Megha sheth - Academia.edu (original) (raw)

Papers by Megha sheth

International Journal of Medical Science and Public Health

International Journal of Advanced Research

Background:Osteoarthritis(OA) is a degenerative joint disease which leads to loss of hyaline arti... more Background:Osteoarthritis(OA) is a degenerative joint disease which leads to loss of hyaline articular cartilage associated with underlying bony changes. Knee osteoarthritis(KOA) is associated with pain and functional impairment which negatively affects the patients quality of life. Ultrasound and LASER have been found effective in KOA but studies comparing the two are less. Method:An experimental study was conducted with 21 patients of unilateral KOA randomized into three groups. Each group had 7 patients. Group A- Ultrasound- 1MHz, Pulsed1:1, 0.8W/cm2, 10 min on medial knee joint line. Group B- LASER- 7.6J for 1 min and 30 sec for each trigger point. Group C-Conventional physiotherapy. All subjects received conventional physical therapy with hot packs and quadriceps exercise of affected knee. Outcome measures used were Numerical pain rating scale(NPRS), Sit to stand(STS) and Timed up and go test(TUG). Result:Using Wilcoxon test, mean difference in painin Group A(W=-2.414,p=0.016),...

International Journal of Medical Science and Public Health

International Journal Of Community Medicine And Public Health

Background: Professionalism is defined by the Chartered Society Of Physiotherapy (CSP) as “the qu... more Background: Professionalism is defined by the Chartered Society Of Physiotherapy (CSP) as “the qualities, skills, competence and behaviors expected of individuals belonging to any given profession including physiotherapy.” The number of physiotherapy students in India is increasing. Moreover, with the advent of modern technology and commercialism, there is a rising threat to the therapist-patient relationship as well as compromise in the ethical commitment to the field due to stiff competition in the market. Hence, it is essential that the standard of practice should be maintained and should be improvised. The purpose of this study is to find the perceived level of professionalism of post graduate physiotherapy students. Methods: The cross-sectional survey was done via APTA’S ‘Professionalism In Physical Therapy: Core Values. There are 7 core values with 69 indicators; total score is 345. It has been validated and used previously in India. 100 students were included; 67, 1st year &...

Tobacco Prevention & Cessation

INTRODUCTION Tobacco use usually starts in the adolescent age group and continues in adulthood. T... more INTRODUCTION Tobacco use usually starts in the adolescent age group and continues in adulthood. This study's aim was to identify knowledge regarding the adverse effects of tobacco and areca-nut use among high school children of Ahmedabad, India. METHODS An anonymous self-administered close-ended questionnaire was designed for the study. Principals of 9 schools, 3 municipal and 6 government-aided, were approached and written informed consent was obtained. A total of 3055 students studying in grades 7-12 were included. Data were analyzed using Microsoft Excel and SPSS 16.0. Chi-squared test was applied to investigate any differences between the responses of consumers and non-consumers, while Cramer's V was applied to analyze the strength of association between the awareness of ill-effects and tobacco product consumption. RESULTS Of the 3055 children, 3% felt that tobacco use was definitely not harmful to health while 84% felt that it was. In all, 65% of respondents were aware that tobacco use caused cancer, 7% answered that it caused breathing problems, 5% said it caused heart problems, 0.3% answered that it caused paralysis, 4.3% felt it caused no health problems, whereas 18% thought that it caused multiple issues. With regards to the role of media, 78% had seen many anti-smoking warnings in the media, 15% had seen a few, 5% had seen none. There was a statistically significant difference between the tobacco users and and non-users with regards to exposure to media (p<0.001), discussions in class (p<0.001) and general awareness (p<0.001), but a weak association between awareness and tobacco consumption was identified (p<0.05). CONCLUSIONS Awareness about the harmful effects of tobacco is high among school children of Ahmedabad, though use may still be prevalent.

International Journal of Advanced Research

Indian Journal of Case Reports

International Journal Of Community Medicine And Public Health

Background: This study was conducted to estimate the prevalence of fracture risk among middle-age... more Background: This study was conducted to estimate the prevalence of fracture risk among middle-aged and elderly population of Gujarat and to find out the prevalence of the clinical risk factors (CRF) and its significance with risk of fracture. To compare the risk of fracture among men and women.Methods: An observational study included 500 participants both men and women, in age group of 40-80 years. Participants were assessed with the fracture risk assessment tool (FRAX) without BMD to evaluate the 10-year probability of risk of Major osteoporotic fracture (MOF) and Hip fracture (HF). India-specific age-dependent thresholds were used to categorize the participants into safety zone and treatment zone followed by statistical analysis. Level of significance was kept at 5%.Results: Total 500 participants, 56.8% males and 43.2% females with mean age 56.3±9.7 years. As per the estimated prevalence, 22% participants were in treatment zone and 78% were in safety zone for HF risk and for majo...

