Publications by authors named "Vikram Mohan"

18 Publications

  • Page 1 of 1

The effect of core stability training with ball and balloon exercise on respiratory variables in chronic non-specific low back pain: An experimental study.

J Bodyw Mov Ther 2020 Oct 30;24(4):196-202. Epub 2020 Jul 30.

Centre of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, 42300, Malaysia.

Background: Studies have shown the involvement of respiratory characteristics and their relationship with impairments in non-specific low back pain (NS-LBP). The effects of core stability with a combined ball and balloon exercise (CBB) on respiratory variables had not been investigated.

Objective: To evaluate the effectiveness of CBB on respiratory variables among NS-LBP patients.

Study Design: pre- and post-experimental study.

Participants: Forty participants were assigned to an experimental group (EG) [n = 20] and control group (CG) [n = 20] based on the study criteria.

Interventions: The EG received CBB together with routine physiotherapy and the CG received routine physiotherapy over a period of 8 weeks. Participants were instructed to carry out the exercises for 3 days per week. The training was evaluated once a week and the exercises progressed based on the level of pain.

Outcome Measures: Primary outcomes were maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP) and maximum voluntary ventilation (MVV). The secondary outcomes were measured in the numeric rating scale (NRS), total faulty breathing scale (TFBS), cloth tape measure (CTM) and lumbo-pelvic stability.

Results: The MIP increased significantly among the EG when compared with that in the CG (p > 0.05).The EG showed a significant increase in MVV (p = 0.04) when compared to the CG (p = 0.0001). There was a significant reduction in pain for both groups. The MEP, TFBS, chest expansion and core stability showed no changes in either group.

Conclusion: CBB was effective in improving respiratory variables among NS-LBP patients.
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http://dx.doi.org/10.1016/j.jbmt.2020.07.007DOI Listing
October 2020

Effectiveness of virtual reality in the treatment of hand function in children with cerebral palsy: A systematic review.

J Hand Ther 2019 Oct - Dec;32(4):426-434.e1. Epub 2018 Jul 14.

University of Cambridge Medical Library, University of Cambridge School of Clinical Medicine, Cambridge, UK.

Study Design: Systematic review.

Introduction: Children with cerebral palsy (CP) may have limited use of their hands for functional activities and for fine motor skills. Virtual reality (VR) is a relatively new and innovative approach to facilitate hand function in children with CP.

Purpose Of The Study: The primary purpose of this study was to determine the effectiveness of VR as an intervention to improve hand function in children with CP compared to either conventional physiotherapy or other therapeutic interventions. The secondary purpose was to classify the outcomes evaluated according to the International Classification of Functioning, Disability and Health (ICF) dimensions.

Methods: A International prospective register of systematic reviews (PROSPERO)-registered literature search was carried out in August 2015 in MEDLINE, CINAHL, ERIC, HealthSTAR, AMED, BNI, Embase, PsycINFO, PEDro, Cochrane Central Register, DARE, OTSeeker, REHABDATA, HaPI, CIRRIE, and Scopus. PRISMA guidelines were followed. Only randomized controlled trials (RCTs) were included, and their methodological qualities were examined using the Cochrane collaboration's risk of bias (RoB) tool. A narrative synthesis was performed.

Results: The 6 RCTs published on this topic provide conflicting results. Four studies reported improved hand function (2 low RoB, 1 high RoB, and 1 unclear RoB), whereas 2 studies reported no improvement. All of the RCTs reported the activity element of ICF, but no study explicitly described the effect of VR intervention based on the ICF model.

Conclusion: The role of VR ti imrpove hand fucntion in children with CP is unclear due to limited evidence; use as an adjunct has some support.
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http://dx.doi.org/10.1016/j.jht.2018.01.006DOI Listing
March 2020

Respiratory characteristics of individuals with non-specific low back pain: A cross-sectional study.

Nurs Health Sci 2018 Jun 8;20(2):224-230. Epub 2018 Feb 8.

Centre of Physiotherapy, Universiti Teknologi MARA Selangor, Bandar Puncak Alam, Puncak Alam, Malaysia.

