Manu Goyal

Maharishi Markandeshwar (Deemed to be University), Mullana

Aim Neuromuscular Taping (NMT) is the application of elastic adhesive tape to the skin without any tension in it. NMT creates wrinkles on the surface of the skin to help stretch the skin passively and this elongation force assists in muscle contraction and relaxation. Therefore, this study aimed to assess the effectiveness of NMT in the improvement...

BACKGROUND: As the mainstay treatment for paraplegics is rehabilitation, patient satisfaction and experience are important predictors of the care being provided. To understand whether the current arrangements of rehabilitation services are sufficient to help an individual with paraplegia return to a productive life. Patient-centered interview guide...

This chapter explores how artificial intelligence (AI) is becoming increasingly important in improving cognitive testing and early Alzheimer's disease diagnosis. AI systems examine a variety of information, such as imaging, biomarkers, and medical records, to accurately and quickly identify minor changes in cognitive function. By improving cognitiv...

Alzheimer's disease (AD) is the main cause of dementia in older persons. Preclinical AD can persist anywhere from six to ten years, depending on when it first appears. Artificial intelligence (AI) is to create machines that are capable of doing tasks that would typically require human intelligence. Machine learning (ML), deep learning (DL), and nat...

Trunk muscles maintain steady effort with adequate strength and endurance. When the muscle performance is subpar, it might cause lower back discomfort. No reference for trunk strength and endurance has been established previously. The aim of this study was to determine the normative reference values for dynamometric and non-dynamometric tests in pe...

This book offers in-depth reviews of different techniques and novel approaches of using blockchain and artificial intelligence in smart healthcare services. The volume brings 14 reviews and research articles written by academicians, researchers and industry professionals to give readers a current perspective of smart healthcare solutions for medica...

Parkinson's disease (PD) is a neurological disorder that affects millions of people worldwide. Among its motor symptoms are bradykinesia, tremors, rigidity, and postural instability. Handwriting variations known as “Parkinsonian handwriting” or “micrographia” are frequently linked to Parkinson's disease. The condition is characterized by tiny, cram...

Early detection of a disease empowers medical professionals to initiate interventions at a stage when treatment can be most effective, enhancing the well-being of patients. Unfortunately, Parkinson's disease (PD) remains notorious for its difficult detection in preliminary stages, resulting in delayed treatment and poor patient outcomes. Gait analy...

Introduction: Subacromial Impingement Syndrome (SIS) is a condition characterised by the narrowing of the shoulder complex between the acromion and the humeral head. It is caused by entrapment of the subacromial bursa, biceps tendon, teres minor muscle, supraspinatus, and infraspinatus between the humeral head and coracoacromial arch. This entrapme...

Introduction: Nocturnal Leg Cramps (NLC) are painful, involuntary spasms of the calf, hamstring, or foot muscles at night, causing severe pain and disrupting sleep. Through physiotherapy interventions, we can prevent the nocturnal leg cramps. In NLC, on palpation muscle became tender or hard and affect or disturb the sleep. The study is done to kno...

Introduction: Chronic Low Back Pain (CLBP), a well-known public health burden which progressively increased with time and development of trigger points in Quadratus Lumborum (QL) is frequently the cause of CLBP. Extracorporeal Shockwave Therapy (ESWT) is an entirely novel and effective non invasive therapy for treating myofascial trigger points. Ai...

Background Sleep problems also occur in women with polycystic ovarian syndrome (PCOS) of normal weight. Furthermore, PCOS and sleep disturbances are linked with worsening of cardiometabolic health in the long term. Objective The study aimed to determine the effect of strengthening exercises on sleep quality among females suffering from PCOS. Mate...

INTRODUCTION: Overweight and obesity affect gait variables such as cadence, step length, stride length, and Achilles tendon deterioration. Rigid Achilles tendon Taping reduces stress and enhances joint stability and can be employed as external support during gait training to modify gait parameters. OBJECTIVE: To find out whether taping modifies gai...

Reliability and other properties for most equilibrium coordination tests have not been established yet among children. Hence, the aim of the present study was to find out the intra-rater reliability, minimum detectable change, and sensitivity of sideways walking, tandem walking, cross-stepping, heel walking, and toe walking among children. 1,104 ch...

