Gopal Krishna Alaparthi

Manchester Metropolitan University | MMU · Department of Health Professions

Background: Arm elevation plays an important role in simple and complex daily tasks. Muscles that stabilize the shoulder girdle also function as respiratory accessory muscles. Dual demand on these muscles, particularly in patients with chronic respiratory conditions, leads to dyspnea and fatigue of the upper limb, making simple daily activities dif...

Background: Physiotherapy is an essential component of paediatric burn treatment. Children are admitted to the paediatric burn unit with their caregivers who play a vital role in supporting the child's post-burn physiotherapy management. Objective: The objective of the study is to determine caregivers' attitudes on physiotherapy treatment for ch...

Background: Head and neck cancer is the sixth most common cancer worldwide and is also associated with many pulmonary complications. Decreased cardiopulmonary function and functional capacity is one of the major treatment related side effects of chemoradiation therapy. In this study we aimed to assess and quantify the impact of treatment related si...

Background: Globally, cancer is one of the main causes of death. Nonetheless, the estimate for Middle Eastern countries is high and rising. Furthermore, there is a paucity of evidence on effective rehabilitation measures for treatment of cancer patients, particularly head and neck cancer patients. As a result, the purpose of this study is to enlis...

BACKGROUND: After cardiac surgery, various pulmonary complications develop which require specific care. These complications affect pulmonary functions and can lengthen the hospital stay of patients, causing increased hospital costs and becoming an important cause of morbidity and mortality. OBJECTIVES: To investigate the short-term effect of inspir...

Background: Maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP) and maximum voluntary ventilation (MVV) measurements assist in determining the respiratory muscle strength and endurance. These determinants of respiratory muscles vary significantly by age, gender, height, and ethnic origin. Normative values for maximum respiratory...

Background: Sedentary behaviour and physical inactivity along with body mass are identified as critical determinants of vascular health along with body mass in young adults. However, the relationship between potential physical health and anthropometric variables with high blood Eid pressure remain unexplored in young adults from the United Arab Emi...

Background: The main goal of physiotherapy post-upper abdominal surgery (UAS) is to expedite recovery from the surgery by avoiding or remediating postoperative pulmonary complications (PPCs) and offering physical rehabilitation to ease the process of returning to premorbid status. The present study aimed to survey physiotherapists in the United Ar...

Background Evidence based practice (EBP) is widely used by cardiopulmonary physical therapists worldwide. Therefore, it is important to identify whether the therapists have the required knowledge, skills and resources in order to deliver the best evidence-based practice. Objectives The main objective of this cross-sectional study is to analyse the...

Background Patients admitted to intensive care units (ICU) are at an increased risk of developing immobility related complications. Physiotherapists are challenged to employ preventive and rehabilitative strategies to combat these effects. Passive limb range of motion (PROM) exercises- a part of early mobilization-aid in maintaining joint range of...

Purpose: As the values of respiratory muscle strength vary according to race, ethnicity, and geographical area, there is a wide-ranging difference among different populations. Thus, the available reference values may not have an application for use in the Indian paediatric population, creating a need for generating values which will be appropriate...

Background Telerehabilitation is imperative and impending in the management of chronic obstructive pulmonary disease patients. However, its feasibility in low- and middle-income nations such as India remained unclear. Objective To assess the feasibility of administering a smartphone-based telerehabilitation program for chronic obstructive pulmonar...

Background Valve replacement surgeries affect the physiological mechanisms of patients leading to various postoperative pulmonary complications. Lung expansion therapy consisting of numerous techniques is routinely used for the prevention and treatment of these complications. Objectives Our study aimed to compare the effects of diaphragmatic breat...

Background Chronic obstructive pulmonary disease (COPD) is complicated by the presence of frequent and recurrent acute exacerbations. The patients are asymptomatic and stable in the early stages. They develop weakness of primary respiratory muscles and use accessory muscles, which lead to postural changes. The forward head posture is very common in...

Objectives: Postoperative physiotherapy is routinely prescribed for patients after thoracic surgeries. There are no established guidelines for exercise prescription after pleural resection surgeries. The present study aimed to determine the effect of an individualized postoperative physiotherapy program on a patient who underwent pleurectomy. Metho...

