Jitender Munjal

Bio: Jitender Munjal is an academic researcher from Jamia Hamdard. The author has contributed to research in topics: Population & Isometric exercise. The author has an hindex of 2, co-authored 5 publications receiving 48 citations.

Comparing stabilization training with balance training in recreationally active individuals

Abstract: Aims The present study was undertaken to compare the efficacy of lumbar core stability training with that of balance training, at improving the balance performance in the recreationally active individuals. Most of the studies to date have been conducted on sporting professionals, whose activity demands are higher than the norm. The present study focuses on the recreationally active population, for which the activity demands are comparatively lesser. Methods Thirty recreationally active subjects (15 males and 15 females) were selected for this study. Subjects were randomly divided into three groups: core stability training group (CSTG), balance training group (BTG), and the control group. All subjects were assessed at baseline, and after six weeks, for balance performance, including static, dynamic and functional balance tests. Data were analyzed by paired t-test, ANOVA, Wilcoxon signed-rank test and Kruksal Wallis test. Findings Both training groups (BTG and CSTG) showed significant (P < 0.05) improvement...

Effectiveness of Webinar based Teaching for Physiotherapy Interns during COVID-19 in India- A Pilot Study

Abstract: Introduction: SARS Covid II pandemic has consistently spread and has severely disrupted the lives of more than the three quarters of the world’s population. Their system is unable to effectively respond to the current challenges in the present day pandemic, which has put forth another challenge for medical educators across the world to deal with the huge responsibility of rethinking how to carry on delivering high quality medical education due to social isolation strategies and enormous clinical responsibilities. Webinars have become an essential component of Physiotherapy teaching during the pandemic periods. Lecturers have reported about satisfaction and enjoyable sessions during webinars. Materials and Method: An intern’s physiotherapy attitude form, student’s satisfaction questionnaire, smooth delivery and intuitive interface scores were dependent variables and Teaching Method (participation in a webinar or classroom teaching) is the independent variable. Result: Descriptive analysis and Students t-test were done for inter-group comparison of Webinar Group Vs Classroom group which were found to be statistically significant at p≤0.5. The scores for Webinar group vs Classroom group respectively are Physiotherapy attitude questionnaire Test scores (54.17±8.8 & 39.38±10.8, t=5.7*), Student’s satisfaction questionnaire scores (4.54±0.59 & 4.29±0.69, t=1.45), Smooth Delivery Scores (4.5±0.5 & 5.0±0, t= 4.79*), Students intuitive interface scores (4.63±0.4 & 3.04±0.2 t=13.2*) and Action taken scores (4.58±0.4 & 3.25±0.43, t=11.56*). Conclusion: The webinar based teaching is more effective as compared to classroom teaching for Physiotherapy Interns with a limitation to teaching practical skills especially in fields like Physiotherapy where it is essential.

Comparingstabilization trainingwithbalancetrainingin recreationallyactiveindividuals

Abstract: Aims: The present study was undertaken to compare the efficacy of lumbar core stability training with that of balance training, at improving the balance performance in the recreationally active individuals. Most of the studies to date have been conducted on sporting professionals, whose activity demands are higher than the norm. The present study focuses on the recreationally active population, for which the activity demands are comparatively lesser. Methods: Thirty recreationally active subjects (15 males and 15 females) were selected for this study. Subjects were randomly divided into three groups: core stability training group (CSTG), balance training group (BTG), and the control group. All subjects were assessed at baseline, and after six weeks, for balance performance, including static, dynamic and functional balance tests. Data were analyzed by paired t-test, ANOVA, Wilcoxon signed-rank test and Kruksal Wallis test. Findings: Both training groups (BTG and CSTG) showed significant (P < 0.05) improvement in balance performance compared to the control group, however the improvement in the mean value for the CSTG was greater than that of the BTG. Conclusions: Balance training as well as core stabilization training leads to improvement in static and dynamic balance. However none of these training leads to improvement in the functional balance performance.

Effect of Lower Back Extensors Fatigue on Athletic Performance Measured as Agility

Abstract: Background: At high level of competition, sports require long periods of hard physical work. Each athlete should be able to perform desired actions efficiently, which will not be possible without coordinated activation of muscles in the kinetic chain. EMG studies demonstrate that lumbar paraspinal muscles fatigue is associated with Quadriceps Inhibition (QI), leading to speculation that these changes may not only have adverse effect for athletic performance but also increase the risk of injury in long term. This contrasts the evidence about the influence of fatigue on trunk muscles reflex activity. Method: 37 athletes (men) were recruited from city soccer clubs. The participants performed sub maximal isometric exercise of lower back extensors (Ito’s test) to induce fatigue. The two protocols were a single bout and repeated bouts of Lumbar Extension Isometric Exercise (LEIE). The Agility scores recorded at baseline, after single bout and after repeated bouts of LEIE were compared. Conclusion: The two experimental interventions differently affected the agility performance in the sample. On one hand, single bout intervention led to improved performance, repeat

The Effects of Isolated and Integrated ‘Core Stability’ Training on Athletic Performance Measures