The objectives of this study were i) to measure a six-minute step test (6MST) in asymptomatic adults; ii) to determine the applicability of Arcuri et al.’s reference equation to Indian adults; iii) to develop a prediction equation for Indian adults. 110 adult males and females aged 18-40 years were recruited for this prospective cross-sectional stu...

Background The management of diabetic peripheral neuropathy (DPN) comprises a multidimensional approach. Along with pharmacological treatment, physiotherapy has gained applaudable popularity in improving the symptoms of DPN. Neuromuscular taping (NMT) is effective in improving motor, sensory, and balance impairments in many neuromuscular and muscul...

BACKGROUND: Prolonged sitting and a sedentary lifestyle may result in hamstring shortness. A decline in regular physical activity could lead to a decrease in the flexibility of the muscle in a younger adult. Increasing hamstring muscle flexibility could decrease the possibility of injuries and prevent low back pain. The application of high-intensit...

Background: Lateral Ankle Sprain (LAS) is a recurrent musculoskeletal injury commonly noticed in primary care, podiatry, orthopaedics, and physical therapy centers. The Foot and Ankle Disability Index (FADI) is a self-reported and region-specific tool with no previous literature available on the translation of the FADI scale into Hindi language....

Artificial intelligence (AI) is not very prevalent in the healthcare sector. It will promote and enhance automation in various aspects of patient care by promoting diagnosis of disease at a subclinical stage which can be otherwise missed by human clinicians. There is a rapidly increasing interest in machine learning (ML) applications in medical car...

Abstract Background: Prolapsed intervertebral disc (PIVD) is a concentrated displacement of the content within the intervertebral disc beyond its natural limits as sequelae to the degenerative disc disease. It is commonly diagnosed with physical examination, X-ray, computed tomography scan, and magnetic resonance imaging (MRI) out of which MRI...

INTRODUCTION: Does Achilles Tendon taping affect gait parameters in overweight and obese adults? Step length, stride length, and cadence are all shorter in these individuals, with increased fall ratios. OBJECTIVE: To know the effect of Achilles Tendon taping on gait parameters in overweight and obese individuals. METHODS: A clinical trial will be c...

Background: Complex Regional Pain Syndrome (CRPS) is an umbrella term for a variety of clinical presentations characterized by persistent pain usually in the hands or feet that is disproportionate to any preceding injury and characterized by many autonomic, sensory, and motor symptoms. CRPS is among the most common causes of post stroke shoulder p...

Objective Shoulder problems can be a common secondary musculoskeletal complication after stroke. Common post-stroke shoulder problems include altered muscle tone, pain, and a frozen shoulder. The study was aimed at formulating an activities of daily living (ADL) questionnaire for stroke patients with shoulder problems. Materials and Methods The st...

Background: Ankle sprains are one of the most common musculoskeletal injuries. English and Italian versions of the Foot and Ankle Disability Index (FADI) questionnaire are available for assessment, but no Hindi version of the FADI questionnaire is yet available for the population who only communicate and understand the Hindi language. Aim: This...

Ultrasonography can provide a clear depiction of Muscle Thickness (MT) and Cross-sectional Area (CSA) while monitoring muscle contraction. Estimating muscle contraction through ultrasonography with physiotherapy interventions has shown to be a beneficial method for training tightened muscles. A 26-year-old male patient presented to physical therapy...

BACKGROUND Neuropathy-and foot ulcer-specific quality of life instrument (NeuroQoL) is not available in Hindi language which is one of the most spoken languages in the world. Hence, we aimed to translate, cross-culturally adapt and content validate NeuroQoL into Hindi language (NeuroQoL-H). METHODS NeuroQoL is translated and cross-culturally adapt...

Background/aims The levator scapulae is an important postural muscle that tends to shorten or become tight because of overactivity and bad posture, leading to neck and shoulder pain. Therefore, it is important to measure its length to effectively address dysfunction. The aim of this study was to measure the length of the levator scapulae using the...

Objectives Diabetic Peripheral Neuropathy (DPN) is the commonest complication in individuals with type 2 diabetes mellitus affecting 50% of total diabetic population. The ankle mobility is seen to be significantly reduced along with alteration in plantar pressure distribution. Neural mobilization is a neoteric technique that is being used to treat...

The data in this article described quantitative values of fractional anisotropy (FA) and apparent diffusion coefficient (ADC) for 23 (46 extremities) normal healthy males and females, for 46 patients with bilateral diabetic peripheral neuropathy. 1.5 Tesla (T) MR System Multiva – Philips magnets (Baltimore, Netherland, Holland) imaging with axial T...

