Mariya P Jiandani

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• M Sc Physiotherapy
• Professor (Associate) at King Edward Memorial Hospital and Seth G.S. Medical College

Introduction: Health professions education is fast transforming due to the implementation of competency-based curriculum, the far-reaching effects of the COVID pandemic, and the wider use of newer methods and technology. Objective: To review the research priority in health professional education. Methods: An opinion from health professional educato...

A BSTRACT Physical activity (PA) is associated with numerous mental and physical health benefits. But it has been observed that young people and children frequently participate in low levels of PA, which is especially noticeable when they progress from primary to secondary school. Thus, in order to improve physical health among school-going childre...

Introduction In patients with severe chronic pulmonary diseases, there is often a need for oxygen therapy to continue after discharge from hospitalization. Long-term oxygen therapy (LTOT) has been shown to significantly reduce mortality in such patients and improve longevity by helping to correct oxygen deficiency in the bloodstream and prevent org...

Aims Tailored education is recommended for cardiac patients, yet little is known about information needs in areas of the world where it is most needed. This study aims to assess (i) the measurement properties of the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale and (ii) patient's information needs globally. Methods and r...

Introduction: Health professions education is fast transforming due to the implementation of competency-based curriculum, the far-reaching effects of the COVID pandemic, and the wider use of newer methods and technology. Objective: To review the research priority in health professional education. Methods: An opinion from health professional educato...

Background: Cardiac rehabilitation (CR) programs are underutilized globally, especially by women. In this study we investigated sex differences in CR barriers across all world regions, to our knowledge for the first time, the characteristics associated with greater barriers women, and women’s greatest barriers according to enrollment status. Method...

Context: Cardiac Rehabilitation is an accepted standard of care after any cardiac event and is considered a class ɪ indication following myocardial infarction or revascularisation procedures. It aims at the reduction of cardiovascular risk factors and improves quality of Life by promoting healthy behavior and an active lifestyle. However, despite i...

Background: Patients admitted with chronic respiratory diseases (CRDs) find it difficult to return to their day-to-day activities postdischarge due to muscle dysfunction and cardiorespiratory load. The Timed Up and Go (TUG) test is extensively used for predicting falls; however, it is underutilized to assess the cardiorespiratory load. The study wa...

Background: Patients admitted with chronic respiratory diseases (CRDs) find it difficult to return to their day‑to‑day activities postdischarge due to muscle dysfunction and cardiorespiratory load. The Timed Up and Go (TUG) test is extensively used for predicting falls; however, it is underutilized to assess the cardiorespiratory load. The study wa...

CONTEXT Ethics is a building block of health-care practice. Medical ethics is values and behavior applied during patient care. It may be ingrained through culture, education, upbringing, and observation. Learning by observation during a clinical posting is a hidden part of the curriculum. With experiential learning, the students may change their at...

An increase of lifestyle diseases (LSDs) has been driven by predominantly four important risk factors viz. unhealthy diet, hazardous alcohol use, tobacco use and physical inactivity. The present paper is envisioned to emphasize personal viewpoints and elucidations about vital role of behavioral risk factors in the management of lifestyle diseases p...

The Pandemic of COVID 19 brought to the front many suffering of mankind and ethical issues at large related to beneficence and harm and equity, equality, justice in terms of resource allocation and patient care. As The entire health care community came together in solidarity to serve to combat and fight the pandemic, Physiotherapist formed an equal...

BACKGROUND Heart failure (HF) is associated with increased hospitalization, morbidity, and mortality. Cardiac rehabilitation (CR) is an important approach to improve quality of life (QOL); however, postdischarge enrolment becomes difficult for supervised exercise programs because of related barriers of travel resulting in poor long-term adherence a...

A Narrative of Physiotherapist participating in the war against COVID 19

Background: Ageing has been attributed as an universal and inevitable process for mankind. Frailty is commonly seen in elderly and has been associated with adverse health outcomes. There are a number of personal and contextual factors that may be associated with frailty. The association of these factors in Indian Context is not known. Objectives: T...

Lower-extremity arterial occlusive disease is much more likely to occur in patients with type II diabetes. Due to rapidly increasing prevalence of Diabetes and its dreadful complications like amputation and associated mortality, it is crucial to screen symptomatic as well as asymptomatic diabetic patients for peripheral arterial disease (PAD) at an...