The aim was to compare the effect of diaphragmatic breathing exercise (DBE), flow- (FIS) and volume-oriented incentive spirometry (VIS) on pulmonary function- (PFT), functional capacity-6-Minute Walk Test (6 MWT) and Functional Difficulties Questionnaire (FDQ) in subjects undergoing Coronary Artery Bypass Graft surgery (CABG). The purpose of incorp...

The purpose of our study was to determine the added effect of a balance training program to conventional pulmonary rehabilitation on exercise capacity, balance, fall risk and health related quality of life in patients with moderate COPD. A Randomized Control Trial with two groups- Experimental and Control groups. 133 participants were randomly allo...

Background: The gait abnormalities were linked to the balance deficits in the previous studies. However, the deviations in the gait parameters in COPD are currently not known. The study aims to compare gait parameters, static and dynamic balance, and risk of falls in COPD with those in non-COPD individuals. Method: Fourty-two patients with COPD...

Evidence-based Practice is defined as usage of current best evidence which is conscientious, explicit and judicious in deciding on the care of the individual. It is one of the vital decision-making processes in the medical profession. Though India is renowned as a center for medical education, there is scarcity regarding the literature on evidence-...

Background: In COPD patients it is very important to assess the activities of daily living (ADL) due to an impairment of independence and quality of life. There is a lack of retrievable data regarding the cardio-pulmonary response to Londrina ADL protocol in patients with COPD. The aim of the present study was to assess the cardio-pulmonary respon...

Purpose: Patients admitted to the intensive care unit (ICU) are generally confined to bed leading to limited mobility that may have detrimental effects on different body systems. Early mobilization prevents or reduces these effects and improves outcomes in patients following critical illness. The purpose of this review is to summarize different as...

Introduction Patients admitted to the intensive care units (ICU) have limited mobility due to their illness and its management and are at a risk for immobility-related complications. Early mobilization has been suggested to prevent or limit physical dysfunction due to these complications. Effectiveness of early mobilization protocols is studied usi...

Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable pulmonary disease that has extensive pulmonary and pathological adaptations. Few of these pathological changes are airway , persistent airflow limitation, finally leading to pulmonary hyperinflation. The diaphragm, which is the primary muscle of inspiration, is put through...

Background: Reduced physical and functional capacity is one of the main treatment-related side effects of chemoradiation therapy in head-and-neck cancer patients. We evaluated a case of a head-and-neck cancer patient who was undergoing chemoradiation and was assessed for various components of cardiopulmonary function that plays a vital role in the...

Background: Reduced respiratory muscle strength leads to reduced pulmonary function, chest wall movements in the affected side, and increased chest infections, which thereby reduces oxygenation and ventilation. Respiratory muscle training can be used in acute stroke subjects to increase their pulmonary function. Purpose: To compare the short-ter...

Background Peripheral muscle dysfunction is one of the major comorbidities seen in chronic obstructive pulmonary disease. Focusing more on upper extremity, unsupported elevation of arms results in a change in the recruitment pattern of the respiratory muscles. Over the years, many tests were developed to assess the upper limb capacity and include t...

Introduction: In our daily life, arm activities, whether supported or unsupported play a major role. Both simple and complex activities require the muscles, namely trapezius, pectoralis minor, scalene, and intercostals, to participate in arm positioning. These muscles also enact as the accessory respiratory muscles. Therefore, arm elevation increa...

Abstract: Objective: There is a need to find the effect of balance training with pulmonary rehabilitation in subjects with COPD. The Purpose of this study is to find the effectiveness of balance training with pulmonary rehabilitation on improvement of balance, exercise tolerance, health related quality of life and risk of falls. Method: A 20 modera...

Background: Due to increase in the life expectancy and changes related to aging, it is important to assess ADL (activities of daily living) in older adults. However, there is no standardized protocol available to assess ADLs. Considering the limitations of the available tools, a new protocol named Londrina ADL protocol was developed for which norm...

Objective: To find out the current practice patterns of Physiotherapists in Phase I Cardiac Rehabilitation of patients following Cardiac Surgery (CABG/Valve Surgery). Materials and Methods: The cross sectional survey included 600 cardio-pulmonary physiotherapists working in Cardiac Care Unit, who filled questionnaires sent to them through e-mail. R...

