Exploring the Therapeutic Synergy: Integrating Herbal Remedies with Physical Therapy for Holistic Health Gurjant Singh, Priyanka Sindwani, Saumya Kothiyal, Utcarshita Singh Exploring Herbal Synergies for Optimal Human Health, 2026 A rapidly developing discipline in holistic health is the integration of herbal treatments with physical therapy, intending to maximize therapeutic results through combined modalities. This chapter examines the complementary effects of various integrative techniques while considering their historical and contemporary uses. To investigate the advantages and workings of combining herbal medicines with physical therapy, evaluating the combined effect on patient outcomes such as reduced inflammation, discomfort, and improved mobility. This chapter uses an extensive literature study, an analysis of clinical research, anecdotal evidence, and case studies from the 1980s, without any language restrictions, by using PubMed, China National Knowledge Internet (CNKI), Web of Science, and Chinese biomedical databases. This chapter explores the physiological relationships between popular herbal remedies for pain, inflammation, and muscle repair and physical therapy techniques. Integrating herbal remedies with physical therapy presents a promising holistic approach to patient care. Prompt pain alleviation, decreased inflammation, and enhanced muscle recovery and mobility are noteworthy enhancements. The complementary nature of herbal remedies and physical therapies encourages a more all-encompassing approach to treatment. This chapter underscores the potential for enhanced therapeutic outcomes, urging further research for standardized protocols.
Observing the impact of meal consumption on limb occlusion pressure in Indian female collegiates M. Hariramani, G. Singh, S. Kothiyal, T. Navjyot, N. Sharma, S. Kaur, R. Majhi, G.D. Prathap Comparative Exercise Physiology, 2025 Blood flow resistance training (BFRT), characterised by low load, short duration, and high-efficiency exercises, has gained popularity among coaches, athletes, and health enthusiasts. Proper application of a compressible cuff, determined by limb occlusion pressure (LOP), is essential for effective BFRT. LOP is influenced by several factors, including limb size, length, temperature, blood pressure, and location. The objective of the study was to observe the variance in LOP, before and after meal consumption, in Indian female collegiate and to find the correlation between LOP and other variables. 93 female collegiate athletes participated in this study. LOP of the lower limb was measured pre- and post-meal using a hand-held Doppler, cuff inflator, and occlusion cuff. Data analysis was performed using IBM SPSS version 21. The mean LOP before meals was 66.99 mmHg (95% CI: 57.38-84.98 mmHg) with a median of 260.00 mmHg (interquartile range: 230.00-300.00 mmHg). Post-meal, the mean LOP increased to 69.98 mmHg (95% CI: 58.91-77.74 mmHg), with a median of 230.00 mmHg (interquartile range: 180.00-260.00 mmHg). A significant decrease in LOP after a meal was observed (Z-score: −7.67, ). Higher weight correlated positively with pre-meal LOP (rho = 0.261, ), and BMI also showed a positive correlation with pre-meal LOP (rho = 0.340, ). In conclusion, meal consumption significantly reduces LOP in Indian female collegiates. Additionally, weight and BMI positively correlate with pre-meal LOP, highlighting the need to consider body composition in LOP studies.
The role of physiotherapy interventions in alleviating physical symptoms and improving quality of life in individuals with premenstrual syndrome: A systematic review and meta-analysis Shalini Verma, Gurjant Singh, Saumya Kothiyal Advances in Rehabilitation, 2024 : Premenstrual syndrome (PMS) is a common disorder affecting women of reproductive age. PMS often begins 6 to 12 days before menstruation and ends two to four days after its onset. PMS has a negative impact on physical and mental health. The aim of this study is to determine the effectiveness of various physiotherapeutic approaches in managing PMS-related discomfort, enhancing overall well-being, and improving quality of life. The Google Scholar, PubMed, and Medline databases were searched for articles published in the period 2013-2023. This systematic review with meta-analysis was conducted from February 2024 to April 2024. The study corpus comprised randomized controlled trials, randomized clinical trials, and pre-post experimental studies. The Visual Analog Scale (VAS), Premenstrual syndrome scale (PMSS), Numeric Pain Rating Scale (NPRS), and Beck Depression Inventory scale (BDI) were used as outcome measures. The 14 studies included in this review were screened independently by the three authors, who also extracted the data. The meta-analysis was performed using a random-effect model. Physiotherapy interventions were found to significantly reduce depression compared to controls (p < 0.001). Additionally, physiotherapy was more effective in reducing pain compared to controls, with a mean difference in VAS score (95% CI) of 2.84 [-1.75, 7.43] between the two groups. The present results show that physiotherapy interventions can be promising and very effective in alleviating premenstrual symptoms and improving quality of life.