From Wuhan to India, the severe acute respiratory syndrome coronavirus-2 or COVID-19 presentations ranged from completely asymptomatic to severe respiratory failure requiring intensive care. Patients with associated morbidities such as obesity, hypertension, and diabetes were known to have high mortality. We present the case of a 28-year-old obese...

Post covid rehabilitation

SARS-CoV-2 2 also known COVID 19, has been observed to cause long term functional impairments. There have been reports of post covid discharge symptoms such as dyspnoea, fatigue, and reduced overall capacity. Physiotherapy is an integral component of pulmonary rehabilitation. It plays a key role in improving functional status and quality of life in...

Post COVID-19 sequelae includes breathlessness, weakness, fatigue, decreased exercise tolerance and impaired quality of life. Physiotherapy based rehabilitation program is an essential component for post COVID-19 patients in facilitating maximum functional recovery. Expert consensus statements are available from the developed countries. There is a...

Background: The rapid outbreak of coronavirus disease 2019 (COVID-19), a public health emergency of grave concern, warranted hospital admissions with almost 90,000 cases in June 2020 in city of Mumbai. 3-10% of the patients with moderate to severe involvement required intensive care unit (ICU) admission with respiratory support. Patients admitted...

Background: With the Wuhan pandemic spread to India, more than lakhs of population were affected with COVID-19 with varying severities. Physiotherapists participated as frontline workers to contribute to management of patients in COVID-19 in reducing morbidity of these patients and aiding them to road to recovery. With infrastructure and patient c...

The narrative is an account of the personal experience of a cardiopulmonary physiotherapist inside the Covid ICU, when the city of Mumbai was brought to a standstill. It describes the need to seek an opportunity to face the challenges, guided by intuition and one’s skill set to help those fighting to survive Covid. Facing a new and complex disease...

In the wake of COVID 19 affecting India, the worst affected were state of Maharashtra accounting for one third of all cases in the country. Entire buildings, open grounds are converted to jumbo medical centres COVID hospitals to meet the rising needs. Since March 2020 a number of rapid changes have been incorporated in the management of Covid 19 wi...

Background: Activities of daily living consists of isometric & isotonic contraction. Isometric contraction is a static contraction that exerts pressure overload on the heart. Studies have been carried out demonstrating hemodynamic effects of isotonic exercises however limited studies are available on myocardial load with isometric exercises. Aims a...

Background: Adolescence is transitional phase between childhood and adulthood characterized by marked acceleration in growth. The objective of this study was to evaluate differences between the boys and girls in physical fitness and the variation in their physical activity at school going children at Pune.Methods: The study was carried out at vario...

Background: Diabetes mellitus, a chronic noncommunicable disease, is associated with long-term damage of multiple organ system with its long-term complications and significantly impacts upon the quality of life (QoL) of affected patients. Methods: A survey was carried out on 245 patients during thirty sessions of diabetes outpatient department at m...

Background: Congenital heart disease (CHD) is one of the major causes of mortality in the pediatric population of both the developing and developed countries. Along with medical and surgical treatment, access to quality care is equally essential in children operated with CHD. This study aims at assessing how the parents perceive quality of life in...

Background: In-patient postgraduate teaching suffers with issues like long and unstructured presentations inclusive of a lot of historical information and time constraints due to increasing workload. A six-step pneumonic SNAPPS a learner-centered model modifies the learning encounter by condensing the reporting of facts while encouraging clinical...

Background & Objective: Chronic cough is a most common symptom of chronic respiratory disease. Peak expiratory flow rate (PEFR) is routinely used as a bedside tool to evaluate the degree of airway obstruction in these patients. Whereas Peak cough flow rate (PCFR) a measure of cough strength is rarely used. There is no established data regarding any...

Evidence-based practice in Physiotherapy curricula: A survey of Indian Health Science Universities Introduction: Evidence-based practice (EBP) is the conscientious, explicit and judicious use of the current evidence in clinical decision making. The physiotherapy profession has expressed a commitment to the development and use of evidence. However,...

Introduction Evidence-based practice (EBP) is the conscientious, explicit and judicious use of the current evidence in clinical decision making. The physiotherapy profession has expressed a commitment to the development and use of evidence. However, very little is known about the extent to which EBP is integrated in physiotherapy curricula in India...