Blood Flow Restriction Training (BFRT) is a novel strengthening technique utilitarian in many conditions. But there is lack of exploration on this clinical intervention. The training can prove to be a boon in many conditions such as muscle weakness, degenerative among others. It can serve to be an essential treatment in prevention of disuse atrophy...

The quality of life of patients with diabetes having peripheral neuropathy can be improved with an early detection of this detrimental diagnosis. This review summarizes the already established diagnostic methods (electrodiagnostic and sensory screening) and the recent radiological diagnostic methods (ultrasonography and magnetic resonance imaging)...

Somatic tinnitus is a condition that results from cervical spine or temporomandibular disorders. It commonly affects 36–43% of the Belgian population. We present a single case experimental design of a 38 year old somatic tinnitus patient having neck pain, headache, and ringing sensation in both ears. Six sessions of soft tissue mobilization were pe...

Introduction. Neurogenic claudication is the classic clinical presentation of patients with lumbar canal stenosis. Several studies have addressed the assessment of such patients, but the impact of such change in canal diameter on the distance of walking is still to be identified. The study aimed to assess the functional claudication distance in rel...

Background MR-DTI parameters namely fractional anisotropy (FA) and apparent diffusion coefficient values (ADC) of diffusion imaging demonstrate the directional preference and speed of diffusion of water molecules. The purpose of this case report is to explore the effect of massage, passive neural mobilization and transcutaneous electrical nerve sti...

Aim: Chronic Obstructive Pulmonary Disease (COPD) influences the function of the diaphragm muscle, thus affecting the maximum inspiratory pressure. It is a constantly progressive disease characterized by chronic obstruction of pulmonary flow, which is irreversible in nature. We reviewed the literature for evidence of improvement in pulmonary functi...

Introduction Sacroiliac joint pain is described as pain in and around the joint along with dull pain in lower back due to biomechanical dysfunction in the sacroiliac region. Manual therapy is a common treatment for patients with sacroiliac joint dysfunction. The purpose of this study was to examine the within- and between-group effects of high-velo...

BACKGROUND: Plantar fasciitis (PF) is a common cause of heel pain and deformity of the ankle joint. More than 11%-15% of the population with foot symptoms need long-term care. Various physical therapy intervention with conventional therapy, including manual therapy, has been proven to help this condition. OBJECTIVE: To evaluate the effect of Hip ab...

INTRODUCTION: Lumbar Canal Stenosis (LCS) is known as the well-established reason for pain and depleted walking capacity in patients with manifestations of paresthesia and pain in the lower back, gluteal region, posterior thigh, and legs which are termed as ‘Neurogenic Claudication’ (NC). Manual therapy combined with canal enlargement exercises and...

CONTEXT: Pressure ulcers (PU) are the most common complication noted in bed-ridden patients. The purpose of this case report is to explore the efficacy of class IV near-infrared laser therapy in the treatment of large and severe pressure ulcers. FINDINGS: A 53-years-old male diagnosed with quadriplegia due to cervical spine tuberculosis at level C5...

BACKGROUND/OBJECTIVES: Knee osteoarthritis (KOA) is the most prevalent chronic disease of joints. There are various biomechanical factors which affect the alignment of the knee joints resulting in the varus or valgus deformities, which leads to unequal loading on the joints structures. The primary aim of the study is to determine the biomechanical...

JUSTIFICATIVA E OBJETIVO: O iliopsoas e o músculo diafragma compartilham fixação comum nas vértebras L2, a contração do iliopsoas pode levar à redução da excursão do diafragma levando à dificuldade respiratória. Portanto, o presente estudo controlado fornecerá evidências sobre o efeito da liberação do músculo iliopsoas na melhoria da eficiência res...

Despite manual therapy has been used as an effective treatment but there is limited of literature emphasizing its role to improve quality of life and pain pressure threshold in patients with somatic tinnitus. In this Meta analysis we compared the effects of manual therapy on quality of life and pain pressure threshold in the patients with somatic t...

INTRODUÇÃO: O excesso de pesso em crianças tem sido associado com perda na função neuromuscular e desequilíbrio postural. Exercícios de estabilização têm demonstrado sucesso no tratamento de crianças com paralisia cerebral e com síndrome de Down. No entanto, sua eficácia não foi testada com crianças com excesso de peso. OBJETIVO: Medir a eficácia d...