A scoping review on outcomes, interventions and cuff parameters for blood flow restriction training in the treatment of knee osteoarthritis Gurjant Singh, Monika Hariramani, Saumya Kothiyal Advances in Rehabilitation, 2024 : The most common type of arthritis that alters a joint’s mechanical and structural properties is osteoarthritis (OA). A new and promising non-pharmacological strategy for treating OA that has received recent attention is a combination of resistance training with blood flow restriction training (BFRT). This paper aims to identify the outcomes and outcome measures used for studying BFRT in knee OA, and to evaluate the cuff parameters and BFRT intervention used. The scoping review was based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. The review was based on material from the Cochrane Central Register of Controlled Trials, the Physiotherapy Evidence Database and PubMed. Eight studies were included. The range of outcomes used in the study were knee pain, function, strength, quadriceps cross-sectional area, quality of life, disease severity, growth hormone level, and range of motion. The included studies used interventions ranging from four to five sets of 10 to 15 repetitions at 20% to 30% of 1 repetition maximum load; progressive blood restriction ranged from 30%–80% of arterial occlusion pressure when the cuff was placed at the most proximal part of the thigh. When used with appropriate parameters, low-intensity exercise training combined with blood flow restriction (BFR) is a viable alternative to traditional strategies for improving pain, strength, muscle mass, hormone levels, functionality, range of motion, and overall quality of life among patients with knee OA.
Health-Related Quality of Life and Prosthetic Satisfaction in Below-Knee Amputees: A Cross-Sectional Study Priyanka Sindwani, Saumya Kothiyal, Priya Chauhan Medical Journal of Dr D Y Patil Vidyapeeth, 2024 Background: Global patients are the focus of the bulk of studies looking at patient satisfaction and social integration. The major objective is to integrate those people into society because the prevalence of amputation is increasing in India as well. Also, these researchers include a variety of illnesses, such as renal tubular acidosis (RTA), diabetes, vascular disorders, spinal cord damage, and stroke, in their investigations. There are not many studies conducted in India that only consider urban populations. The purpose of the study was to examine factors influencing the quality of life (QOL) and post-acceptance and contentment with one’s body image in patients with unilateral knee amputations. Materials and Methods: A random sampling method was performed to select the subjects. The records of the participants of the study were retrieved from the Chandigarh Welfare Trust Prosthetic Camp, Chandigarh, India, to obtain information on relevant demographic data. Patients were given both questionnaires, that is, Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) and Community Integration Questionnaire (CIQ), and told about everything, and then, patients gave scores to themselves according to the activities and satisfaction they had with the prosthetic use. Spearman’s correlation test (two-tailed) was used to find the correlation between QUEST 2.0 and CIQ. The correlation between QUEST 2.0 and integration into productive activities (IPA) was also analyzed. A significant level of P ≤ 0.01 was fixed. Result: The correlation between QUEST 2.0 and CIQ is significantly strong or good (r = 1.00, P < 0.001). Home integration and social integration had a high or strong correlation with the QUEST assistive device domain (r = 0.43, P < 0.001) and each other (r = 0.785, P < 0.001). QUEST and productive activities are moderately associated (r = 0.57, P < 0.001). The service sub-domain of QUEST 2.0’s home integration component showed a substantially positive connection (r = 0.38, P < 0.001). It demonstrates that social integration has an overall positive relationship (r = 0.59, P < 0.001) with other factors. Conclusion: In the social life of those who have lost or are missing limbs, prostheses have a social function. By hiding their usage, individuals were able to avoid social stigmatization, which facilitated their social integration and lessened the emotional issues associated with such a disability.
Effects of Manual Therapy in Somatic Tinnitus Patients Associated with Cervicogenic and Temporomandibular Dysfunction Domain: Systematic Review and Meta Analysis of Randomised Controlled Trials Palak Sharma, Gurchand Singh, Saumya Kothiyal, Manu Goyal Indian Journal of Otolaryngology and Head and Neck Surgery, 2022 Despite manual therapy has been used as an effective treatment but there is limited of literature emphasizing its role to improve quality of life and pain pressure threshold in patients with somatic tinnitus. In this Meta analysis we compared the effects of manual therapy on quality of life and pain pressure threshold in the patients with somatic tinnitus associated with cervicogenic and temporomandibular dysfunction domain. We systematically searched different databases such as Pubmed, Google Scholar and Scopus to find out the relevant studies compairing the effects of manual therapy with quality of life and pain pressure threshold. Two independent reviewers performed quality check and data extraction. We analyzed the data using RevMan ver. 5.4 software. Total three randomised controlled trials were included in this study. Manual Therapy proven to be effective in improving quality of life as well pain pressure threshold in somatic tinnitus patients. {ORs 0.80; 95% Confidence Interval (95%CI), P = 0.97}. Further clinical trials are needed to explore manual therapy as an effective intervention.
