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Back ground: Chronic neck pain is one of the most common musculoskeletal pain conditions experienced by many people during their lives. Due to increased use of Tech devices & modern life style, forward head posture & resultant neck pain becomes quiet common. Although patients with neck pain are managed predominantly as musculoskeletal patients, there are indications that they also have poor pulmonary function as limited movement of the neck muscles can result in impaired chest movements. The aim of this study was to examine whether patients with chronic neck pain have impaired pulmonary measures. Methodology: A cross sectional observational study was conducted to evaluate pulmonary function measures in patients with chronic neck pain.100 subjects included dividing them into 2 groups. Group A: Patients with Chronic Neck Pain. Group B: Age & sex matched healthy individuals. Written Consent was taken from the subjects and the subjects were made to understand the purpose of the study. Spirometry was performed for all the subjects. Forced vital capacities (FVC), forced expiratory volume in the first second of FVC (FEV1), ratio of FEV1/FVC and maximum voluntary ventilation (MVV) were recorded. Neck Disability Index (NDI), Numeric Pain Rating Scale (NPRS) for pain & Craniocervical Angle (CCA) had also been considered for both the groups. Results: Data analysis was done using Microsoft office Excel. The results showed that patients with chronic neck pain yielded significantly reduced FVC, FEV1 and maximum voluntary ventilation (P < 0.005), but FEV1/FVC ratio were not affected significantly (P > 0.5). Craniocervical Angle & Pain Intensity was found to be significantly correlated with respiratory function. CONCLUSION: Patients with chronic neck pain do not have optimal pulmonary function. Cervical spine muscle dysfunction in parallel with pain intensity and kinesiophobia are factors that are associated mainly with this respiratory dysfunction. [ABSTRACT FROM AUTHOR]

Introduction: Neck pain is a common disorder. Poor posture might result in muscular imbalance that causes a faulty relationship among various body parts. Forward head posture is one of the most common cervical abnormalities that predispose individuals toward pathological conditions, such as headache, neck pain, and temporomandibular disorders. Aim: The aim of the study was to find the relationship between CV angle and neck pain. Materials and method: 50 patients were evaluated and included in the study. They were evaluated for pain using Numerical Pain Rating Scale (NPRS) and the forward head posture was assessed by measuring CV angle. The total duration of the study was 6 months. Analysis was done using SPSS Version 20. Results: Spearman's correlation test was used to find correlation between CV angle and neck pain and the r value was found to be -0.731 with the level of significance 0.01. Conclusion: A moderate to good negative correlation was found between CV angle and neck pain. [ABSTRACT FROM AUTHOR]

Background: Obesity has become one of the major health issues in India. WHO defines obesity as "A condition with excessive fat accumulation in the body to the extent that the health and wellbeing are adversely affected". Obesity results from a complex interaction of genetic, behavioral, environmental and socioeconomic factors causing an imbalance in energy production and expenditure. Peak expiratory flow rate is the maximum rate of airflow that can be generated during forced expiratory manoeuvre starting from total lung capacity. The simplicity of the method is its main advantage. It is measured by using a standard Wright Peak Flow Meter or mini Wright Meter. Aim: The aim of the study is to see the effect of body mass index on Peak Expiratory Flow Rate values in young adults. Materials and methods: A correlational study was done 40 healthy individuals with age of 18-35 year old. Subjects having cardio or pulmonary condition were excluded. Then according to body mass index (BMI) normal (group A) and obese (group B) individuals were included. Where, BMI - normal: 18.5-22.9 kg/m2 and obese: 25 kg/m2 onwards. Then in sitting position all the individuals were given three trials for PEFR and best of all was taken. Results: Group A: BMI mean -18.74±1.11and PEFR mean - 395±116.8, Group B: BMI mean - 28.7±1.12 and PEFR mean - 309±46.4. According to spearman's correlation Group A, r= 0.456 and p=0.022 also in Group B r=0.097 and p=0.342. Conclusion: There was weak correlation in between BMI and PEFR. [ABSTRACT FROM AUTHOR]

Background: The National Institute of Health asthma guidelines recommend assessing PEF during hospitalization including improvement to a PEF of >70% of the predicted value before discharge. The Global Initiative for asthma recommends monitoring of PEF in hospitalized patients. Current guidelines for correct PEF maneuver include standing, but it has been observed that many respiratory therapists and patients use supine position. Aim: To determine which one of the 3 different positions i.e. standing, lying back at 450 angle on pillows and sitting up slumped forward 100 with legs extended generates higher peak expiratory pressure and can be used as optimal position for generating peak expiratory flow in asthmatics. Materials and methods: A cross sectional study was performed in 20 asthmatic subjects aged 18-50 years in whom correct instructions for PEF technique were given according to guidelines of National Institute of Health. The steps were repeated 3 times in each position and the best of 3 attempts in each of the 3 positions were used for analysis. Level of significance kept at 5%. Results: Mean and SD of lying back at 450 was 254.5±29.28, sitting up with slumped forward 100 was 281±28.26 and that of standing was 302.5±27.88. Statistically significant result was found using nonparametric test i.e. Friedman test where ²=40 and p=0.0001. Conclusion: There is significant difference between PEFR values in standing, sitting with slump forward 100 and lying back 450 position. Standing position is the best option for adult asthmatics to measure their PEF values as it generated maximum PEF. [ABSTRACT FROM AUTHOR]

Background: Abdominal exercises have become an important part of fitness and rehabilitation. Sit ups are most common abdominal exercise performed by people without proper training. Hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiology in which the blood pressure in the arteries is elevated. Material and methods: An experimental study including 30 hypertensive males and females aged 30-60 years was done. Exclusion criteria were back pain, spinal disorders, diabetes, renal disease, cardiovascular disease. They were divided into two groups: Group 1 performed straight and oblique sit ups with breath holding. Group 2 performed straight and oblique sit ups without breath holding. Instructions were given to perform 10 repetitions of straight and oblique sit ups with 10 min rest period between. Heart rate and blood pressure were measured before and after each set of repetition. Wilcoxon Signed Rank Test was used for within group analysis and Mann-Whitney 'U' Test was used for inter group analysis. Results: For group A, W= -3.426, -3.458, -3.458 respectively for heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) and p=0.001 and for group B, W= -3.426, -3.475, -3.464 and p=0.001. The U value for inter group analysis is U=103.00, 73.00, 81.00 respectively for HR, SBP and DBP and p= 0.68, 0.099, 0.183 respectively for HR, SBP and DBP. Conclusion: When performing the OPSU and SPSU exercises as used in this investigation, hypertensive individuals may experience peak heart rate and blood pressure increases. Voluntary breath holding significantly increased the blood pressure elevations for both the exercises, but particularly for the OPSU. [ABSTRACT FROM AUTHOR]