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   Table of Contents - Current issue
January-June 2022
Volume 6 | Issue 1
Page Nos. 1-32

Online since Wednesday, March 23, 2022

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National Education Policy 2020: Call for reconfiguration of physiotherapy education and research in India p. 1
Rajani P Mullerpatan
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Impact of palliative care training on knowledge, beliefs, and attitudes of undergraduate physiotherapy students: A pilot study p. 3
Iram Iram, Zubia Veqar
Background: In palliative care settings, patient comes with multiple symptoms. Hence, an interdisciplinary team is needed for effective management with physiotherapists being an essential part of the team. The level of knowledge, exposure, and practice in palliative care settings influence the extent of team participation and quality of care provided by the physiotherapy professionals. To the best of our knowledge, palliative care is not included in the undergraduate curriculum of physiotherapy in India till now. Hence, it is necessary to add palliative care to the undergraduate curriculum of physiotherapy students. Aim: The aim of this study was to evaluate the effect of education regarding palliative care on knowledge, beliefs, and attitudes of final-year physiotherapy studentsMaterials and Methods: Final-year physiotherapy students were recruited according to the exclusion and inclusion criteria after taking ethical approval from the university’s ethical committee. They are provided with three educational sessions regarding palliative care. They were made to fill all the questionnaires (i.e., Knowledge questionnaire, FATCOD-B Scale, and Belief questionnaire) before and after the completion of the educational program. Data analysis: Data were assessed by the Shapiro–Wilk test for normality and paired t test was used for comparing before- and after-session scores. The significance level was set at P < 0.05. Results: After taking educational sessions there is an enhancement in the level of knowledge (pre-session 9.65 ± 2.10 and post-session 16.59 ± 1.81), development of more positive attitudes (pre-session score 87.50 ± 7.29 and post-session score 118.94 ± 7.56), and amplification in the belief system of the subjects towards palliative care (pre-session score 3.56 ± 0.613 and post-session score4.91 ± 0.29) at significance level P < 0.05. Conclusion: Palliative care educational program had positively influenced the subjects by bringing about statistically significant changes in the level of knowledge, positive attitudes, and beliefs. Palliative care education must be added to the curriculum of physiotherapy undergraduate courses because of the necessity in society, and the upgradation of the physiotherapy profession.
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Awareness and practice of pre-trek physical conditioning among trekkers p. 10
Richa Rajesh Chopda, Nilima Bedekar, Ashok K Shyam, Parag K Sancheti
Background: Evidence shows that downhill walking induces high compressive loads on the lower extremities due to repetitive eccentric contractions of muscles. There is inadequate evidence about pre-trek physical training as a predisposing factor for injuries that laid the foundation for this study. Hence, this study focuses on understanding the awareness and practice of pre-trek physical conditioning among trekkers. Materials and Methods: The study was a questionnaire-based survey. Trekking groups were approached. A specially designed questionnaire was validated by experts. The questionnaire was circulated to the trekking group members via Google Form. An online consent was taken prior. The response thus obtained was taken up for further analysis. Results: A total of 251 respondents within the age group of 15–60 years participated. Only 30% of them regularly performed warm-up and cooldown exercises. 66.1% did not undergo any pre-trek physical training. 53.4% were aware of its importance; only 40.2% were aware but not practicing regularly. Most of the participants were aware of pre-trek physical conditioning domains being aerobic, resistance, and flexibility training but only 11.3% were aware of balance training. 32.3% regularly performed practice treks by carrying a backpack. A total of 14.3% participants regularly practiced pre-trek physical training. Conclusion: Participants lack awareness about the importance of warm-up, cooldown exercises, and balance training as a pre-trek physical training domain. Most of the participants are aware of aerobic and resistance training domains. Only 14.30% of the total participants are engaged in pre-trek physical training regularly.
