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- 저자 : Anupam Gupta (검색결과 4 건)
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Madhusree Sengupta,Anupam Gupta,Meeka Khanna,U. K. Rashmi Krishnan,Dhritiman Chakrabarti 대한척추외과학회 2020 Asian Spine Journal Vol.14 No.1
Study Design: Prospective comparative pre–post study. Purpose: To evaluate the effects of game-based virtual reality (VR) training program for trunk postural control and balance in patients with spinal cord injury (SCI) and to assess the results according to the motor completeness (severity) of lesions using the American Spinal Injury Association Impairment Scale (AIS). Overview of Literature: Training with VR based gaming has a role to play in improving balance in patients with SCI. Methods: Patients with SCI (traumatic and non-traumatic) for <6 months were included in this hospital-based study. Participants were divided into two groups: experimental group (EG) consisting 21 patients, and control group (CG) consisting 12. Both groups underwent the conventional rehabilitation program. An additional training with semi-immersive VR therapy was conducted 5 days a week for 3 weeks in the EG with the focus on balance rehabilitation using the “Rhetoric.” The outcome measures were the Berg Balance Scale (BBS), balance section of the Tinetti Performance-Oriented Mobility Assessment (POMA-B), and Functional Reach Score (FRS). Results: Both groups consisted of young participants (mean age, 28 and 30.5 years, respectively) and predominantly men (>80%). One-third of them had tetraplegia and two-third had paraplegia. Between-group analyses showed no statistically significant differences in the main effects between groups (p-value: BBS, 0.396; POMA-B, 0.238; FRS, 0.294), suggesting that the EG group did not show significant improvement in the trunk and posture at the end of training sessions than the CG group. Similarly, no significant difference was observed according to the severity (completeness) of SCI in the between-group analyses using the AIS (A/B vs. C/D). Conclusions: VR is an adjunctive therapy for balance rehabilitation in patients with SCI.
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Sarcopenia is common in ulcerative colitis and correlates with disease activity
( Pardhu B Neelam ),( Rimesh Pal ),( Pankaj Gupta ),( Anupam K Singh ),( Jimil Shah ),( Harshal S Mandavdhare ),( Harjeet Singh ),( Aravind Sekar ),( Sanjay K Bhadada ),( Usha Dutta ),( Vishal Sharma 대한장연구학회 2024 Intestinal Research Vol.22 No.2
Background/Aims: Association of sarcopenia with disease severity in ulcerative colitis (UC) is not clearly defined. We planned to estimate the prevalence of sarcopenia in patients with UC as per the revised definition and its relation with the disease severity. Methods: A cross-sectional assessment of sarcopenia in patients with UC was performed. Disease activity was graded according to complete Mayo score. Hand grip strength was assessed with Jamar hand dynamometer, muscle mass using a dual energy X-ray absorptiometry scan, and physical performance with 4-m walk test. Sarcopenia was defined as a reduction of both muscle mass and strength. Severe sarcopenia was defined as reduced gait speed in presence of sarcopenia. Results: Of 114 patients (62 males, mean age: 36.49 ± 12.41 years), 32 (28%) were in remission, 46 (40.4%) had mild-moderate activity, and 36 (31.6%) had severe UC. Forty-three patients (37.7%) had probable sarcopenia, 25 (21.9%) had sarcopenia, and 14 (12.2%) had severe sarcopenia. Prevalence of sarcopenia was higher in active disease (2 in remission, 6 in active, and 17 in severe, P< 0.001). Of 14 with severe sarcopenia, 13 had severe UC while 1 had moderate UC. On multivariate analysis, lower body mass index and higher Mayo score were associated with sarcopenia. Of 37 patients with acute severe colitis, 16 had sarcopenia. Requirement of second-line therapy was similar between patients with and without sarcopenia. On follow-up (median: 18 months), there was a non-significant higher rate of major adverse events in those with sarcopenia (47.4% vs. 33.8%, P= 0.273). Conclusions: Sarcopenia and severe sarcopenia in UC correlate with the disease activity. (Intest Res 2024;22:162-171)
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Sai Krishna M L V,Hira Lal Nag,Anupam Gupta 대한정형외과 스포츠의학회 2022 Arthroscopy and Orthopedic Sports Medicine Vol.9 No.1
In this technical note, we used a quadrupled hamstring graft and an endobutton continuous loop (CL; Smith & Nephew, Andover, MA, USA) as an implant for fixation of the graft on the femoral side and a bioscrew on the tibial side. The standard endobutton CL has a continuous loop for graft suspension and two high tensile sutures for shuttling through the tunnels. The unloading or entanglement of these sutures is a common complication during the passage of the endobutton through the tunnels. In this technical note, we described a simple method for unlooping the looped high tensile sutures of the endobutton CL on the femoral side, which helps to avoid the aforementioned complication.
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Srikanth Pallerla,Shanivaram Reddy Krishnareddy,Nirmala Berigai Parthasarathy,Janardhana Navaneetham,Anupam Gupta 대한가정의학회 2023 Korean Journal of Family Medicine Vol.44 No.3
Background: This study explored the psychosocial needs of family caregivers of persons with spinal cord injuries from the perspective of rehabilitation professionals.Methods: An exploratory qualitative approach was used, and a total of 14 rehabilitation professionals from various backgrounds participated in face-to-face interviews. All interviews were audio recorded, and session notes were added to the existing data and later transcribed. Thematic analysis was used to identify key themes.Results: Nine need themes emerged: informational, psychological, personal care, financial, social support, welfare, vocational, telemedicine, and referral.Conclusion: The findings of this study will aid the design or development of need-based customized psychosocial interventions for family caregivers of persons with spinal cord injuries in India. Multiple stakeholders involved in spinal cord injury management should understand the importance of meeting the needs of family caregivers of persons with spinal cord injuries and the timely delivery of customized psychosocial interventions.
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