Non-specific low back pain (NS-LBP) is known to cause respiratory dysfunction. In this study, we investigated alterations in breathing, respiratory strength and endurance, core stability, diaphragm mobility, and chest expansion among patients with NS-LBP and healthy individuals. The specific aim of the study was to correlate between respiratory function and other variables among NS-LBP patients. Thirty four patients with NS-LBP were matched with 34 healthy participants before undergoing total faulty breathing scale, spirometer, respiratory pressure meter, chest expansion, ultrasound, and pressure biofeedback measurements. There were signs of faulty breathing in the NS-LBP patients when compared to the healthy participants. Diaphragmatic mobility and respiratory muscle endurance were lower in the NS-LBP group. Chest expansion exhibited a significant decrease at the level of the fourth intercostal space in the NS-LBP group, but respiratory muscle strength and core stability were not significant between the two groups. Positive correlations were found to be fairly significant regarding respiratory muscle strength. The findings of this study indicated altered respiratory characteristics in the NS-LBP patients, and suggested that they would improve through respiratory exercises.
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http://dx.doi.org/10.1111/nhs.12406DOI Listing
June 2018

The science of respiratory characteristics in individuals with chronic low back pain: Interpreting through statistical perspective.

J Bodyw Mov Ther 2018 01 28;22(1):11-12. Epub 2017 Mar 28.

Neuro-Musculoskeletal and Pain Research Unit, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.

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http://dx.doi.org/10.1016/j.jbmt.2017.03.017DOI Listing
January 2018

New Device for Intrinsic Hand Muscle Strength Measurement: An Alternative to Strain Gauge Handheld Dynamometer.

Eval Health Prof 2019 03 4;42(1):103-113. Epub 2017 Sep 4.

Medical Devices and Technology Group (MEDITEG), Universiti Teknologi Malaysia (UTM), Johor, Malaysia.

An accurate measurement of intrinsic hand muscle strength (IHMS) is required by clinicians for effective clinical decision-making, diagnosis of certain diseases, and evaluation of the outcome of treatment. In practice, the clinicians use Intrins-o-meter and Rotterdam Intrinsic Hand Myometer for IHMS measurement. These are quite bulky, expensive, and possess poor interobserver reliability (37-52%) and sensitivity. The purpose of this study was to develop an alternative lightweight, accurate, cost-effective force measurement device with a simple electronic circuit and test its suitability for IHMS measurement. The device was constructed with ketjenblack/deproteinized natural rubber sensor, 1-MΩ potential divider, and Arduino Uno through the custom-written software. Then, the device was calibrated and tested for accuracy and repeatability within the force range of finger muscles (100 N). The 95% limit of agreement in accuracy from -1.95 N to 2.06 N for 10 to 100 N applied load and repeatability coefficient of ±1.91 N or 6.2% was achieved. Furthermore, the expenditure for the device construction was around US$ 53. For a practical demonstration, the device was tested among 16 participants for isometric strength measurement of the ulnar abductor and dorsal interossei. The results revealed that the performance of the device was suitable for IHMS measurement.
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http://dx.doi.org/10.1177/0163278717727568DOI Listing
March 2019

Intra-rater and inter-rater reliability of total faulty breathing scale using visual observation and videogrammetry methods.

J Bodyw Mov Ther 2017 Jul 27;21(3):694-698. Epub 2016 Oct 27.

Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia.

Faulty breathing is an aspect of alteration in the normal fundamental pattern of breathing. The available existence of scales in assessing faulty breathing has not frequently been used. Measurement errors in assessing and quantifying breathing patterns may originate from unclear directions and variation between observers. This study determined the measure reliability of the Total Faulty Breathing Scale (TFBS) for quantifying breathing patterns. Twenty seven participants were recruited comprising healthy and unhealthy subjects. Two examiners assessed their breathing patterns using the TFBS on two different occasions with visual observation and a videogrammetry method. Evaluation of the observational breathing pattern method for intra-rater and inter-rater showed agreement of 96.30% and a kappa score of greater than 0.78, which indicated substantial agreements. The videogrammetry method showed a percent agreement of (100%) with a kappa score of (1.00). This study indicates that the TFBS is a considerably reliable tool for evaluating breathing patterns with both visual observation and a videogrammetry method.
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http://dx.doi.org/10.1016/j.jbmt.2016.10.007DOI Listing
July 2017

Letter to Editor: Application of neuroplasticity theory through the use of the Feldenkrais Method with a runner with scoliosis and lower quarter pain: Additional respiratory mechanics principle, implication of the Feldenkrais method for clinical practice in neuro-musculoskeletal rehabilitation.

J Bodyw Mov Ther 2017 07 21;21(3):470-471. Epub 2016 Aug 21.

Neuro-Musculoskeletal and Pain Research Unit, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.

