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Introduction: Neck Pain (NP), a major global disability, disproportionately affects women, especially homemakers performing repetitive domestic tasks with poor ergonomics. Regular exercise helps, but access might be limited. Telerehabilitation, using technology for remote care, emerges as a potential solution. Homemakers with NP often lack access to exercise programmes. This study tests if telerehabilitation with exercises and ergonomics improves their function. Aim: The aim of this study was to assess the effectiveness of a combined tele-rehabilitation programme incorporating structured neck exercises and ergonomic advice for the sustainable management of NP among homemakers experiencing nonspecific NP. Materials and Methods: This experimental study was carried out at BV(DU), School of Physiotherapy on 63 female homemakers residing at Sangli city, Maharashtra. The duration of study was one year from March 2023 to April 2024. Participants aged 25-55, with moderate NP (VAS 2-5) and performing tasks like chopping, mopping, and lifting for more than 4 hours a day, were included. A 30-day telerehabilitation programme with daily supervised exercises and ergonomic advice was carried out. Wilcoxon Matched Pairs test was used to compare pretest and post-test VAS, Neck Disability Index (NDI), performance, and Manual Muscle Testing (MMT) scores. The p-value: 0.001 (at 5% level of significance). Results: The combined intervention significantly improved pain, strength, quality of life, and all components of the ICF Core Set, a standardised outcome measure for disability. 68.46% reduction was seen in VAS scores; 83.68% reduction was seen in NDI scores with effect size 0.9570. Maximum improvement of 100% was seen in code d4103 (sitting) and a minimum improvement of 40.86% was seen in code d4105 (bending). Conclusion: Telerehabilitation with structured neck exercises and ergonomic advice can effectively reduce pain, improve strength and quality of life, and enhance function in homemakers with NP. This study also highlights the ICF Core Set's usefulness in evaluating NP interventions. Telerehabilitation offers a promising, accessible treatment option for individuals facing barriers to in-person care. [ABSTRACT FROM AUTHOR]

Background and Objectives: Chronic obstructive pulmonary disease is a disorder characterized by presence of air flow obstruction that is generally progressive, may be accompanied by airway hyperactivity and maybe partially reversible. COPD comprises major pathological changes. Conventional airway clearance techniques form the main stay of the routine Pulmonary Rehabilitation of subjects with chronic obstructive pulmonary disease. The procedure of Active Cycle of Breathing Technique causes an increase in lung volume which allows air to flow via collateral channels and may assist in mobilizing the secretions which but incorporating newer techniques that are effective, comfortable and can be independently performed by the subject without assistance help motivate the subjects to participate actively in their own health care. A device is proposed to have good efficacy, reliability and provides relief of the symptoms in a better way than the manual therapy in a way by excluding the bias and thus can be used as an alternative to it, so proves efficient to it. This study incorporates a device called 'THE FLUTTER DEVICE' which aids in mucus clearance in subjects with COPD effectively. Materials and Methodology: The Study participants were thirty subjects aged 35 to 45yrs with chronic obstructive pulmonary disease. After two weeks of ACBT and Flutter therapy with routine Physiotherapy each patient was told to record their VAS score for breathlessness on Visual Analogue Scale for breathlessness, the patient's peak expiratory flow rate was then checked with the peak flow meter and FEV1/FVC percentage was also obtained from the patient's Pulmonary Function Test reports. Results: Data was analyzed by statistical means, standard deviation and students t- test and the results showed significant changes in terms of the VAS score for breathlessness, PEFR, FEV1/FVC percentage of PFT. Conclusion: It can be concluded that application of flutter therapy for airway clearance to patients with Chronic obstructive pulmonary disease decreased the breathlessness drastically and increased the peak expiratory flow rate and FEV1/FVC percentage than the application of ACBT. [ABSTRACT FROM AUTHOR]

