Background: Physiotherapy is one of the oldest branches of healthcare profession which is concerned with holistically rehabilitating the patient. In recent years, the field has evolved rapidly providing evidence based quality health services. Inspite of people awailing physiotherapy services its awareness to a certain extent appears to be less. The purpose of this study was to find level of awareness of Physiotherapy among medical professionals and general population. Materials and Methods:A semi structured, self-administered questionnaire was prepared on Google Forms with open and close ended questionnaire. They were circulated among medical and general population via social media, accessible to all for a period of one week. The data was calculated automatically by Google spreadsheet.Results: 103 people from medical and 153 people from general population filled the questionnaire.90% of medical professional and 78% of general population knew physiotherapy field. Both groups were aware about specialties of Physiotherapy. However awareness was less in specialty such as Cardiovascular and pulmonary conditions, Plastic surgery, Oncology and Post-surgery physiotherapy in both the populations. Conclusion:There is a dire need to take measures to improve awareness of the field and its specialties. Education program should be done on large scale to improve the knowledge and perception of Physiotherapy among medical and general population

A bstract 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 characteristics different from the West and lack of adequate evidence to existing practices, there was a need to formulate a national consensus. Materials and methods Recommendations were formulated with a systematic literature search and feedback of physiotherapist experiences. Expert consensus was obtained using a modified Delphi method. Results The intraclass coefficient of agreement between the experts was 0.994, significant at p < 0.001. Conclusion This document offers physiotherapy evidence-based consensus and recommendation to planning physiotherapy workforce, assessment, chest physiotherapy, early mobilization, preparation for discharge planning, and safety for patients and therapist in acutec are COVID 19 setup of India. The recommendations have been integrated in the algorithm and are intended to use by all physiotherapists and other stakeholders in management of patients with COVID-19 in acute care settings. How to cite this article Jiandani MP, Agarwal B, Baxi G, Kale S, Pol T, Bhise A, et al. Evidence-based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup. Indian J Crit Care Med 2020;24(10):905–913.

INTRODUCTIONThe patients undergoing abdominal surgery has characteristic post-operative mechanical abnormality in respiration like restrictive pattern of ventilation.

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 correlate MRC dyspnoea score and FEV1 with vertical height climbed in COPD patients and to find out whether they are the predictors of vertical climbing in COPD patients.Methods: It was Prospective Cross sectional study. 50 COPD patients satisfying the inclusion criteria were underwent a stair climb test after recording their MRC dyspnoea score and FEV1. FEV1 was measured with mini Wright peak flow meter in sitting position. Vertical height of floor climbed, time taken to climb and recovery time was recorded.Results: A significant negative correlation and positive correlation was observed between vertical height climbed and MRC dyspnoea score (r= -0.76, p=0.001) and between vertical height climbed and FEV1 (r=0.59, p<0.001) respectively. On Multiple linear regression analysis, both are found to be the independent predictors of vertical height climbed by COPD.Conclusions: MRC and FEV1 correlated with vertical height climbed and found to be the independent predictors of vertical climbing in COPD patients. Vertical height climb (m) can be predicted with equation 12.94+5.58(FEV1) – 3.35(MRC).

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 patients with chronic respiratory diseases. COVID 19 being a multisystem disease with primary affection of the lung can be benefitted with physiotherapy intervention. We present a case series of four patients with complaints of dyspnoea and fatigue post covid, enrolled for face to face pulmonary rehabilitation at our tertiary care centre.

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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 with a similar type of situation was treated with ozone in our study and the effects of ozone to significantly control infection and promote healing of the failed PMMF (pectoralis major myocutaneous advancement flap) graft can be well appreciated.

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 and Objectives: To study the myocardial load at 30% and 50% of maximal voluntary isometric contraction (MVIC) in individuals with active and sedentary lifestyle. Study design and setting: Observational cross-sectional study was carried out in a tertiary care hospital. Materials and Methods: 140 healthy subjects (70 each in active & sedentary group) were recruited for the study. Baseline demographics of both groups were comparable. Hemodynamic parameters were taken at rest. Subject performed 30% and 50% MVIC and hemodynamic parameters were recorded during and post contraction. Statistical Analysis: Paired t test was used to compare the myocardial load between 30% and 50% MVIC in both groups. Repeated measures ANOVA was used to compare the myocardial load between active & sedentary groups at 30% and 50% MVIC. Result: There was a statistically significant difference in heart rate, systolic blood pressure &rate pressure product between 30% and 50% in active as well as sedentary groups. There was statistically no significant difference in heart rate, systolic blood pressure & rate pressure product between active & sedentary groups at 30% and 50% MVIC. Conclusion: The myocardial load during activities at submaximal intensities (<50%) is within the physiological limits and can be performed safely in individuals with active and sedentary lifestyle.