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    <title>International Journal of Physiotherapy and Research (IJPR) - Volume 14, Issue 4 (2026)</title>
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    <description>Official Issue RSS Feed of International Journal of Physiotherapy and Research (IJPR) - Volume 14, Issue 4 (September-October 2026). Open Access peer-reviewed research in physiotherapy and rehabilitation.</description>
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    <copyright>Copyright (c) 2026 International Journal of Physiotherapy and Research (IJPR). Open Access under CC BY-NC-SA 4.0.</copyright>
    <managingEditor>editor_physiotherapy@ijmhr.org (Editor-in-Chief, IJPR)</managingEditor>
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    <pubDate>Sun, 11 Oct 2026 00:00:00 +0530</pubDate>
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    <category>Physiotherapy</category>
    <category>Physical Therapy and Rehabilitation</category>
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    <prism:volume>14</prism:volume>
    <prism:number>4</prism:number>
    <prism:publicationDate>2026-10-11</prism:publicationDate>
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    <!-- ==================== ARTICLE 01: 10.16965/ijpr.2026.116 ==================== -->
    <item>
      <title><![CDATA[Correlation Between Forward Head Posture and Lumbar Core Strength in Computer Users: A Cross-Sectional Study]]></title>
      <link>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.116</link>
      <guid isPermaLink="true">https://doi.org/10.16965/ijpr.2026.116</guid>
      <pubDate>Sun, 11 Oct 2026 00:00:00 +0530</pubDate>

      <!-- Dublin Core 1.1 Metadata -->
      <dc:creator><![CDATA[Sanket S. Nagrale]]></dc:creator>
      <dc:creator><![CDATA[Nilima Bedekar]]></dc:creator>
      <dc:date>2026-10-11</dc:date>
      <dc:publisher><![CDATA[International Journal of Physiotherapy and Research (IJPR)]]></dc:publisher>
      <dc:rights><![CDATA[Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)]]></dc:rights>
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      <dc:identifier>doi:10.16965/ijpr.2026.116</dc:identifier>
      <dc:source><![CDATA[Int J Physiother Res 2026;14(4):5025-5029]]></dc:source>
      <dc:language>en</dc:language>
      <dc:subject><![CDATA[Forward head posture]]></dc:subject>
      <dc:subject><![CDATA[Craniovertebral angle]]></dc:subject>
      <dc:subject><![CDATA[Transversus abdominis]]></dc:subject>
      <dc:subject><![CDATA[Core strength]]></dc:subject>
      <dc:subject><![CDATA[Computer users]]></dc:subject>
      <dc:subject><![CDATA[Posture]]></dc:subject>
      <dc:subject><![CDATA[Ergonomics]]></dc:subject>

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      <prism:volume>14</prism:volume>
      <prism:number>4</prism:number>
      <prism:section><![CDATA[Original Research Article]]></prism:section>
      <prism:startingPage>5025</prism:startingPage>
      <prism:endingPage>5029</prism:endingPage>
      <prism:doi>10.16965/ijpr.2026.116</prism:doi>
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      <prism:copyright>Authors / IJPR</prism:copyright>

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      <category><![CDATA[Forward head posture]]></category>
      <category><![CDATA[Craniovertebral angle]]></category>
      <category><![CDATA[Transversus abdominis]]></category>
      <category><![CDATA[Core strength]]></category>
      <category><![CDATA[Computer users]]></category>
      <category><![CDATA[Posture]]></category>
      <category><![CDATA[Ergonomics]]></category>
      <category><![CDATA[Musculoskeletal Physiotherapy]]></category>

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      <description><![CDATA[Forward head posture (FHP) is commonly observed in people who spend prolonged periods working at a computer. Changes in cervical alignment may be associated with changes in trunk muscle function. This study examined the relationship between craniovertebral (CV) angle and transversus abdominis (TrA) strength in computer users. Computer users with FHP had lower CV angles and lower TrA strength than those with normal head posture. The observed association between CV angle and TrA strength supports consideration of both cervical posture and trunk muscle function during physiotherapy assessment.]]></description>

