WebLog Journal of Physical Therapy and Rehabilitation

Early Mobilization (EM) in the intensive care unit represents a paradigm shift in critical care rehabilitation, addressing the profound physiological consequences of prolonged immobilization in mechanically ventilated patients. This evidence synthesis examines contemporary research on early mobilization protocols and their impact on functional outcomes, ICU acquired weakness prevention, and healthcare utilization in critically ill populations. A systematic analysis of 15 randomized…

Smartphone use has become ubiquitous in modern society, with global users exceeding 6.8 billion individuals. Sustained Forward Head Posture (FHP) adopted during prolonged mobile phone engagement represents a significant public health concern, influencing musculoskeletal integrity, neuroendocrine function, and Autonomic Nervous System (ANS) homeostasis. This narrative review synthesizes contemporary evidence examining the biomechanical consequences of "text neck," upper crossed syndrome…

Background: Prolonged sitting with forward trunk flexion during mobile device use has emerged as a ubiquitous occupational and leisure-time behavior in contemporary society, with global implications for musculoskeletal health, metabolic function, and psychological well-being. The biomechanical consequences of sustained sitting posture, coupled with device-related behavioral patterns, create a multisystem physiological disruption affecting approximately 71% of the global…

Background: Cervicogenic Headache (CGH) is a symptomatic headache disorder originating from cervical spine musculoskeletal impairment in functional capacity. Complementary investigations, such as Intermittent Neuromuscular Technique (INMT) and nutrition-based interventions, may provide additional clinical benefits.

Objective: To assess and contrast the clinical effectiveness of INMT vs nutritional impairments prioritising nutrient consumption of…

Background: Cervicogenic Headache (CGH) is a symptomatic headache condition. Causing from, cervical segmental dysfunction, suboccipital muscle hypertoxicity and neuromuscular dysfunction. Non-invasive treatment including, physiotherapy, postural education, and pharmacotherapy treatment, is extensively utilizes, however complementary strategies, may improve outcomes. This systematic review assesses the comparative effectiveness, in Intermittent Neuromuscular Technique (INMT)…

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex, chronic, multisystem disorder characterized by persistent fatigue, post-exertional malaise, autonomic dysfunction, neuromuscular impairment, and cognitive disturbances. Standard rehabilitation approaches are often poorly tolerated due to symptom exacerbation, highlighting the need for safe, individualized, low-load interventions. Clinical Pilates (CP), emphasizing controlled movement, core stabilization, alignment, and…

Background: Glenohumeral internal rotation deficit (GIRD) rehabilitation literature lacks comprehensive neuromuscular analysis explaining motor control mechanisms underlying elastic resistance training effectiveness. Current evidence emphasizes range of motion and pain outcomes without addressing rotator cuff and scapular stabilizer activation patterns or co-contraction dynamics essential to shoulder stability.

Objective: This randomized…

Background: Glenohumeral internal rotation deficit (GIRD) is prevalent in overhead athletes, particularly volleyball players, contributing to shoulder pain and functional limitation during throwing activities. Theraband-based throwing exercises have demonstrated potential for rotator cuff retraining, yet their efficacy in symptomatic athletes requires rigorous evaluation.

Objectives: This randomized controlled trial evaluated the effectiveness of…

Background: Respiratory complications are increasingly recognized as significant comorbidities in chronic kidney disease (CKD) patients, yet their prevalence and clinical characteristics remain inadequately documented in the Indian population.

Objectives: This study aimed to determine the prevalence, types, and severity of respiratory complications in CKD patients across different disease stages and to identify the association between kidney…

Background: Pregnancy and childbirth induce profound physiological, hormonal, and biomechanical changes that frequently result in musculoskeletal discomfort, reduced physical fitness, and pelvic floor dysfunction. Evidence suggests that approximately 50-70% of pregnant women experience pregnancy-related musculoskeletal disorders, with lower back pain being the most prevalent. Antenatal and postnatal physiotherapy has emerged as a scientifically supported, cost-effective…