International Journal of Medical Science and Public Health

International Journal of Physiotherapy and Research

Background: Diminished muscular performance & greater functional impairment leads to restricted q... more Background: Diminished muscular performance & greater functional impairment leads to restricted quality of life in chronic low back pain (CLBP) patients. The transverses abdominis (TrA) has been implicated as part of the cause of LBP. The purpose of the study was to compare the effects of treadmill walking and stationary cycling in subjects with non-specific CLBP. Methodology: A quasi-experimental study was conducted with 30 subjects divided into 2 groups. Group A consisted of treadmill walking & group B of cycling. Subjects aged 18 to 45 years with chronic LBP without radiating pain with absence of any cardiac & pulmonary conditions were included. Moderate intensity aerobic exercise for 10-20 minutes, 5 days/week based on FITT principle was given. Outcome measures were pain, TrA endurance, disability & quality of life. Results: Statistically significant difference (p<0.001) was noted for all outcome measures in both groups A & B with non-significant difference (p>0.05) between groups. For Group A, NRS (Numerical Rating Scale) at rest (95% CI 2.182 to 3.685), NRS on activity (95% CI 3.056 to 4.410), TrA endurance (95% CI-3.61 to-2.79), MODI (Modified Oswestry Disability Index) (95% CI 20.05 to 29.01), physical health (95% CI-18.80 to-9.33) & overall QOL of WHOQOL (95% CI-2.06 to-1.26). For Group B, NRS at rest (95% CI 2.034 to 3.699), NRS on activity (95% CI 2.214 to 4.186) & TrA endurance (95% CI-4.78 to-2.01), MODI (95% CI 21.75 to 31.04), physical health (95% CI-23.36 to-10.77) & overall QOL of WHOQOL (95% CI-2.32 to-1.27). Conclusion: Treadmill walking & stationary cycling were equally effective in improving pain, TrA endurance, disability & quality of life in subjects with non-specific CLBP. Clinical Implication: Aerobic exercise such as walking & cycling at moderate intensity can be used to reduce pain & disability & increase core muscle (transversus abdominis) endurance thereby improving quality of life in patients with CLBP.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

International Journal Of Community Medicine And Public Health

Background: Around the world today, adoption of mobile media phones and its advancement have been... more Background: Around the world today, adoption of mobile media phones and its advancement have been growing at dizzying pace in all age groups. People use phone while walking on/crossing roads, climbing stairs, driving cars, etc. Using a smartphone while walking has shown decrease in walking speed and affect dynamic balance by reducing cognitive ability. The objective of study is to see and compare effect of concurrent phone texting while obstacle walking on walking time in young and middle-aged healthy subjects.Methods: An observational study with 100 healthy individuals (50 young and 50 middle-aged) were taken and had to walk on a 15 m walkway with obstacle (approximately 10% of subject’s height) at 8m distance from start without and with texting. The text messages used were all short objective questions and were sent to them approximately 2 steps prior to reaching the obstacle. Their walking time was analyzed.Results: Wilcoxon test used to analyze difference within group. In young ...

International Journal of Medical Science and Public Health

International Journal Of Community Medicine And Public Health

Background:Young adults have grown up today with mobile phones as an evident part of their lives.... more Background:Young adults have grown up today with mobile phones as an evident part of their lives. Text neck syndrome and SMS thumb may occur due to repetitive use of hand held devices (HHDs) resulting in repetitive stress injury or an overuse syndrome while using their mobile phones or other electronic devices for prolonged periods of time. Our aim is to assess self reported addiction to smartphone use and correlate its use and musculoskeletal disorders (MSDs) in neck and hand in young healthy adults. Methods:The study examined 100 healthy physiotherapy students of a college in Ahmedabad by random table sampling, in the age group of 20-25 years. Students were asked to fill a proforma with the questionnaires of Smartphone Addiction Scale (SAS), Neck Disability Index (NDI), and Cornell Hand Discomfort Questionnaire (CHDQ) attached. Level of significance was kept at 5%. Spearman correlation coefficient was used to correlate between the SAS and NDI, and SAS and CHDQ respectively. Result...