Abstract: Core stability training, operationally defined as training focused to improve trunk and hip control, is an integral part of athletic development, yet little is known about its direct relation to athletic performance. This systematic review focuses on identification of the association between core stability and sports-related performance measures. A secondary objective was to identify difficulties encountered when trying to train core stability with the goal of improving athletic performance. A systematic search was employed to capture all articles related to athletic performance and core stability training that were identified using the electronic databases MEDLINE, CINAHL and SPORTDiscus™ (1982–June2011). A systematic approach was used to evaluate 179 articles identified for initial review. Studies that performed an intervention targeted toward the core and measured an outcome related to athletic or sport performances were included, while studies with a participant population aged 65 years or older were excluded. Twenty-four in total met the inclusionary criteria for review. Studies were evaluated using the Physical Therapy Evidence Database (PEDro) scale. The 24 articles were separated into three groups, general performance (n=8), lower extremity (n=10) and upper extremity (n = 6), for ease of discussion. In the majority of studies, core stability training was utilized in conjunction with more comprehensive exercise programmes. As such, many studies saw improvements in skills of general strengths such as maximum squat load and vertical leap. Surprisingly, not all studies reported measurable increases in specific core strength and stability measures following training. Additionally, investigations that targeted the core as the primary goal for improved outcome of training had mixed results. Core stability is rarely the sole component of an athletic development programme, making it difficult to directly isolate its affect on athletic performance. The population biases of some studies of athletic performance also confound the results. Targeted core stability training provides marginal benefits to athletic performance. Conflicting findings and the lack of a standardization for measurement of outcomes and training focused to improve core strength and stability pose difficulties. Because of this, further research targeted to determine this relationship is necessary to better understand how core strength and stability affect athletic performance.

The effects of isolated and integrated 'core stability' training on athletic performance measures: a systematic review.

Abstract: Background:Core stability training, operationally defined as training focused to improve trunk and hip control, is an integral part of athletic development, yet little is known about its direct relation to athletic performance.Objective:This systematic review focuses on identification of the associa

Improvement in Dynamic Balance and Core Endurance After a 6-Week Core-Stability-Training Program in High School Track and Field Athletes

Abstract: Context: Core training specifically for track and field athletes is vague, and it is not clear how it affects dynamic balance and core-endurance measures. Objective: To determine the effects of a 6-week core-stabilization-training program for high school track and field athletes on dynamic balance and core endurance. Design: Test–retest. Setting: High school in north central West Virginia. Participants: Thirteen healthy high school student athletes from 1 track and field team volunteered for the study. Interventions: Subjects completed pretesting 1 wk before data collection. They completed a 6-wk core-stabilization program designed specifically for track and field athletes. The program consisted of 3 levels with 6 exercises per level and lasted for 30 min each session 3 times per week. Subjects progressed to the next level at 2-wk intervals. After 6 wk, posttesting was conducted Main Outcome Measures: The subjects were evaluated using the Star Excursion Balance Test (SEBT) for posteromedial (PM), medial (...

The Role of Trunk Muscle Strength for Physical Fitness and Athletic Performance in Trained Individuals: A Systematic Review and Meta-Analysis.

Abstract: The importance of trunk muscle strength (TMS) for physical fitness and athletic performance has been demonstrated by studies reporting significant correlations between those capacities. However, evidence-based knowledge regarding the magnitude of correlations between TMS and proxies of physical fitness and athletic performance as well as potential effects of core strength training (CST) on TMS, physical fitness and athletic performance variables is currently lacking for trained individuals. The aims of this systematic review and meta-analysis were to quantify associations between variables of TMS, physical fitness and athletic performance and effects of CST on these measures in healthy trained individuals. PubMed, Web of Science, and SPORTDiscus were systematically screened from January 1984 to March 2015. Studies were included that investigated healthy trained individuals aged 16–44 years and tested at least one measure of TMS, muscle strength, muscle power, balance, and/or athletic performance. Z-transformed Pearson’s correlation coefficients between measures of TMS and physical performance were aggregated and back-transformed to r values. Further, to quantify the effects of CST, weighted standardized mean differences (SMDs) of TMS and physical performance were calculated using random effects models. The methodological quality of CST studies was assessed by the Physiotherapy Evidence Database (PEDro) scale. Small-sized relationships of TMS with physical performance measures (−0.05 ≤ r ≤ 0.18) were found in 15 correlation studies. Sixteen intervention studies revealed large effects of CST on measures of TMS (SMD = 1.07) but small-to-medium-sized effects on proxies of physical performance (0 ≤ SMD ≤ 0.71) compared with no training or regular training only. The methodological quality of CST studies was low (median PEDro score = 4). Our findings indicate that TMS plays only a minor role for physical fitness and athletic performance in trained individuals. In fact, CST appears to be an effective means to increase TMS and was associated with only limited gains in physical fitness and athletic performance measures when compared with no or only regular training.

Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome

Abstract: Subacromial impingement syndrome (SAIS) is a major contributing factor of shoulder pain; and treatment approaches (Kinesio® taping [KT], Exercise [EX], manual therapy [MT], and high-intensity laser therapy [HILT]) have been developed to treat the pain. The key objective of this study was to compare the effects of KT, MT, and HILT on the pain, the range of motion (ROM), and the functioning in patients with SAIS. Seventy patients with SAIS were randomly divided into four groups based on the treatment(s) each group received [EX (n = 15), KT + EX (n = 20), MT + KT + EX (n = 16), and MT + KT + HILT + EX (n = 19)]. All the patients were assessed before and at the end of the treatment (15th day). The main outcome assessments included the evaluation of severity of pain by visual analogue scale (VAS) and shoulder flexion, abduction, and external rotation ROM measurements by a universal goniometry. Shoulder pain and disability index (SPADI) was used to measure pain and disability associated with shoulder pathology. Statistically significant differences were found in the treatment results of all parameters in MT + KT + EX and HILT + MT + KT + EX groups (p < 0.05). When the means of ROM and SPADI results of three groups were compared, statistically significant differences were found between all the groups (p < 0.05). These differences were significant especially between the groups MT + KT + EX and KT + EX (p < 0.05) and HILT + MT + KT + EX and KT + EX (p < 0.05). HILT and MT were found to be more effective in minimizing pain and disability and increasing ROM in patients with SAIS. Further studies with follow-up periods are required to determine the advantages of these treatments conclusively.