About
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Introduction
Akshatha Nayak currently works at the Department of Physiotherapy, Manipal University. Akshatha does research in Rehabilitation Medicine, Sports Medicine and Neurology. Their current project is 'trunk rehabilitation'.
Current institution
Publications
Publications (36)
Introduction: Stroke reduces lower extremity muscle strength bilaterally, predominantly on the affected side. Stroke rehabilitation focuses on training the hemiparetic extremities, whereas functional activities require the recruitment of bilateral lower extremity muscles.
Objectives: This research is aimed at studying the effectiveness of additiona...
Background Dual-task assessments, including Walking While Talking (WWT) and Stops Walking While Talking (SWWT) tests, predict fall risk in stroke survivors. However, their effectiveness relative to established predictors, such as the Berg Balance Scale (BBS) and Falls Efficacy Scale (FES), remains unclear. This study evaluated the comparative predi...
Introduction
Adolescence is a distinct period with many important physiological and behavioural changes, including alterations in body composition, changes in fitness attitudes, physical activity, and sedentary behaviour.
Aim of the Study
The primary purpose of this study was to characterize foot posture in school-aged adolescents aged 11-17 years...
Background and purpose
Anticipatory postural adjustments (APA) and compensatory postural adjustments (CPA) have played a vital role in postural control since early childhood, which is critical to accomplishing activities in daily life. However, literature indicated dissimilarities and inconsistencies in APA and CPA analysis in sitting and standing...
Background
Stroke leads to various impairments like motor deficits, impaired trunk control and restricted mobility. However, rehabilitation professionals often underestimate the fundamental function of turning, which is essential for daily living activities like walking, cooking, or performing household chores. Impaired turning can be attributed to...
Background
Falls affect 40-70% within the first year and contributing to increased morbidity and reduced quality of life. Dual-task assessments, such as the Walking While Talking (WWT) and Stops Walking While Talking (SWWT) tests, are potential tools for predicting fall risk, but their comparative effectiveness remains underexplored.
Methods
This...
The purpose of the study was to assess the effects of a novel technique involving facial stretching of the unaffected side along with a structured exercise for the affected side on facial symmetry and facial functions as compared to conventional exercise. A hospital-based parallel-group randomized trial was completed among patients with acute Bell’...
Background
Numerous tools are available for evaluation of upper limb (UL) functions among stroke survivors. Despite the excellent psychometric properties, many require considerable amount of time, are resource-intensive, and often impractical for bedside evaluation.
Objectives
To develop and concurrently validate a simple, resource-efficient, and...
Objectives
A group of neuromuscular system anomalies associated with non-progressive issues in the developing fetal or newborn brain are known as cerebral palsy (CP). These abnormalities are typified by poor posture and motor development, which limits the execution of functional activities. Consequently, to achieve the same goals as peers who are t...
Objective
This study aimed to develop and concurrently validate a simple, resource-efficient, and time-efficient bedside tool based on day-to-day movement tasks for evaluating upper limb function in stroke survivors.
Methods
The study’s qualitative and cross-sectional component was conducted in 2 stages. At the initial stage, a relevant literature...
Background
Limits of stability is required to perform functional activities and other advanced tasks of life without losing balance, and assessment of limits of stability is essential in clinical practice. Forward, Lateral, and Oblique direction reach tests are clinical balance tests that assess limits of stability, and these reach distances in var...
Background: Post-stroke individuals are observed to have reduced limits of stability
(LOS) in all directions. Functional activities are rarely performed in pure cardinal
planes; instead, they are most likely to be performed in an oblique direction. Existing
tools are either expensive or sophisticated to assess the LOS in an oblique direction.
There...
Objectives
Globally, stroke is known to be one of the major health problems, resulting in disability among an aging population. Rehabilitation is a process of re-learning of skills, lost due to brain injury. Many factors influence motor learning post neurological insult and practice is one of the key factors which influence relearning or reacquisit...
Objective of this review was to collate information on the effectiveness of trunk targeted intervention on children with cerebral palsy (CP) on three functional outcomes that are gross motor function, trunk control and balance. A comprehensive search was conducted on online databases from inception to August 2021, using relevant keywords. A total o...
Purpose
This scoping review attempts to identify the factors influencing community reintegration (CR) among individuals with stroke and classify them as facilitators and barriers.
Methods
A thorough search was run through PubMed, Scopus, Cochrane, ProQuest, EMBASE, CINHAL, and PEDRO for studies published from 2014 to August 2021. The review was ba...