International Journal of Physiotherapy and Research

Background: Regular physical activity (PA) and health-related physical fitness are key indicators... more Background: Regular physical activity (PA) and health-related physical fitness are key indicators of health outcomes. Physiotherapy professional bodies are recognizing that physical activity and exercise are integral to professional practice and are core contributors to health along with reducing the risk of developing diabetes, hypertension, and cardiovascular diseases. PA also improves emotion and stress control. Objective: The objectives of the study are to find the level of physical activity and compare physical fitness parameters in physiotherapy students by evaluating aerobic capacity, endurance and body composition in different levels of physical activity. Methods: An observational study was conducted on 100 male and female physiotherapy students aged 18-24 years using random sampling. Subjects having severe back pain, recent fractures were excluded. Students were divided into three groups low PA, moderate PA, high PA based on their Physical activity score evaluated using international physical activity questionnaire-short form (IPAQ). Aerobic capacity was measured by Queens college step test, endurance of trunk extensor muscles (TE) was found by Sorenson's test and endurance of trunk flexor muscles (TF) by holding time of prone forearm plank position and body composition was calculated by Body mass index (BMI). Level of significance was kept at 5%. Results: Data of 100 students was analysed. Forty one students were in low activity group, Thirty four students were in moderate activity group and twenty five students were in high activity group. Mean Aerobic capacity was 42.94±8.31ml/min/kg, Trunk Flexor endurance was 63.62±25.65s, Trunk extensor endurance was 71.50±30.41s and BMI was 23.33±4.02kg/m 2. Comparing means of 3 groups by Kruskal Wallis test, Aerobic capacity =51.019, p<0.001, TE endurance =23.644, p<0.001.TF endurance =15.832, p<0.001, BMI =2.869, p>0.05. Conclusion: Low to moderate level of physical activity was found among physiotherapy students. Physiotherapy students who were physically active in their routine life have better aerobic capacity, Trunk flexor endurance and Trunk extensor endurance and thus better physical fitness, compared to those with low levels of physical activity. The body mass Index was not significantly different in three groups.

Journal of Society of Indian Physiotherapists

Journal of Society of Indian Physiotherapists

International Journal of Medical Science and Public Health

International Journal of Medical Science and Public Health

International Journal of Medical Science and Public Health

International Journal of Advanced Research

Background:Osteoarthritis(OA) is a degenerative joint disease which leads to loss of hyaline arti... more Background:Osteoarthritis(OA) is a degenerative joint disease which leads to loss of hyaline articular cartilage associated with underlying bony changes. Knee osteoarthritis(KOA) is associated with pain and functional impairment which negatively affects the patients quality of life. Ultrasound and LASER have been found effective in KOA but studies comparing the two are less. Method:An experimental study was conducted with 21 patients of unilateral KOA randomized into three groups. Each group had 7 patients. Group A- Ultrasound- 1MHz, Pulsed1:1, 0.8W/cm2, 10 min on medial knee joint line. Group B- LASER- 7.6J for 1 min and 30 sec for each trigger point. Group C-Conventional physiotherapy. All subjects received conventional physical therapy with hot packs and quadriceps exercise of affected knee. Outcome measures used were Numerical pain rating scale(NPRS), Sit to stand(STS) and Timed up and go test(TUG). Result:Using Wilcoxon test, mean difference in painin Group A(W=-2.414,p=0.016),...

International Journal of Medical Science and Public Health

International Journal Of Community Medicine And Public Health

Background: Professionalism is defined by the Chartered Society Of Physiotherapy (CSP) as “the qu... more Background: Professionalism is defined by the Chartered Society Of Physiotherapy (CSP) as “the qualities, skills, competence and behaviors expected of individuals belonging to any given profession including physiotherapy.” The number of physiotherapy students in India is increasing. Moreover, with the advent of modern technology and commercialism, there is a rising threat to the therapist-patient relationship as well as compromise in the ethical commitment to the field due to stiff competition in the market. Hence, it is essential that the standard of practice should be maintained and should be improvised. The purpose of this study is to find the perceived level of professionalism of post graduate physiotherapy students. Methods: The cross-sectional survey was done via APTA’S ‘Professionalism In Physical Therapy: Core Values. There are 7 core values with 69 indicators; total score is 345. It has been validated and used previously in India. 100 students were included; 67, 1st year &...

