherapy, 2022

Clinical Neurophysiology, 2012

Introduction: In patients with Duchenne muscular dystrophy (DMD), assessing the patient’s strengt... more Introduction: In patients with Duchenne muscular dystrophy (DMD), assessing the patient’s strength and functional abilities is essential to monitor the progress of disease and to help create a rehabilitation plan. Objectives: To correlate age with functional abilities and strength in patients with DMD. Methods: Eighty-two ambulant patients with genetically and/or immunohistopathologically confirmed DMD, between 5 and 10 years of age, were recruited from the neuromuscular clinic of a tertiary care university hospital. Functional abilities were evaluated using the muscular dystrophy functional rating scale (MDFRS) and strength by modified manual muscle testing. Results: Their phenotypic features were age of 8.04 ± 1.5 years, height of 118.2 ± 7.9 cm, and weight of 20.6 ± 4.5 kg. The total muscle power was for the lower extremity (hip + knee + ankle) 56.59 ± 10.6, the hip (flexors + extensors + abductors + adductors) 25.23 ± 6.9, the knee (flexors + extensors) 15.77 ± 2.7, and the ankle (dosiflexors + plantarflexors) 15.59 ± 2.9. Total MDFRS (mobility + activities of daily living [ADL] + arm function + impairment domain) score was 92.43 ± 6.1. There was a negative correlation of total power of the hip (r = 0.285, p = 0.009) and the knee (r = 0.277, p = 0.012) with advancing age. Impairment (r = 0.226, p = 0.041), mobility component (r = 0.352, p = 0.001), and total MDFRS (r = 0.286, p = 0.009) showed negative correlation with the age. Conclusion: Hip and knee component evaluation is crucial for monitoring the disease progression in DMD. Impairment and mobility is a better predictor of the change compared to ADL and arm function components of MDFRS.

INDIAN JOURNAL OF PHYSICAL THERAPY, 2015

The years spend by students in their college are sufficient to make them learn the theoretical kn... more The years spend by students in their college are sufficient to make them learn the theoretical knowledge. Practicing a skill on a model or dummy is way different than performing the same task on a patient. Application of theory in practice is required to gain skills and master the techniques; the practical training programs emphasize this aspect. The study compares the pre and post informal training performance of physiotherapy students upon improvement in their theory knowledge and performing skills. The performing skills include their ability to perform a given task with perfection and ability to make correct judgment in a given situation. Present study is an outcome measure of teaching and learning efficacy among 323 students of physiotherapy undergoing one month training programme at NIMHANS. The program included postings of the students in various units. The results show that significant improvement were present in overall learning of the students

Journal of Society of Indian Physiotherapists

Acta Scientific Orthopaedics

Acta Scientific Orthopaedics

INDIAN JOURNAL OF PHYSICAL THERAPY, 2016

Background: Low back pain is one of the commonest conditions which almost every person suffer. Th... more Background: Low back pain is one of the commonest conditions which almost every person suffer. There are several techniques devised to manage low back pain. Many patients get relief with mulligan method of mobilization which is very popular. Objective: to find out the effect of mulligan SNAG technique in patients with Spondylogenic referred LBP. Methods: Fifteen subjects were included in this study. Intervention group was given mulligan SNAG technique and exercises. Results: Percentage change in scores of VAS for pain post intervention in mulligan group and slump stretching group was found to be significant(19.1% 42.2% respectively p value 0.001).Short term disability was assessed by ODI score. Percentage change in score post intervention in both groups was also found to be significant (16.4% 31.3% p value 0.001) Conclusion: The present study revealed that the mulligan SNAG technique in a subgroup of patients hypothesized to benefit from this form of treatment is beneficial for red...

European Journal of Paediatric Neurology, 2014

Journal of Society of Indian Physiotherapists, 2022

Annals of Indian Academy of Neurology, 2021

Background: Establishing an association between gait variability and direction specific balance i... more Background: Establishing an association between gait variability and direction specific balance indices may help in identifying the risk of falls in patients with spinocerebellar ataxia (SCA) which may help in developing an appropriate intervention. This study is intended to identify the association between balance and gait parameters especially gait variability in these patients. Methods: Patients with genetically confirmed SCA (n = 24) as well as controls (n = 24) who met the study criteria were recruited. Gait was assessed using the GAITRite system and balance was assessed using dynamic posturography (Biodex) to record direction-specific dynamic balance indices. Disease severity was assessed using international cooperative ataxia rating scale (ICARS). Results: The mean age of the SCA group (38.83 ± 13.03 years) and the control group (36.38 ± 9.09 years) were comparable. The age of onset of illness was 32 ± 10.62 years and duration of 5.67 ± 3.62 years. The mean ICARS was 45.10 ± ...