Background: Chronic obstructive pulmonary disease is a leading cause of chronic morbidity and mortality throughout the globe. MRC and FEV1 are related with 6MWD in COPD. But stair climbing is mechanically and physiologically different from walking. Dyspnoea is most often the limiting factor to staircase climbing. Hence the study is designed to corr...

Background& Objective:Ever changing dynamic field of science, technology and health care had made it essential for a health care professional to keep abreast of the latest development. Continuous Professional Development (CPD) can be considered as a process in which individual practitioners identify their own learning needs, makes plan to meet thos...

Aims: To assess the cardiovascular response to defecating postures of bridging and sitting lean forward with and without Valsalva maneuver in healthy individuals. Study design: Prospective interventional cross-over study in healthy population. Study material: Stop watch, Rubber tube, Nostril clip, Pillow, Mercury Sphygmomanometer, Cardioscope (Mode...

Continuing Professional Development refers to the process of tracking and documenting the skills, knowledge and experience that one gains in their career after the initial training. There is no structured and uniform way of assessing and documenting ones progress professionally in our country. Every medical teacher wishes to perfect him/herself. Th...

Continuing Professional Development refers to the process of tracking and documenting the skills, knowledge and experience that one gains in their career after the initial training. There is no structured and uniform way of assessing and documenting ones progress professionally in our country. Every medical teacher wishes to perfect him/herself. Th...

Exercise intolerance in COPD patients has important implications on health related quality of life. The 6-min walk test (6MWT) has been widely used and accepted as a simple, cost-effective means of clinically assessing the functional status of patients with cardiopulmonary diseases. Incremental shuttle walk test (ISWT) an externally paced has recen...

Infection of the sternotomy wound following cardiac surgery is quiet common. The PMMF (pectoralis major myocutaneous advancement flap) procedure is commonly used to treat non healing sternotomy wounds following CABG (coronary artery bypass graft) procedure. Ozone is used in the treatment of chronic, infected non healing wounds. A 65 year old female...

Background: The patients undergoing abdominal surgery has characteristic post-operative mechanical abnormality in respiration like restrictive pattern of ventilation. Spontaneous deep breaths to restore functional residual capacity are abolished by pain. Incentive spirometry (IS) promotes frequent maximum inspiratory effort and is used for the prop...

Background: Anxiety and depression are proven independent predictors of mortality, disability, and reduced health related quality of life (HRQoL). Hence, this study was undertaken with aim to find the prevalence of anxiety and depression in patients following acute myocardial infarction (AMI) and to find out its association with various psychosocia...

Background: Pain has been pointed out as one of the chief concerns of patients following a cardiac surgery. Adjunctive methods of postoperative pain control that may limit narcotic side effects are of considerable interest. The study aimed to evaluate the effectiveness of Transcutaneous electrical nerve stimulation (TENS) for treatment of post-oper...

ABSTRACT Aims: To assess the cardiovascular response to defecating postures of bridging and sitting lean forward with and without Valsalva maneuver in healthy individuals. Study design: Prospective interventional cross-over study in healthy population. Study material: Stop watch, Rubber tube, Nostril clip, Pillow, Mercury Sphygmomanometer, Cardiosc...

Asthma is a reversible obstructive disorder characterized by remissions and exacerbations. Various therapies including yoga and physiotherapy have played a role in symptomatic relief and improving quality of life in asthmatics.

A randomized control trial wherein 50 Left ventricular failure patients were included with ejection fraction15-40%. A home based exercise programme was designed on the basis of 6MWD for the training group and the control group carried out usual activities with no specified programme for 8 weeks. Outcome measures were 6MWD and QOL using LVD36 pre an...

Background: Since decades there is a lack of firm conclusion and there are controversial evidences about the physical fitness in Asthmatics as compared to their healthy counterparts. Objective: To assess physical fitness in Asthmatics and to compare it with normal school children of 15 to 16 years of age. Study design: 50 normal and 50 diagnosed mi...

Purpose : minute walk test (6MWT) is a reflection of activities of daily living (ADL). Walking is an activity performed daily by all but the most severely impaired patients. Patients with left heart failure show decrease exercise tolerance. This study was developed to investigate the correlation of decreased ejection fraction (EF) on 6 minute walk...