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<div class="article-entry">
  <p class="article-meta"><strong>Journal:</strong> International Journal of Physiotherapy and Research (IJPR) | Volume 14 | Issue 4 | 2026</p>
  <p class="article-citation"><strong>Citation:</strong> Int J Physiother Res 2026;14(4):5025-5029. DOI: <a href="https://doi.org/10.16965/ijpr.2026.116">10.16965/ijpr.2026.116</a></p>
  <p class="article-authors"><strong>Authors:</strong> Sanket S. Nagrale, Nilima Bedekar</p>
  <div class="authors-affiliations">
    <p>• <strong>Sanket S. Nagrale</strong>, MPT, PhD (Researcher & Physical Therapist) - Department of Musculoskeletal Physiotherapy, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India. | ORCID: <a href="https://orcid.org/0009-0008-5647-6143">0009-0008-5647-6143</a></p>
    <p>• <strong>Nilima Bedekar</strong> - Department of Musculoskeletal Physiotherapy, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.</p>
  </div>
  <p class="article-correspondence"><strong>Correspondence:</strong> Dr. Sanket S. Nagrale, MPT, PhD, Department of Musculoskeletal Physiotherapy, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India. E-Mail: nagralesanket@gmail.com, ORCID: 0009-0008-5647-6143</p>
  <p class="article-doi"><strong>DOI:</strong> <a href="https://doi.org/10.16965/ijpr.2026.116">https://doi.org/10.16965/ijpr.2026.116</a></p>
  <p class="article-pages"><strong>Pages:</strong> 5025-5029</p>
  <p class="article-keywords"><strong>Keywords:</strong> Forward head posture, Craniovertebral angle, Transversus abdominis, Core strength, Computer users, Posture, Ergonomics</p>
  <hr />
  <div class="article-abstract">
    <h4>Abstract</h4>
    <p><strong>Background:</strong> Forward head posture (FHP) is commonly observed in people who spend prolonged periods working at a computer. Changes in cervical alignment may be associated with alterations in trunk muscle function.</p>
    <p><strong>Objective:</strong> This study examined the relationship between craniovertebral (CV) angle and transversus abdominis (TrA) strength in computer users.</p>
    <p><strong>Results:</strong> Computer users with FHP had significantly lower CV angles and lower TrA strength than those with normal head posture.</p>
    <p><strong>Conclusion:</strong> The observed association between CV angle and TrA strength supports consideration of both cervical posture and trunk muscle function during physiotherapy assessment and clinical rehabilitation.</p>
  </div>
  <hr />
  <p class="article-links">
    <a href="https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.116">[View Article &amp; Abstract Online]</a> &nbsp;|&nbsp; 
    <a href="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.116.pdf">[Download Full-Text PDF]</a>
  </p>
  <p class="article-copyright"><small><em>Open Access article distributed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0).</em></small></p>
</div>
      ]]></content:encoded>
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    <!-- ==================== ARTICLE 02: 10.16965/ijpr.2026.118 ==================== -->
    <item>
      <title><![CDATA[Correlation Between Gross Motor Skills and Cognitive Development In Preschoolers Born During Pandemic: A Cross-Sectional Study]]></title>
      <link>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.118</link>
      <guid isPermaLink="true">https://doi.org/10.16965/ijpr.2026.118</guid>
      <pubDate>Sun, 11 Oct 2026 00:00:00 +0530</pubDate>