International Journal of Yoga, 2021

Context: Abnormal respiratory function is known to be detectable almost as soon as it can be meas... more Context: Abnormal respiratory function is known to be detectable almost as soon as it can be measured reliably. Studies have identified the effect of respiratory muscle training as well as breathing exercises in improving pulmonary functions in children with Duchenne muscular dystrophy (DMD). Aims: This study aims to identify the add-on effect of yoga over physiotherapy on pulmonary functions in children with DMD. Settings and Design: One hundred and twenty-four patients with DMD were randomized to two groups. Group I received home-based physiotherapy and Group II received physiotherapy along with yoga intervention. Materials and Methods: Pulmonary function test (PFT) was assessed before the intervention (baseline data) and at regular intervals of 3 months for a period of 1 year. Statistical Analysis Used: Normality was assessed using Shapiro–Wilk normality test. The baseline data were analyzed using Mann–Whitney U-test to identify the homogeneity. Repeated measures analysis of vari...

Background Falls are common among the geriatric population, causing frequent morbidity and mortal... more Background Falls are common among the geriatric population, causing frequent morbidity and mortality. There is an increased risk of fall among older people living in long-term care homes. Identifying risk factors for falls among older people living in old-age homes can help in the care and prevention of falls in this population. Aim To evaluate the prevalence of various risk factors for falls among older people living in long-term care homes. Methods A total of 163 elderly men and women aged 60-95 years were studied. History of falls revealed by participants, Long Term Care Fall Risk Assessment Form, Mini Mental State Examination, Berg Balance Scale, Fall Factors Assessment Form, and Dynamic Gait Index were used as the assessment tools in this study. The odds ratio for the risk factors for falls was calculated. The association between the risk of fall and the risk factors was assessed using the χ2 test. The degree of functional disability between the high-risk and low-risk groups wa...

CONTEXT: Elderly population deals with many health problems, especially women, owing to menopause... more CONTEXT: Elderly population deals with many health problems, especially women, owing to menopause. A decline in balance leads to an increase in episodes of falls, increased fear of falls, along with an occurrence of a cautious gait pattern with reduced velocity and increased variability, which have also reported in women from 40 years of age and above. AIMS: The aim of this study was to identify the role of a structured exercise protocol in improving balance and gait parameters in premenopausal women. SETTINGS AND DESIGN: A single group quasi-experimental study was undertaken. SUBJECTS AND METHODS: Seventeen females between the age group of 30 and 45 participated in the study. We administered a predesigned supervised exercise protocol for 5 days a week, 60 min per session, and for a period of 1 year. STATISTICAL ANALYSIS USED: Pre- and posttest measures on balance and gait were assessed and analyzed using the Wilcoxon test. RESULTS: The study identified an improvement in the balance...

Indian journal of physical therapy and research, 2022

DOAJ (DOAJ: Directory of Open Access Journals), Dec 31, 2021

Acta Scientific Orthopaedics

International Journal of Innovative Science and Research Technology, 2020

COVID-19 is a new pandemic disease which was reported initially at the city of Wuhan in the Hubei... more COVID-19 is a new pandemic disease which was reported initially at the city of Wuhan in the Hubei province ofChina on 31 December 2019. 1Recent events have reported its presence in more than 150 countries and with 132758 confirmed cases and a total of 4955 deaths as on 13th March 2020.2Although the death rate due to the disease is 6% or less, the persons who are affected in a short span of time is at an alarming rate.3 In this context, World Health Organization (WHO) have declared the disease as pandemic on 11th March 2020.