Caregivers provide different types of care, such as physical care, transfers, and follow-ups with doctors and rehabilitation professionals. All these types of care impact the caregivers’ quality of life (QOL). Due to a lack of collective evidence on the QOL of caregivers having children with disabilities in the Kingdom of Saudi Arabia, we conducted...
Community reintegration (CR) is an ultimate goal of stroke rehabilitation and lacks focused treatment strategies. Factors influencing the CR has been studied in the past, however, subjects were in chronic phase of recovery. The purpose of the study was to review the factors predicting CR among community-dwelling sub-acute stroke subjects. The cross...
Background
The majority of poststroke individuals tend to exhibit reduced loading over the paretic lower extremity, leading to increased postural sway, and gait asymmetry predisposing to a higher number of falls. Compelled body weight shift (CBWS) therapy is an innovative method aimed to force body weight shift toward the paretic extremity. Proprio...
Background:
Children with Down Syndrome (DS) present with neuromuscular disturbances leading to delayed developmental milestones, poor quality of movement and poor balance. The aim of this study is to discuss the role of trunk muscle strength in the functional performance of children with DS.
Methodology:
28 children were recruited in the study,...
Background and Aim. Children with spastic cerebral palsy (CP) have impaired trunk control. Joint position sense, a component of
proprioception, plays a crucial role in maintaining spinal mobility and stability. The current study is aimed at analysing the relationship between trunk control and trunk position sense in children with spastic CP.
Metho...
Background:
Individuals with Down syndrome present with several impairments such as hypotonia, ligament laxity, decreased muscle strength, insufficient muscular co-contraction, inadequate postural control, and disturbed proprioception. These factors are responsible for the developmental challenges faced by children with Down syndrome. These indivi...
Introduction: The objective of this study was to find the immediate as well as short-term effect on pelvic alignment and forward arm reach distance in sitting among stroke patients following thoracic spine and abdominal muscles taping along with conventional therapy.
Methods: Thirty subjects with stroke attending the physiotherapy programme at Depa...
Objectives: Trunk muscle weakness is a common manifestation in stroke can affect trunk control and previous studies have demonstrated a positive relation between trunk control and measures of balance, gait and functional ability among subjects with stroke. The therapeutic regimens available for improving balance are varied but there is no consolida...
Objectives: Children with spastic cerebral palsy (CP) are found to have impaired trunk control. Reposition sense, a component of proprioception plays a crucial role in maintaining spinal mobility and stability in normal individuals. The aim of the current study was to find the relationship between trunk control and Trunk Re-Position Error (TRE) in...
Introduction
Knee hyperextension is seen in 40–68% of ambulating hemiparetics. If left untreated it may lead to laxity of posterior structures of knee resulting in early degeneration of knee leading to pain, reduced independence in activities of daily living (ADL), deformities and instability. In this study we hypothesize walking with bent knee att...
Purpose of the study: To investigate the relationship between low birth weight and motor
skills.
Introduction: Motor and balance skills are part of the prerequisites for physical function and sports performance in healthy school going children. About 25-50% LBW children without cerebral palsy found to have motor problems which is often associated...
Background & objective:
Timed up and go (TUG) test is been used as a screening tool for the assessment of risk of falling in individuals following stroke. Though TUG test is a quick test, it has fair sensitivity compared to other tests. This study was carried out to obtain and compare test scores for different types of foot placements during sit t...
Background: Following stroke static as well as dynamic components of postural control were affected. Ability to maintain postural alignment is also a vital component of the postural control system. Pelvic asymmetry is commonly observed in stroke subjects which can influence trunk control. However, there is a paucity of literature that determines th...
Back Ground: Trunk performance is important for functional outcomes and also a predictor for activities of daily living after stroke. Swiss ball training is superior to ground-based exercise in its ability to recruit trunk muscles by increasing its demand and trunk balance on healthy individuals and athletes. However retrievable literature evidence...
Objective: To examine the effects of trunk exercises performed using the physio ball as against the plinth, on trunk control and functional balance in patients with acute stroke.
Design: An observer-blinded pilot randomized controlled trial.
Subjects: Thirty patients with acute stroke (mean post-stroke duration 12 (95% confidence interval (CI) 2–34...
Objective: To examine the trunk performance during static and dynamic sitting postural control, and to find
an association with functional balance such as standing and stepping early after stroke.,
Participants and setting: Fifty-nine stroke patients (range 2-45 days) were evaluated once for trunk performance and functional balance by same observer...
Purpose: although proximal stability of the trunk is a prerequisite for balance and gait, to determine the role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke is yet unknown. Method: fifteen subjects (post-stroke duration (3.53 ± 2.98) years) who had the ability to walk 10 meters independently with or wit...