Background The Glittre ADL test was done to assess the functional capacity of patients with COPD. 6 MWT was used to check for functional capacity, but there was a limitation of upper limb work or activities other than walking. Objective To develop reference equations for Glittre ADL test on the basis of anthropometric and demographic variables in...

Background: Chronic Obstructive Pulmonary Disease (COPD) impairs the function of the diaphragm by placing it at a mechanical disadvantage, shortening its operating length and changing the mechanical linkage between its various parts. This makes the diaphragm's contraction less effective in raising and expanding the lower rib cage, thereby increasi...

Background: Bronchiectasis is a chronic respiratory condition characterised by chronic sputum production, fatigue, and dyspnoea. These symptoms will lead to reduced exercise capacity and a reduced ability to carry out activities of daily living. Glittre ADL test is a valid and reliable test which evaluates the activities of daily living. Aim: To...

Purpose: To analyse the relationship between Body Mass Index (BMI) and reaction time in recreational badminton players. Methodology: 52 healthy recreational badminton players who met the inclusion and exclusion criteria were selected for a cross sectional study. Reaction time and body mass index were evaluated for each subject using standardised te...

Objective: There is a lack of retrievable data, on patient satisfaction with Chest Physiotherapy airway clearance techniques for individuals with Bronchiectasis in Indian population. Materials and Methods: A cross-sectional survey was conducted of 140 bronchiectasis patients. The questionnaire consisted of Section-I comprising of general questions...

Objective: To determine the practice patterns of physiotherapists for acute respiratory distress syndrome (ARDS) in the Intensive care unit in India. Materials and methods: A cross sectional survey was conducted across India, in which 600 questionnaires were sent via email to cardio-pulmonary physiotherapists. The questionnaire addressed assessment...

Objective: To compare the diaphragmatic excursion of healthy subjects (males and females) during rest and three different types of breathing exercises: Volume-Oriented Incentive Spirometer, Flow-Oriented Incentive Spirometer and Diaphragmatic Breathing. Methods: One Hundred and eleven healthy volunteers (62 male and 49 female) participated in the s...

Introduction: Surgical procedures in abdominal area lead to changes in pulmonary function, respiratory mechanics and impaired physical capacity leading to postoperative pulmonary complications, which can affect up to 80% of upper abdominal surgery. Aim: To evaluate the effects of flow and volume incentive spirometry on pulmonary function and exerci...

Objective. To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery. Methodology. We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 6...

Aim . The aim of the current study is to determine the practice patterns of physiotherapists for patients undergoing thoracic surgeries in India. Materials and Methodology . A cross-sectional survey was conducted across India in which 600 questionnaires were sent in emails to physiotherapists. The questionnaire addressed assessment and treatment te...

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death worldwide. It overloads the healthcare system and increase healthcare expenditure. As a patient's awareness enables him/her to acquire better self-management skills, it helps to reduce the severity and frequency of exacerbations, prevents hospitalizations, and improve...

To determine practice pattern of physiotherapists in the neonatal intensive care units (ICUs) in India with regards to cardiopulmonary and neuromuscular physiotherapy. A cross-sectional survey was conducted across India, in which 285 questionnaires were sent via e-mail to physiotherapists working in neonatal intensive care units. A total of 139 com...

Evidence supports the use of pulmonary rehabilitation in the treatment of chronic obstructive pulmonary disease (COPD) patients both during acute exacerbation and at later stages. It is used in India; but, to date, there has been no study that has investigated the structure of pulmonary rehabilitation programs for COPD patients in India. The recent...

Objective:To evaluate the effects of diaphragmatic breathing exercise on pulmonary function and diaphragm excursion in patients who underwent laparoscopic surgery Materials and Methods: Twenty sample sizes with twelve men and eight women who underwent laparoscopic surgery were randomly divided as follows: 10 subjects performed diaphragmatic breathi...

Background: Hyperinflation seen in COPD patients puts excess loads on ventilatory muscles exercise intolerance and limits physical activity. Physiotherapeutic management mainly emphasizes on increasing providing positive end expiratory pressure devices (PEEP). Threshold PEP is a device generating this pressure. Aim of the study is to evaluate effic...

The objective of the pilot study is to obtain normal maximal inspiratory and expiratory pressures for individuals in the age group 20-70 years in the Mangalore population and to predict normal values according to age, sex, height, and weight using the regression equation. Two hundred and fifty subjects were selected through a convenient method of s...