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Electromyography activity of quadratus lumborum in individuals with chronic knee osteoarthritis: A cross-sectional study p. 18
Shreya Pradhan, Soni Srikantaiah, Adrija Mukhopadhyay, Ramesh Debur Visweswara
Background: In osteoarthritis (OA) of the knee joint, a commonly seen gait alteration is lateral trunk lean gait. Quadratus lumborum (QL) has a role in controlling the pelvis and trunk during walking. This study has analyzed the electromyography (EMG) activity of QL muscle of the affected and nonaffected side during walking in individuals with chronic knee OA. Objectives: The objective of the study was to evaluate the muscle activation of QL in individuals with chronic knee OA during walking. Materials and Methods: EMG device, computer, video camera, abrasive gel (Nuprep gel), T20 paste, and two surface EMG triodes were used to record the QL muscle activity on the affected and nonaffected side. Twenty-seven patients with OA participated in the study. They were made to walk two rounds of 10 m distance and the EMG root mean square (RMS) value was noted down for both sides during the stance phase of the testing limb during walking activity. Results: Comparing the EMG activity of QL of the affected and nonaffected side, during the stance phase of walking, the result was found to be statistically nonsignificant, that is, P > 0.05. Conclusions: The results of this study found no difference in activity of QL in patients with OA between the affected and nonaffected sides.
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A survey conducted among physiotherapists to assess awareness on COVID-19 during the first and second waves in India p. 23
Shubham Menaria, Tittu Thomas James, Jarapla Srinivas Nayak, Shubhi Saxena, Pradnya Dhargave
Background: COVID-19 is an infectious disease caused by novel coronavirus (SARS CoV-2). The mode of spread of the infection is through droplets and also through direct contact of contaminated surfaces. Measures such as social distancing and use of protective equipment are required to prevent the spread of infection. This study was designed to assess the awareness about COVID-19 among physiotherapists, during the two phases of lockdown. Materials and Methods: An online survey was conducted in two phases among 110 physiotherapists to assess their awareness and knowledge about the disease. The first phase of the study was done during the first COVID-19 wave in India between 25th and 30th of March 2020, and the second phase was conducted between 7th and 12th of May 2021 when the second wave of COVID-19 in India was at its peak. Results: It is essential for physiotherapists to understand COVID-19 as a disease and to know its mode of spread in order to take necessary precautions and measures within their working environment to prevent the spread of the disease. With the first phase of the study, we identified a need for educational and awareness programs in therapists and need of guidelines in order to implement effective and safe strategies in dealing with the patients during this pandemic. The second phase identified that better understanding existed in physiotherapists about the disease, with precautions taken at their workplace to prevent the spread of COVID-19. Conclusion: A better knowledge about COVID-19 was reflected among physiotherapists at the second lockdown phase than during the first lockdown.
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Correlation between sleep quality and physical activity among school-going children in South Delhi p. 27
Mosab Aldabbas, Tarushi Tanwar, Zubia Veqar
Background: Adolescents are going through major lifestyle as well as hormonal changes. To manage the stress of these changes, the first health risk behavior usually exhibited is lack of sleep and reduced physical activity (PA). Aims: The current study was designed to investigate the association among sleep, daytime sleepiness, and PA status of urban school-going children in South Delhi, India. Furthermore, it aims at finding out any existing gender bias (boys vs. girls). Materials and Methods: The study included 72 participants (47 males and 25 females) from a secondary school (11–13 years). The students completed the Physical Activity questionnaires for children, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale. Results: PA was not associated with sleep quality (r = −0.290) and daytime sleepiness (r = −0.099). Daytime sleepiness was correlated with sleep quality (r = 0.456; P < 0.01). It was further demonstrated that the level of PA of boys was higher than that of girls. Daytime sleepiness is more in girls 7.08 (3.45) than in boys 5.98 (3.18). There is a slight difference in the sleep quality among both genders: 4.44 (1.91) for girls and 4.45 (1.92) for boys. Conclusion: In school-going children from South Delhi, India, poor sleep quality was associated with daytime sleepiness and weakly associated with the level of PA. There exist gender differences in PA and daytime sleepiness between boys and girls. More research is required to confirm the causality between these variables.
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