Tobacco Prevention & Cessation

INTRODUCTION Tobacco use usually starts in the adolescent age group and continues in adulthood. T... more INTRODUCTION Tobacco use usually starts in the adolescent age group and continues in adulthood. This study's aim was to identify knowledge regarding the adverse effects of tobacco and areca-nut use among high school children of Ahmedabad, India. METHODS An anonymous self-administered close-ended questionnaire was designed for the study. Principals of 9 schools, 3 municipal and 6 government-aided, were approached and written informed consent was obtained. A total of 3055 students studying in grades 7-12 were included. Data were analyzed using Microsoft Excel and SPSS 16.0. Chi-squared test was applied to investigate any differences between the responses of consumers and non-consumers, while Cramer's V was applied to analyze the strength of association between the awareness of ill-effects and tobacco product consumption. RESULTS Of the 3055 children, 3% felt that tobacco use was definitely not harmful to health while 84% felt that it was. In all, 65% of respondents were aware that tobacco use caused cancer, 7% answered that it caused breathing problems, 5% said it caused heart problems, 0.3% answered that it caused paralysis, 4.3% felt it caused no health problems, whereas 18% thought that it caused multiple issues. With regards to the role of media, 78% had seen many anti-smoking warnings in the media, 15% had seen a few, 5% had seen none. There was a statistically significant difference between the tobacco users and and non-users with regards to exposure to media (p<0.001), discussions in class (p<0.001) and general awareness (p<0.001), but a weak association between awareness and tobacco consumption was identified (p<0.05). CONCLUSIONS Awareness about the harmful effects of tobacco is high among school children of Ahmedabad, though use may still be prevalent.

International Journal of Advanced Research

Indian Journal of Case Reports

International Journal Of Community Medicine And Public Health

Background: This study was conducted to estimate the prevalence of fracture risk among middle-age... more Background: This study was conducted to estimate the prevalence of fracture risk among middle-aged and elderly population of Gujarat and to find out the prevalence of the clinical risk factors (CRF) and its significance with risk of fracture. To compare the risk of fracture among men and women.Methods: An observational study included 500 participants both men and women, in age group of 40-80 years. Participants were assessed with the fracture risk assessment tool (FRAX) without BMD to evaluate the 10-year probability of risk of Major osteoporotic fracture (MOF) and Hip fracture (HF). India-specific age-dependent thresholds were used to categorize the participants into safety zone and treatment zone followed by statistical analysis. Level of significance was kept at 5%.Results: Total 500 participants, 56.8% males and 43.2% females with mean age 56.3±9.7 years. As per the estimated prevalence, 22% participants were in treatment zone and 78% were in safety zone for HF risk and for majo...

International Journal of Medical Science and Public Health

International Journal of Physiotherapy and Research

Background: Diminished muscular performance & greater functional impairment leads to restricted q... more Background: Diminished muscular performance & greater functional impairment leads to restricted quality of life in chronic low back pain (CLBP) patients. The transverses abdominis (TrA) has been implicated as part of the cause of LBP. The purpose of the study was to compare the effects of treadmill walking and stationary cycling in subjects with non-specific CLBP. Methodology: A quasi-experimental study was conducted with 30 subjects divided into 2 groups. Group A consisted of treadmill walking & group B of cycling. Subjects aged 18 to 45 years with chronic LBP without radiating pain with absence of any cardiac & pulmonary conditions were included. Moderate intensity aerobic exercise for 10-20 minutes, 5 days/week based on FITT principle was given. Outcome measures were pain, TrA endurance, disability & quality of life. Results: Statistically significant difference (p<0.001) was noted for all outcome measures in both groups A & B with non-significant difference (p>0.05) between groups. For Group A, NRS (Numerical Rating Scale) at rest (95% CI 2.182 to 3.685), NRS on activity (95% CI 3.056 to 4.410), TrA endurance (95% CI-3.61 to-2.79), MODI (Modified Oswestry Disability Index) (95% CI 20.05 to 29.01), physical health (95% CI-18.80 to-9.33) & overall QOL of WHOQOL (95% CI-2.06 to-1.26). For Group B, NRS at rest (95% CI 2.034 to 3.699), NRS on activity (95% CI 2.214 to 4.186) & TrA endurance (95% CI-4.78 to-2.01), MODI (95% CI 21.75 to 31.04), physical health (95% CI-23.36 to-10.77) & overall QOL of WHOQOL (95% CI-2.32 to-1.27). Conclusion: Treadmill walking & stationary cycling were equally effective in improving pain, TrA endurance, disability & quality of life in subjects with non-specific CLBP. Clinical Implication: Aerobic exercise such as walking & cycling at moderate intensity can be used to reduce pain & disability & increase core muscle (transversus abdominis) endurance thereby improving quality of life in patients with CLBP.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

