Shivam Chopra | Maharashtra University Of Health Sciences,Nashik (original) (raw)
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Papers by Shivam Chopra
Physiotherapy - The Journal of Indian Association of Physiotherapists, 2021
From Wuhan to India, the severe acute respiratory syndrome coronavirus-2 or COVID-19 presentation... more From Wuhan to India, the severe acute respiratory syndrome coronavirus-2 or COVID-19 presentations ranged from completely asymptomatic to severe respiratory failure requiring intensive care. Patients with associated morbidities such as obesity, hypertension, and diabetes were known to have high mortality. We present the case of a 28-year-old obese female with type-II diabetes, hypertension, and pulmonary Koch admitted for moderate pulmonary impairment with hypoxia and altered metabolic dysfunctions in COVID-intensive care unit, facilitated to discharge with support of physiotherapy (PT). In spite of maximal standard medical management as per the COVID guidelines and oxygen support on nonrebreather bag at 15 L/min, she failed to show improvement in symptoms. PT interventions in the form of education and counseling, positioning, breathing exercises, and gradual peripheral conditioning were carried out to prevent complications and deterioration in view of associated comorbidities. This...
Background: Footwear plays an important role while walking. Complaints of foot pain and disabilit... more Background: Footwear plays an important role while walking. Complaints of foot pain and disability are more common in women. The Physiologic Cost Index (PCI) derived by MacGregor is a tool to calculate the energy expenditure, as an alternative to Laboratory & Caloric Measurements. Objective: To estimate energy expenditure for walking with two different footwears (flat flip flops and sports shoes) in normal healthy females. Method: 100 Female subjects with Normal BMI aged between 20-30Years were assessed to calculate the PCI, First with flat flip-flops and then with an ideal pair of sports shoes (control group), during walking at their chosen speeds over 15 consecutive lengths of a 40m oval track (total walking distance 600m). Resting and Walking heart rate was recorded. Speed was calculated using the standard mathematical equation (Speed = Distance/time). Two PCI values were calculated for each individual, using the McGregor's Equation. Result: The Mean Walking Speed with flip-f...
International Journal of Physiotherapy and Research
COVID-19 affection is known to show multi-system involvement. As impairments are expected to be s... more COVID-19 affection is known to show multi-system involvement. As impairments are expected to be seen in various systems of the body, outcomes related to the function of different systems should be considered while evaluating a patient. This case series of 5 patients brings out the functional status of acute covid-19 patients admitted to the hospital. The evaluation involves outcomes related to Musculo-skeletal (30 second sit to stand test) pulmonary function (single breath hold & breath holding time) and functional capacity (6-minute walk test), which were practical in COVID-19 scenario, in view of maintaining restricted contact with the patient. The evaluation is also done at the time of discharge from the hospital to evaluate the need for post-acute-covid rehabilitation. KEY WORDS: COVID-19, impairments, Musculo-skeletal, pulmonary function.
Physiotherapy - The Journal of Indian Association of Physiotherapists, 2021
From Wuhan to India, the severe acute respiratory syndrome coronavirus-2 or COVID-19 presentation... more From Wuhan to India, the severe acute respiratory syndrome coronavirus-2 or COVID-19 presentations ranged from completely asymptomatic to severe respiratory failure requiring intensive care. Patients with associated morbidities such as obesity, hypertension, and diabetes were known to have high mortality. We present the case of a 28-year-old obese female with type-II diabetes, hypertension, and pulmonary Koch admitted for moderate pulmonary impairment with hypoxia and altered metabolic dysfunctions in COVID-intensive care unit, facilitated to discharge with support of physiotherapy (PT). In spite of maximal standard medical management as per the COVID guidelines and oxygen support on nonrebreather bag at 15 L/min, she failed to show improvement in symptoms. PT interventions in the form of education and counseling, positioning, breathing exercises, and gradual peripheral conditioning were carried out to prevent complications and deterioration in view of associated comorbidities. This...
Background: Footwear plays an important role while walking. Complaints of foot pain and disabilit... more Background: Footwear plays an important role while walking. Complaints of foot pain and disability are more common in women. The Physiologic Cost Index (PCI) derived by MacGregor is a tool to calculate the energy expenditure, as an alternative to Laboratory & Caloric Measurements. Objective: To estimate energy expenditure for walking with two different footwears (flat flip flops and sports shoes) in normal healthy females. Method: 100 Female subjects with Normal BMI aged between 20-30Years were assessed to calculate the PCI, First with flat flip-flops and then with an ideal pair of sports shoes (control group), during walking at their chosen speeds over 15 consecutive lengths of a 40m oval track (total walking distance 600m). Resting and Walking heart rate was recorded. Speed was calculated using the standard mathematical equation (Speed = Distance/time). Two PCI values were calculated for each individual, using the McGregor's Equation. Result: The Mean Walking Speed with flip-f...
International Journal of Physiotherapy and Research
COVID-19 affection is known to show multi-system involvement. As impairments are expected to be s... more COVID-19 affection is known to show multi-system involvement. As impairments are expected to be seen in various systems of the body, outcomes related to the function of different systems should be considered while evaluating a patient. This case series of 5 patients brings out the functional status of acute covid-19 patients admitted to the hospital. The evaluation involves outcomes related to Musculo-skeletal (30 second sit to stand test) pulmonary function (single breath hold & breath holding time) and functional capacity (6-minute walk test), which were practical in COVID-19 scenario, in view of maintaining restricted contact with the patient. The evaluation is also done at the time of discharge from the hospital to evaluate the need for post-acute-covid rehabilitation. KEY WORDS: COVID-19, impairments, Musculo-skeletal, pulmonary function.