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http://dx.doi.org/10.1016/j.jbmt.2016.08.008DOI Listing
July 2017

Altered breathing pattern valuation relatively to dyspnea assessment and treatment for low back pain: Effects of clinical practice.

Musculoskelet Sci Pract 2017 02 23;27:e1-e2. Epub 2016 Sep 23.

Neuro-Musculoskeletal and Pain Research Unit, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.

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http://dx.doi.org/10.1016/j.math.2016.09.004DOI Listing
February 2017

Hand Grip Strength and Myocardial Oxygen Consumption Index among Coronary Artery Bypass Grafting Patients.

Iran J Med Sci 2015 Jul;40(4):335-40

Department of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia.

Background: Hand grip strength (HGS) is a reliable indicator of peripheral muscle strength. Although, numerous studies have investigated the strength of hand grip; little attention has been given to coronary artery disease (CAD) patients, exploring the relationship between HGS and myocardial oxygen consumption (MVO2) index. The current study aimed to evaluate the interaction between HGS and MVO2 index findings before and after cardiac surgery.

Methods: Twenty-seven patients with CAD had HGS were assessed using handheld dynamometer. HGS for each hand were documented. MVO2 index was assessed using rate pressure product (RPP), which is the product of the heart rate (HR) and systolic blood pressure (SBP). Repeated measures MANOVA were carried out to estimate the interaction between both hands HGS and MVO2 index before and after surgery.

Results: There was significant interactions (P<0.001) for both HGS dominant and non-dominant with large effect sizes (HGS dominant×MVO2 index: hp (2)=0.44; HGS dominant×RPP: hp (2)=0.49). This signifies that peripheral muscle strength of the upper limb (HGS dominant and non-dominant) had different effects on MVO2 index before and after surgery. The interaction graph shows that the increase in MVO2 index after surgery was significantly greater for peripheral muscle strength of the dominant hand when compared to non-dominant.

Conclusion: Patients with CAD had interactions between HGS and oxygen consumption before and after surgery. Hence, HGS might be used as a predictor to assess oxygen consumption among cardiac patients.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487459PMC
July 2015

Preliminary study of the patterns and physical risk factors of work-related musculoskeletal disorders among academicians in a higher learning institute.

J Orthop Sci 2015 Mar 27;20(2):410-7. Epub 2014 Dec 27.

Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300, Puncak Alam, Selangor, Malaysia,

Background: Research has been conducted on the prevalence and physical risk factors of work-related musculoskeletal disorders (WMSDs) among occupations such as agriculture workers, office workers, school teachers, and health care professionals. However, a paucity of research exists on the patterns and physical risk factors of WMSDs among the academicians in a higher learning institution. This study was conducted to determine the patterns and physical risk factors of WMSDs among the academicians.

Methods: A cross-sectional study was conducted among 228 subjects with a mean age of participants of 32.3 ± 7.8 for a period of 1 year from December 2011 until December 2012. An extended neordic musculoskeletal questionnaire (NMQ-E) was used to assess the patterns of work-related musculoskeletal disorders. The short version of the Dutch musculoskeletal questionnaire (DMQ) was used to determine the physical risk factors of WMSDs among the academicians. Descriptive statistics and Pearson Chi square test were used for data analysis.

Results: The 1-year pattern of WMSDs among the academicians were neck pain (44.7 %), followed by shoulder pain (40.4 %), upper and lower back pain (33.3 %), and the least common region was elbow pain (3.5 %). Among 20 common physical activities in DMQ, 15 physical activities performed by the academicians in their workplace were considered as a physical risk factors for neck, shoulder, and back pain at p < 0.05.

Conclusion: The preliminary study demonstrated that neck pain, shoulder pain, and back pain were the most common WMSDs among the academicians in a higher learning institution.
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http://dx.doi.org/10.1007/s00776-014-0682-4DOI Listing
March 2015

Patterns of work-related musculoskeletal disorders among workers in palm plantation occupation.

Asia Pac J Public Health 2015 Mar 14;27(2):NP1785-92. Epub 2013 Feb 14.