International Journal Of Community Medicine And Public Health

Background: Around the world today, adoption of mobile media phones and its advancement have been... more Background: Around the world today, adoption of mobile media phones and its advancement have been growing at dizzying pace in all age groups. People use phone while walking on/crossing roads, climbing stairs, driving cars, etc. Using a smartphone while walking has shown decrease in walking speed and affect dynamic balance by reducing cognitive ability. The objective of study is to see and compare effect of concurrent phone texting while obstacle walking on walking time in young and middle-aged healthy subjects.Methods: An observational study with 100 healthy individuals (50 young and 50 middle-aged) were taken and had to walk on a 15 m walkway with obstacle (approximately 10% of subject’s height) at 8m distance from start without and with texting. The text messages used were all short objective questions and were sent to them approximately 2 steps prior to reaching the obstacle. Their walking time was analyzed.Results: Wilcoxon test used to analyze difference within group. In young ...

International Journal of Medical Science and Public Health

International Journal Of Community Medicine And Public Health

Background:Young adults have grown up today with mobile phones as an evident part of their lives.... more Background:Young adults have grown up today with mobile phones as an evident part of their lives. Text neck syndrome and SMS thumb may occur due to repetitive use of hand held devices (HHDs) resulting in repetitive stress injury or an overuse syndrome while using their mobile phones or other electronic devices for prolonged periods of time. Our aim is to assess self reported addiction to smartphone use and correlate its use and musculoskeletal disorders (MSDs) in neck and hand in young healthy adults. Methods:The study examined 100 healthy physiotherapy students of a college in Ahmedabad by random table sampling, in the age group of 20-25 years. Students were asked to fill a proforma with the questionnaires of Smartphone Addiction Scale (SAS), Neck Disability Index (NDI), and Cornell Hand Discomfort Questionnaire (CHDQ) attached. Level of significance was kept at 5%. Spearman correlation coefficient was used to correlate between the SAS and NDI, and SAS and CHDQ respectively. Result...

International Journal of Physiotherapy and Research

Background: Regular physical activity (PA) and health-related physical fitness are key indicators... more Background: Regular physical activity (PA) and health-related physical fitness are key indicators of health outcomes. Physiotherapy professional bodies are recognizing that physical activity and exercise are integral to professional practice and are core contributors to health along with reducing the risk of developing diabetes, hypertension, and cardiovascular diseases. PA also improves emotion and stress control. Objective: The objectives of the study are to find the level of physical activity and compare physical fitness parameters in physiotherapy students by evaluating aerobic capacity, endurance and body composition in different levels of physical activity. Methods: An observational study was conducted on 100 male and female physiotherapy students aged 18-24 years using random sampling. Subjects having severe back pain, recent fractures were excluded. Students were divided into three groups low PA, moderate PA, high PA based on their Physical activity score evaluated using international physical activity questionnaire-short form (IPAQ). Aerobic capacity was measured by Queens college step test, endurance of trunk extensor muscles (TE) was found by Sorenson's test and endurance of trunk flexor muscles (TF) by holding time of prone forearm plank position and body composition was calculated by Body mass index (BMI). Level of significance was kept at 5%. Results: Data of 100 students was analysed. Forty one students were in low activity group, Thirty four students were in moderate activity group and twenty five students were in high activity group. Mean Aerobic capacity was 42.94±8.31ml/min/kg, Trunk Flexor endurance was 63.62±25.65s, Trunk extensor endurance was 71.50±30.41s and BMI was 23.33±4.02kg/m 2. Comparing means of 3 groups by Kruskal Wallis test, Aerobic capacity =51.019, p<0.001, TE endurance =23.644, p<0.001.TF endurance =15.832, p<0.001, BMI =2.869, p>0.05. Conclusion: Low to moderate level of physical activity was found among physiotherapy students. Physiotherapy students who were physically active in their routine life have better aerobic capacity, Trunk flexor endurance and Trunk extensor endurance and thus better physical fitness, compared to those with low levels of physical activity. The body mass Index was not significantly different in three groups.

Journal of Society of Indian Physiotherapists

Journal of Society of Indian Physiotherapists

International Journal of Medical Science and Public Health

International Journal of Medical Science and Public Health