      <!-- Dublin Core 1.1 Metadata -->
      <dc:creator><![CDATA[Mithi Jain]]></dc:creator>
      <dc:creator><![CDATA[Ashwini Patole]]></dc:creator>
      <dc:date>2026-10-11</dc:date>
      <dc:publisher><![CDATA[International Journal of Physiotherapy and Research (IJPR)]]></dc:publisher>
      <dc:rights><![CDATA[Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)]]></dc:rights>
      <dc:format>text/html, application/pdf</dc:format>
      <dc:identifier>doi:10.16965/ijpr.2026.118</dc:identifier>
      <dc:source><![CDATA[Int J Physiother Res 2026;14(4):5030-5037]]></dc:source>
      <dc:language>en</dc:language>
      <dc:subject><![CDATA[Gross motor skills]]></dc:subject>
      <dc:subject><![CDATA[Cognitive development]]></dc:subject>
      <dc:subject><![CDATA[Preschool children]]></dc:subject>
      <dc:subject><![CDATA[COVID-19 pandemic]]></dc:subject>
      <dc:subject><![CDATA[Ages and Stages Questionnaire]]></dc:subject>
      <dc:subject><![CDATA[Modified Mini Mental Scale]]></dc:subject>
      <dc:subject><![CDATA[Correlation]]></dc:subject>

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      <prism:publicationName>International Journal of Physiotherapy and Research</prism:publicationName>
      <prism:issn>2321-8975</prism:issn>
      <prism:eIssn>2321-1822</prism:eIssn>
      <prism:volume>14</prism:volume>
      <prism:number>4</prism:number>
      <prism:section><![CDATA[Original Research Article]]></prism:section>
      <prism:startingPage>5030</prism:startingPage>
      <prism:endingPage>5037</prism:endingPage>
      <prism:doi>10.16965/ijpr.2026.118</prism:doi>
      <prism:url>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.118</prism:url>
      <prism:copyright>Authors / IJPR</prism:copyright>

      <!-- Keywords & Subject Categories -->
      <category><![CDATA[Gross motor skills]]></category>
      <category><![CDATA[Cognitive development]]></category>
      <category><![CDATA[Preschool children]]></category>
      <category><![CDATA[COVID-19 pandemic]]></category>
      <category><![CDATA[Ages and Stages Questionnaire]]></category>
      <category><![CDATA[Modified Mini Mental Scale]]></category>
      <category><![CDATA[Correlation]]></category>
      <category><![CDATA[Pediatric Physiotherapy & Child Development]]></category>

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      <!-- Standard Abstract Description for RSS Readers & Bots -->
      <description><![CDATA[Background: The first five years of a child's life are essential for growth. During this period, children develop rapidly in many areas; however, these five years are a critical window for the growth of motor and cognitive abilities. Rather than developing in isolation, gross motor ability and cognitive growth are mutually dependent - together they lay the groundwork for a child's physical independence and capacity to learn. Research supports this relationship by showing shared neural pathways that govern both motor and cognitive functions. Gross motor skills enable children to navigate their neighbourhood, take part in play, and interact socially, while also influencing cognitive functions such as attention, memory, and executive functioning. COVID-19-related restrictions limited children's opportunities for movement, play, and social learning during this vital developmental period, potentially affecting both. Given this, examining how motor skills relate to cognitive growth among preschoolers (aged 3-5 years) born during the pandemic is essential - such work can help flag children showing signs of developmental delay and inform more targeted, timely intervention.
Results: Gross motor scores were consistent across age groups, with only small improvements, while cognitive scores increased more noticeably with age. To analyse the relationship between the two areas, and because the data did not meet a normal distribution, Spearman's rank correlation was applied. The analysis found a coefficient of 0.3968 and a p-value of 0.029, which indicates a moderate and statistically significant link between the two domains.
Conclusion: This study shows a clear and meaningful connection between cognition and motor abilities, particularly in children born during the pandemic. It indicates that these develop in a simultaneous and connected process and that these two areas of development support and influence each other. The results clearly highlight the importance of structured interventions and preschool educational programs that support children's physical and cognitive growth. These findings also support ongoing evaluation and intervention to ensure that children's development is not harmed by the challenges of growing up during a pandemic.]]></description>