Background and Objectives: - Neural tissue mobilization is a manipulative technique by which tissues are moved and stretched either by movement relative to surrounding structures or tension development. Mobilization of neural structures dependently or independently improves patient's signs and symptoms. Nervous system adapts to lengthening through increase in intraneural or intramural pressures. Thus the continuum of the nervous system serve its ability to move either alone or through surrounding tissue interface to relieve contributing neural tension to patient's symptoms. This Study assesses the immediate effects of neural tissue mobilization on the Nerve Conduction Velocities, the Bimanual Coordination and the Upper limb Grip Strength in normal healthy individuals. Materials and Method:- The participants in the study were normal healthy subjects. These subjects were assessed for their Upper limb Grip Strength, Bimanual coordination and the Nerve Conduction Velocities of the Median Nerve before and immediately after the Median Nerve Mobilization and analysis was done for the same. Result: - Data was analyzed by statistical means, standard deviation and students t- test and the results showed significant changes in terms of the nerve conduction velocity, upper limb strength and bimanual co-ordination in normal healthy subjects on an immediate basis. Conclusion: - This study concludes that immediate effects of median nerve mobilization on Nerve Conduction Velocities, Bimanual Coordination and Upper Limb Strength in normal healthy subjects are statisticaly significant. Hence immediate relief of discomfort through neural mobilization on these parameters can be obtained. [ABSTRACT FROM AUTHOR]

Background: Fatigue is a common and disabling symptom in Multiple Sclerosis (MS), but it was overlooked for a long time probably. Fatigue has a significant effect on the mental health and general health status. It is not only the most frequently reported symptom in MS but also a limiting factor which can interfere with physical ability and functional independence. Thus, aim of this study was to find out the relation of fatigue to disability and functional independence, as it can help all the rehabilitation team to emphasize on the importance of fatigue and its effect on disability and functional independence when assessing subjects of MS and planning treatment guidelines for them. Materials and Methods: The participants in this study were 30 MS subjects. These subjects were assessed for fatigue by using Modifies fatigue impact scale (MFIS), disability by expanded disability status scale (EDSS) and functional independence by functional independence measure scale (FIM) and a correlation was done between them. Result: The spearman's correlation test indicate that fatigue has a moderate positive correlation with disability which was assessed by EDSS(r = 0.4) and statistically showed moderate significance (p< 0.05) Fatigue has moderate negative correlation with functional independence (r = -0.50) and statistically showed string significance (p<0.01). Also, disability has a very large negative correlation (r = -0.852) with functional independence and statistically showed strong significance (p<0.001). This study accepted the experimental hypothesis stating that there was a significant relation of fatigue to disability and functional independence in subjects with MS Conclusion: Study concludes that fatigue is a common symptom affecting majority of patients with MS. It was found that fatigue had a positive correlation with disability but when functional independence was considered there existed a negative correlation in fatigue and functional independence. [ABSTRACT FROM AUTHOR]

Background: Chronic obstructive pulmonary disease is a preventable and treatable disease state characterised by progressive airflow limitation that is not fully reversible.It includes two main conditions-1. Emphysema 2. Chronic bronchitis. These are associated with fixed airway obstruction. Patients with COPD complaints of breathlessness,chest tightness, generalized weakness, fever & cough (with expectorations). Materials & Methodology: Both male and female workers from cotton mill industries of Miraj Taluka who were aged between 35-45 were included in this study. Data was collected using COPD Assessment test (CAT) and PEFR. Results: There were 54.17% workers who had a no obstruction with low impact of disease, 30% workers showed mild obstruction with moderate impact of disease, 15.83% workers showed moderate obstruction and high impact of COPD, and there were no workers who had severe obstruction of the airways. p value=0.1437 Conclusion: This study concluded that cotton mill industries of Miraj taluka showed that there were 54.17% of workers with no obstruction of airways. There were prevalence of mild obstruction of COPD in 30% of workers, moderate obstruction of COPD in the 15.83% of workers, also there were no workers with severe obstruction of COPD. [ABSTRACT FROM AUTHOR]