International Journal of Yoga, 2019

Background: Duchene muscular dystrophy (DMD) is a progressive muscular disorder. Cardiac disorder... more Background: Duchene muscular dystrophy (DMD) is a progressive muscular disorder. Cardiac disorder is the second-most common cause of death in children with DMD, with 10%–20% of them dying of cardiac failure. Heart rate variability (HRV) is shown to be a predictor of cardio-autonomic function. Physiotherapy (PT) is advised for these children as a regular treatment for maintaining their functional status. The effect of yogic practices on the cardio-autonomic functions has been demonstrated in various neurological conditions and may prove beneficial in DMD. Materials and Methods: In this study, 124 patients with DMD were randomized to PT alone or PT with yoga intervention. Home-based PT and yoga were advised. Adherence was serially assessed at a follow-up interval of 3 months. Error-free, electrocardiogram was recorded in all patients at rest in the supine position. HRV parameters were computed in time and frequency domains. HRV was recorded at baseline and at an interval of 3 months up to 1 year. Repeated-measures ANOVA was used to analyze longitudinal follow-up and least significant difference for post hoc analysis and P < 0.05 was considered statistically significant. Results: In our study, with PT protocol, standard deviation of NN, root of square mean of successive NN, total power, low frequency, high-frequency normalized units (HFnu), and sympathovagal balance improved at varying time points and the improvement lasted up for 6–9 months, whereas PT and yoga protocol showed an improvement in HFnu during the last 3 months of the study period and all the other parameters were stable up to 1 year. Thus, it is evident that both the groups improved cardiac functions in DMD. However, no significant difference was noted in the changes observed between the groups. Conclusion: The intense PT and PT with yoga, particularly home-based program, is indeed beneficial as a therapeutic strategy in DMD children to maintain and/or to sustain HRV in DMD.

Acta Scientific Orthopaedics

This case report describes a 25-year-old male, who presented with chronic low back pain. The chie... more This case report describes a 25-year-old male, who presented with chronic low back pain. The chief complains included unable to sit for a longer time that would aggravate his pain, which also hinders his occupation as software engineer. There was no significant history of any other pathology or any co-morbidities. Clinical investigation confirmed L4-L5 intervertebral disc prolapse with no neural compression. Proper guidance towards ergonomics and successful physical therapy management using Pain Neuroscience Education, electro therapy, and exercise therapy for low back pain. At the end of fourth session, the patient was completely pain free, functional and restarted his work. He was called for follow up on 10 th day and found to have no relapse of pain.

RGUHS Journal of Physiotherapy, 2022

Clinical Neurophysiology, 2012

Introduction: In patients with Duchenne muscular dystrophy (DMD), assessing the patient’s strengt... more Introduction: In patients with Duchenne muscular dystrophy (DMD), assessing the patient’s strength and functional abilities is essential to monitor the progress of disease and to help create a rehabilitation plan. Objectives: To correlate age with functional abilities and strength in patients with DMD. Methods: Eighty-two ambulant patients with genetically and/or immunohistopathologically confirmed DMD, between 5 and 10 years of age, were recruited from the neuromuscular clinic of a tertiary care university hospital. Functional abilities were evaluated using the muscular dystrophy functional rating scale (MDFRS) and strength by modified manual muscle testing. Results: Their phenotypic features were age of 8.04 ± 1.5 years, height of 118.2 ± 7.9 cm, and weight of 20.6 ± 4.5 kg. The total muscle power was for the lower extremity (hip + knee + ankle) 56.59 ± 10.6, the hip (flexors + extensors + abductors + adductors) 25.23 ± 6.9, the knee (flexors + extensors) 15.77 ± 2.7, and the ankle (dosiflexors + plantarflexors) 15.59 ± 2.9. Total MDFRS (mobility + activities of daily living [ADL] + arm function + impairment domain) score was 92.43 ± 6.1. There was a negative correlation of total power of the hip (r = 0.285, p = 0.009) and the knee (r = 0.277, p = 0.012) with advancing age. Impairment (r = 0.226, p = 0.041), mobility component (r = 0.352, p = 0.001), and total MDFRS (r = 0.286, p = 0.009) showed negative correlation with the age. Conclusion: Hip and knee component evaluation is crucial for monitoring the disease progression in DMD. Impairment and mobility is a better predictor of the change compared to ADL and arm function components of MDFRS.

INDIAN JOURNAL OF PHYSICAL THERAPY, 2015

The years spend by students in their college are sufficient to make them learn the theoretical kn... more The years spend by students in their college are sufficient to make them learn the theoretical knowledge. Practicing a skill on a model or dummy is way different than performing the same task on a patient. Application of theory in practice is required to gain skills and master the techniques; the practical training programs emphasize this aspect. The study compares the pre and post informal training performance of physiotherapy students upon improvement in their theory knowledge and performing skills. The performing skills include their ability to perform a given task with perfection and ability to make correct judgment in a given situation. Present study is an outcome measure of teaching and learning efficacy among 323 students of physiotherapy undergoing one month training programme at NIMHANS. The program included postings of the students in various units. The results show that significant improvement were present in overall learning of the students