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      <content:encoded><![CDATA[
<div class="article-entry">
  <p class="article-meta"><strong>Journal:</strong> International Journal of Physiotherapy and Research (IJPR) | Volume 14 | Issue 4 | 2026</p>
  <p class="article-citation"><strong>Citation:</strong> Int J Physiother Res 2026;14(4):5030-5037. DOI: <a href="https://doi.org/10.16965/ijpr.2026.118">10.16965/ijpr.2026.118</a></p>
  <p class="article-authors"><strong>Authors:</strong> Mithi Jain, Ashwini Patole</p>
  <div class="authors-affiliations">
    <p>• <strong>Mithi Jain</strong> - K J Somaiya College of Physiotherapy, Mumbai, Maharashtra, India.</p>
    <p>• <strong>Ashwini Patole</strong> (Assistant Professor) - Cardiorespiratory Department, K J Somaiya College of Physiotherapy, Mumbai, Maharashtra, India.</p>
  </div>
  <p class="article-correspondence"><strong>Correspondence:</strong> Mithi Jain, K J Somaiya College of Physiotherapy, Mumbai, Maharashtra, India. E-Mail: mithijain06@gmail.com</p>
  <p class="article-doi"><strong>DOI:</strong> <a href="https://doi.org/10.16965/ijpr.2026.118">https://doi.org/10.16965/ijpr.2026.118</a></p>
  <p class="article-pages"><strong>Pages:</strong> 5030-5037</p>
  <p class="article-keywords"><strong>Keywords:</strong> Gross motor skills, Cognitive development, Preschool children, COVID-19 pandemic, Ages and Stages Questionnaire, Modified Mini Mental Scale, Correlation</p>
  <hr />
  <div class="article-abstract">
    <h4>Abstract</h4>
    <p><strong>Background:</strong> The first five years of a child's life are essential for growth and represent a critical window for motor and cognitive abilities. Gross motor ability and cognitive growth are mutually dependent, supported by shared neural pathways governing motor and executive functions. COVID-19-related restrictions limited children's opportunities for movement, play, and social interaction, potentially impacting development.</p>
    <p><strong>Objective:</strong> To examine how motor skills relate to cognitive growth among preschoolers aged 3-5 years born during the COVID-19 pandemic to identify signs of developmental delay and inform timely interventions.</p>
    <p><strong>Results:</strong> Gross motor scores remained consistent across age cohorts, whereas cognitive scores increased noticeably with age. Spearman's rank correlation analysis revealed a correlation coefficient of 0.3968 with p = 0.029, indicating a moderate, statistically significant positive link between gross motor skills and cognitive development.</p>
    <p><strong>Conclusion:</strong> The study demonstrates a clear, meaningful connection between cognition and motor abilities in pandemic-born preschoolers. Findings highlight the necessity of structured physical and cognitive enrichment programs and ongoing developmental surveillance.</p>
  </div>
  <hr />
  <p class="article-links">
    <a href="https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.118">[View Article &amp; Abstract Online]</a> &nbsp;|&nbsp; 
    <a href="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.118.pdf">[Download Full-Text PDF]</a>
  </p>
  <p class="article-copyright"><small><em>Open Access article distributed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0).</em></small></p>
</div>
      ]]></content:encoded>
    </item>

    <!-- ==================== ARTICLE 03: 10.16965/ijpr.2026.146 ==================== -->
    <item>
      <title><![CDATA[Correlation of Physical Activity with Pain Catastrophizing and Cognitive Function in Older Adults with Chronic Pain: A Pilot Study]]></title>
      <link>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.146</link>
      <guid isPermaLink="true">https://doi.org/10.16965/ijpr.2026.146</guid>
      <pubDate>Sun, 11 Oct 2026 00:00:00 +0530</pubDate>