Universiti Teknologi MARA, Puncak Alam, Malaysia

This study investigated the patterns of ongoing work-related musculoskeletal disorders (WRMDs) and exposure risk to musculoskeletal injuries for various body regions among palm plantation workers. Standard Nordic Musculoskeletal Questionnaire (SNMQ) was used to assess the prevalence of musculoskeletal disorders symptoms. The Quick Exposure check (QEC) was used to assess the exposure risk of farmers to WRMDs. The common pattern of WRMDs was back pain (40%), followed by shoulder pain (19%). The QEC revealed high exposure risk for neck (56%), followed by back (45.6%). The results from the SNMQ showed that 58% reported pain in 1 region, followed by 2 regions (10.7%) and 3 regions (3.6%). Back pain and shoulder pain were found to be common among workers in palm plantation occupation. Nevertheless, the neck region appeared to have the highest risk of exposure to injuries.
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http://dx.doi.org/10.1177/1010539513475657DOI Listing
March 2015

Tilt table practice improved ventilation in a patient with prolonged artificial ventilation support in intensive care unit.

Iran J Med Sci 2012 Mar;37(1):54-7

Department of Physiotherapy, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.

Patients who are on prolonged ventilator support in critical care unit present wide variety of complications, which range from reduction in oxygen uptake to various musculoskeletal impairments. Early mobilization and rehabilitation are encouraged to manage these complications effectively. Use of tilt table to motivate early mobilization in the intensive care unit for ventilator practices is not a usual practice. However, this new technique has attracted involvements of clinicians and therapists for its therapeutic benefits to the patient. Herein we describe a case of a seventy eight-year-old male patient who suffered Motor car accident, and was on ventilator support in intensive care unit for more than one month. He underwent treatment using a tilt table protocol with other routine treatment, which benefited him based on clinical as well as physiological variables. For practitioners in intensive care units, this report may offer perceptivity into the alternate practice of early mobilization using tilt table, and for investigators it may promote interest for further studies.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470296PMC
March 2012

Impact of intensity versus duration of cycling on coronary disease mortality.

Eur J Prev Cardiol 2012 Oct;19(5):1205

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http://dx.doi.org/10.1177/2047487312445563DOI Listing
October 2012

Effect of exercise on the vital signs and inflammatory biomarkers: scientific views.

Intensive Crit Care Nurs 2012 Dec 23;28(6):318-9; author reply 319-20. Epub 2012 Jul 23.

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http://dx.doi.org/10.1016/j.iccn.2012.06.001DOI Listing
December 2012

Cardiorespiratory parameters before and after acupuncture: observations in a healthy and diseased state.

Clinics (Sao Paulo) 2012 ;67(6):673-4

Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3370322PMC
http://dx.doi.org/10.6061/clinics/2012(06)20DOI Listing
May 2013

Which types of stretching modifies biomechanical dimensions of a muscle-tendon unit?

Man Ther 2012 Jun 30;17(3):e2; author reply e3. Epub 2012 Jan 30.

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http://dx.doi.org/10.1016/j.math.2012.01.002DOI Listing
June 2012

Effect of intercostal stretch on pulmonary function parameters among healthy males.

EXCLI J 2012 15;11:284-90. Epub 2012 Jun 15.

School of Physiotherapy, Asian Institute of Medicine, Science and Technology, Bedong, Kedah, Malaysia.

The use of manual stretching procedures has become more prevalent in cardiorespiratory physiotherapy to improve pulmonary functions. However, limited evidence exists regarding evaluation of their effectiveness. The study aimed to determine the impact of Intercostal (IC) stretch in improving the dynamic pulmonary function parameters (Forced Expiratory Volume in the first second (FEV1), Forced Vital Capacity (FVC) and FEV1/FVC % and respiratory rate among healthy adults. Thirty healthy male subjects were recruited based on inclusion and exclusion criteria. Subjects were assigned to the experimental group and the control group through random sampling method. In the experimental group, subjects underwent IC stretch for ten breaths on the inspiratory phase of the respiratory cycle with breathing control exercises in semi recumbent position, while in the control group, breathing control exercises alone were performed in the semi recumbent position. The results of the study showed, FEV1/FVC % in the experimental group significantly improved with P=0.017 (p<0.05) than the control group, which means IC stretch increased lung volume and lead to improved lung function. This study suggested the IC stretching with breathing control may be more effective in improving dynamic lung parameters especially FEV1/FVC % than breathing control alone.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942790PMC
July 2016

A new insight into the field of physical exercises to employ neuroimmunological constituents as an outcome measure for depression.

Brain Behav Immun 2012 Mar 21;26(3):511; author reply 512. Epub 2011 Dec 21.

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http://dx.doi.org/10.1016/j.bbi.2011.12.004DOI Listing
March 2012