INTRODUCTION: COVID-19 has a widespread effect on rural economies all over the world. It has affecting household incomes, and businesses in every sector of rural economies. Lockdown due to COVID-19 outbreak limiting the outdoor and regular physical activity, and further can leads to increased risk of chronic health conditions. Physical activity a...

JUSTIFICATIVA E OBJETIVO: A literatura tem demonstrado efeito promissor da terapia manual na melhora da gravidade do zumbido somático. No entanto, nenhum estudo anterior se concentrou na avaliação do efeito combinado da articulação temporomandibular e dos músculos da coluna cervical. O objetivo do estudo é avaliar a eficácia da terapia manual nos f...

Coat protein complex I (COPI)–coated vesicles mediate membrane trafficking between Golgi cisternae as well as retrieval of proteins from the Golgi to the endoplasmic reticulum. There are several flavors of the COPI coat defined by paralogous subunits of the protein complex coatomer. However, whether paralogous COPI proteins have specific functions...

Study design: Two-group, pretest-posttest randomized clinical trial. Purpose: To evaluate the efficacy of the muscle energy technique (MET) and Kinesiotaping (KT) in addition to conventional physiotherapy among patients with mechanical sacroiliac joint dysfunction (SIJD). Overview of literature: Patients with SIJD suffer from lower back and gl...

Background: Diabetic neuropathy is the commonest chronic disabling complication of diabetes which may lead to amputation and compromising patient's quality of life. It is characterized by pain, sensation loss associated with neural edema. Diffusion tensor imaging parameter i.e. fraction anisotropy determines the free water proton diffusion in the...

The purpose of present case study was to explore the efficacy of osteopathic manipulative treatment (OMT) on post mastectomy lymphedema (PML) induced disabilities. 55 year old female who presented with the chief complaint of swelling in the right upper extremity along with pain in the neck, arm and thoracic spine hindering her activities of daily l...

p class="abstract"> Background: This study evaluates the outcome of osteopathic manipulation in the patients with globus pharyngeus. Methods: The study comprised of 50 patients with globus pharyngeus. All cases were provided major body diaphragms release namely pelvic diaphragm, abdominal diaphragm, thoracic outlet release, hyoid release, gastroeso...

The purpose of the present case study was to explore the efficacy of osteopathic manipulative treatment (OMT) in patient with pulmonary fibrosis (PF) in the critical care outpatient department. Here, we present a 48‑year‑old male case with breathlessness, increased frequency of defecation, and pain in and around the nape of neck with diagnosed pulm...

Tinnitus is the ringing in the ears heard by the patients in the absence of external sounds. The potential causes for the tinnitus could be the vascular, temporal bone dysfunction, inflammation in the ear, idiopathic, muscular spasms of the middle ear and palatal muscles, functional impairment of the eustachian tube, functional disorders of the jaw...

Depression is an aversion to activity disorder which could lead to somatic dysfunctions such as insomnia, excessive sleeping, body aches, listlessness, and irritable bowel syndrome. The World Health Organization has projected the depression to be the second leading cause of disability worldwide by 2020. The physical and mental ill effects of somati...

Oral submucous fibrosis (OSMF) is a chronic progressive debilitating disease of oral cavity leading to the stiffness of oral mucosa, burning and trismus resulting in marked rigidity, and an inability to open the mouth. As the medical treatment of OSMF is yet not standardized, the purpose of the present case study was to explore the effectiveness of...

INTRODUCTION Adhesive Capsulitis (AC) of the shoulder is the clinical entity affecting 2-5% of the general population and up to 11 – 30% of 1,2 diabetic patients. Women (42%) are more affected than the men (19%) with the involvement of the dominant side more. It affects 3, 4 persons older than 40 years of age more commonly. e condition is characte...

متلازمة العصب بين العظمي الأمامي؛ هي الاعتلال العصبي للعصب المتوسط القريب على مستوى الساعد. يمكن أن تحدث نقاط الزناد في المقصورات الأمامية للساعد ضغطا للعصب بين العظمي الأمامي، وهذا بدوره يسبب ضعف العضلات. يعرض التقرير حالة سيدة عمرها ٣٧ عاما، اشتكت من شعور غير طبيعي عند مسك القلم أثناء الكتابة. وأظهر الفحص السريري (الملاحظة٬ والملامسة٬ وقوة القبضة...