Journal of Society of Indian Physiotherapists

Acta Scientific Orthopaedics

Acta Scientific Orthopaedics

INDIAN JOURNAL OF PHYSICAL THERAPY, 2016

Background: Low back pain is one of the commonest conditions which almost every person suffer. Th... more Background: Low back pain is one of the commonest conditions which almost every person suffer. There are several techniques devised to manage low back pain. Many patients get relief with mulligan method of mobilization which is very popular. Objective: to find out the effect of mulligan SNAG technique in patients with Spondylogenic referred LBP. Methods: Fifteen subjects were included in this study. Intervention group was given mulligan SNAG technique and exercises. Results: Percentage change in scores of VAS for pain post intervention in mulligan group and slump stretching group was found to be significant(19.1% 42.2% respectively p value 0.001).Short term disability was assessed by ODI score. Percentage change in score post intervention in both groups was also found to be significant (16.4% 31.3% p value 0.001) Conclusion: The present study revealed that the mulligan SNAG technique in a subgroup of patients hypothesized to benefit from this form of treatment is beneficial for red...

European Journal of Paediatric Neurology, 2014

Journal of Society of Indian Physiotherapists, 2022

Annals of Indian Academy of Neurology, 2021

Background: Establishing an association between gait variability and direction specific balance i... more Background: Establishing an association between gait variability and direction specific balance indices may help in identifying the risk of falls in patients with spinocerebellar ataxia (SCA) which may help in developing an appropriate intervention. This study is intended to identify the association between balance and gait parameters especially gait variability in these patients. Methods: Patients with genetically confirmed SCA (n = 24) as well as controls (n = 24) who met the study criteria were recruited. Gait was assessed using the GAITRite system and balance was assessed using dynamic posturography (Biodex) to record direction-specific dynamic balance indices. Disease severity was assessed using international cooperative ataxia rating scale (ICARS). Results: The mean age of the SCA group (38.83 ± 13.03 years) and the control group (36.38 ± 9.09 years) were comparable. The age of onset of illness was 32 ± 10.62 years and duration of 5.67 ± 3.62 years. The mean ICARS was 45.10 ± ...

International Journal of Yoga, 2021

Context: Abnormal respiratory function is known to be detectable almost as soon as it can be meas... more Context: Abnormal respiratory function is known to be detectable almost as soon as it can be measured reliably. Studies have identified the effect of respiratory muscle training as well as breathing exercises in improving pulmonary functions in children with Duchenne muscular dystrophy (DMD). Aims: This study aims to identify the add-on effect of yoga over physiotherapy on pulmonary functions in children with DMD. Settings and Design: One hundred and twenty-four patients with DMD were randomized to two groups. Group I received home-based physiotherapy and Group II received physiotherapy along with yoga intervention. Materials and Methods: Pulmonary function test (PFT) was assessed before the intervention (baseline data) and at regular intervals of 3 months for a period of 1 year. Statistical Analysis Used: Normality was assessed using Shapiro–Wilk normality test. The baseline data were analyzed using Mann–Whitney U-test to identify the homogeneity. Repeated measures analysis of vari...

Background Falls are common among the geriatric population, causing frequent morbidity and mortal... more Background Falls are common among the geriatric population, causing frequent morbidity and mortality. There is an increased risk of fall among older people living in long-term care homes. Identifying risk factors for falls among older people living in old-age homes can help in the care and prevention of falls in this population. Aim To evaluate the prevalence of various risk factors for falls among older people living in long-term care homes. Methods A total of 163 elderly men and women aged 60-95 years were studied. History of falls revealed by participants, Long Term Care Fall Risk Assessment Form, Mini Mental State Examination, Berg Balance Scale, Fall Factors Assessment Form, and Dynamic Gait Index were used as the assessment tools in this study. The odds ratio for the risk factors for falls was calculated. The association between the risk of fall and the risk factors was assessed using the χ2 test. The degree of functional disability between the high-risk and low-risk groups wa...

CONTEXT: Elderly population deals with many health problems, especially women, owing to menopause... more CONTEXT: Elderly population deals with many health problems, especially women, owing to menopause. A decline in balance leads to an increase in episodes of falls, increased fear of falls, along with an occurrence of a cautious gait pattern with reduced velocity and increased variability, which have also reported in women from 40 years of age and above. AIMS: The aim of this study was to identify the role of a structured exercise protocol in improving balance and gait parameters in premenopausal women. SETTINGS AND DESIGN: A single group quasi-experimental study was undertaken. SUBJECTS AND METHODS: Seventeen females between the age group of 30 and 45 participated in the study. We administered a predesigned supervised exercise protocol for 5 days a week, 60 min per session, and for a period of 1 year. STATISTICAL ANALYSIS USED: Pre- and posttest measures on balance and gait were assessed and analyzed using the Wilcoxon test. RESULTS: The study identified an improvement in the balance...