Background: Shoulder subluxation is a frequent occurrence in individuals following a stroke. Although various methods of treatment are available, none of them address all possible consequences of the subluxation pain, limited range of motion, the subluxation, and decreased functional use of the arm. Aims: The purpose of this study was to evaluat...

Introduction: Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome in the upper extremity leading to the functional disability. The consequence of the entrapment is the poor health of the nerve (conduction, mobility, and blood flow). Purpose of the Study: The aim of the study is to evaluate the effect of neural mobilization on...

The purpose of present case study was to explore the efficacy of osteopathic manipulative treatment (OMT) on post-mastectomy lymphedema (PML) induced disabilities. 55 years old female who presented with the chief complaint of swelling in the right upper extremity along with pain in the neck, arm and thoracic spine hindering her activities of daily...

Objective:The primary objective of the study was to evaluate the effect of California tri-pull taping (CTPT) method on post stroke shoulder subluxation, pain, active range of motion and upper limb functional recovery. Design: Pretest post test design. Setting: Study was conducted ininpatient and outpatient department of MM hospital Mullana- Ambala....

Objective:The primary objective of the study was to evaluate the effect of California tri-pull taping (CTPT) method on post stroke shoulder subluxation, pain, active range of motion and upper limb functional recovery. Design: Pretest post test design. Setting: Study was conducted ininpatient and outpatient department of MM hospital Mullana-Ambala....

The literature review on adjunct techniques in plantar fasciitis was aimed to provide an evidence-informed overview to highlight the role of adjunct treatment techniques in plantar fasciitis. Research articles were explored from PubMed and PEDro for dry needling and kinesio taping in plantar fasciitis. This will help in the treatment of plantar fas...

Ameloblastoma is a rare benign odontogenic tumor which arises from the odontogenic epithelium. It usually exhibits a range of histopathologic features, such as follicular, plexiform, acanthomatous, granular, basal cell, and desmoplastic variants, which are well recognized. This study reports a case of giant acanthotic ameloblastoma that developed a...

Graded Motor Imagery (GMI) is essentially a brain based treatment, targeting the activation of different brain regions in a graded manner. GMI is a three stage treatment programme comprising of Left Right discrimination training, Explicit Motor imagery and Mirror therapy. This review presents the background and evidence of Graded Motor Imagery and...

Background: The occurrence of inferior glenohumeral subluxation is very high when the patient is in initial flaccid stage. The available treatment approaches for subluxation is very limited and has many disadvantages. Purpose: The main purpose of the study is to evaluate the efficacy of California tri-pull taping (CTPT) method on shoulder subluxati...

EFFECT OF CALIFORNIA TRI-PULL TAPING METHOD ON SHOULDER SUBLUXATION, PAIN, ACTIVE RANGE OF MOTION AND UPPER LIMB FUNCTIONAL RECOVERY AFTER STROKE – A PILOT STUDY. AUTHORS: SUBHASISH CHATTERJEE,1 DIVYA MIDHA,2 SENTHIL P KUMAR,3 MANU GOYAL,4 1 Student, Submitting and Presenting author; E-mail: subhasishphysio@gmail.com 2 Assistant professor; 3 Profe...

Objective : The aim of the study is to investigate whether trunk balance exercises show any reduction in pain and disability and improvement in flexibility in individuals with specific low back pain. Background : The majority of exercises focusing on restoring lumbopelvic stability propose tar-geting the feedforward control of the lumbopelvic regio...

Background: Plantar fasciitis is considered to be an overuse syndrome as it develops over time and is a result of repeated stress that exceeds the body's inherent capacity to repair and adapt which eventually leads to the failure of the ligaments, bones and muscles. Functional risk factors include tightness in gastronemius, soleus and weakness of i...

Stroke is an important cause of disability and there is no generally accepted method for rehabilitation of stroke survivors. Repeated practice of motor activity will enhance the sensory-motor cortex activity and the TENS is the one way to maximize that sensory input in stroke patients. A 53 year old female was the subject of this case study, who ha...

Objective: To find out the effectiveness of Lumbar Stabilisation exercises on pain, disability and endurance in patients with and without Lumbosacral Belt in Mechanical low back pain. Background: As there is a trend towards an increase in the number of low back pain patients with growing stress in life globally there is need of appropriate physical...