      <!-- Dublin Core 1.1 Metadata -->
      <dc:creator><![CDATA[Samuel S E]]></dc:creator>
      <dc:creator><![CDATA[B. V Suresh]]></dc:creator>
      <dc:creator><![CDATA[Vineetha P N]]></dc:creator>
      <dc:date>2026-10-11</dc:date>
      <dc:publisher><![CDATA[International Journal of Physiotherapy and Research (IJPR)]]></dc:publisher>
      <dc:rights><![CDATA[Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)]]></dc:rights>
      <dc:format>text/html, application/pdf</dc:format>
      <dc:identifier>doi:10.16965/ijpr.2026.146</dc:identifier>
      <dc:source><![CDATA[Int J Physiother Res 2026;14(4):5038-5046]]></dc:source>
      <dc:language>en</dc:language>
      <dc:subject><![CDATA[Physical Activity]]></dc:subject>
      <dc:subject><![CDATA[Pain]]></dc:subject>
      <dc:subject><![CDATA[Catastrophizing scale]]></dc:subject>
      <dc:subject><![CDATA[Cognitive Function]]></dc:subject>
      <dc:subject><![CDATA[Chronic Pain]]></dc:subject>
      <dc:subject><![CDATA[Elderly]]></dc:subject>
      <dc:subject><![CDATA[MoCA]]></dc:subject>

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      <prism:issn>2321-8975</prism:issn>
      <prism:eIssn>2321-1822</prism:eIssn>
      <prism:volume>14</prism:volume>
      <prism:number>4</prism:number>
      <prism:section><![CDATA[Original Research Article / Pilot Study]]></prism:section>
      <prism:startingPage>5038</prism:startingPage>
      <prism:endingPage>5046</prism:endingPage>
      <prism:doi>10.16965/ijpr.2026.146</prism:doi>
      <prism:url>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.146</prism:url>
      <prism:copyright>Authors / IJPR</prism:copyright>

      <!-- Keywords & Subject Categories -->
      <category><![CDATA[Physical Activity]]></category>
      <category><![CDATA[Pain]]></category>
      <category><![CDATA[Catastrophizing scale]]></category>
      <category><![CDATA[Cognitive Function]]></category>
      <category><![CDATA[Chronic Pain]]></category>
      <category><![CDATA[Elderly]]></category>
      <category><![CDATA[MoCA]]></category>
      <category><![CDATA[Geriatric Physiotherapy & Pain Management]]></category>

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      <!-- Standard Abstract Description for RSS Readers & Bots -->
      <description><![CDATA[Objectives: To determine the correlation of physical activity with pain catastrophizing and cognitive function in community-dwelling older adults with chronic pain.
Design: Pilot cross-sectional study.
Setting & Methods: Community-dwelling older adults were assessed using the Physical Activity Scale for the Elderly (PASE), pain catastrophizing using the Pain Catastrophizing Scale (PCS), and cognitive function using the Montreal Cognitive Assessment (MoCA). Normality was confirmed using the Shapiro-Wilk test, and Pearson's correlation coefficient was used for inferential analysis, with significance set at p < 0.05.
Results: Mean age was 74.80 ± 7.23 years (46.7% male, 53.3% female); mean pain duration was 50.53 ± 39.19 months. Mean PASE, PCS, and MoCA scores were 72.47 ± 25.93, 24.20 ± 9.25, and 21.33 ± 2.58 respectively; 60.0% of participants fell into the Moderate physical activity category, and 93.3% demonstrated mild cognitive impairment. All three variables were normally distributed (Shapiro-Wilk p > 0.05). A statistically significant negative correlation was found between physical activity and pain catastrophizing (r = -0.650, p = 0.009). Physical activity showed a positive, non-significant correlation with cognitive function (r = 0.296, p = 0.284). Pain catastrophizing showed a negative, non-significant correlation with cognitive function (r = -0.419, p = 0.120).
Conclusions: Physical activity was significantly and strongly negatively correlated with pain catastrophizing in this pilot sample of older adults with chronic pain, indicating that participants who were more physically active tended to report markedly less catastrophic thinking about their pain. Physical activity showed a weak, positive but non-significant correlation with cognitive function, while pain catastrophizing showed a moderate, negative but non-significant correlation with cognitive function. Overall, these findings suggest that physical activity is meaningfully associated with lower pain catastrophizing.]]></description>

      <!-- Rich Full-Encoded Content for Aggregators & Google Crawlers -->
      <content:encoded><![CDATA[
<div class="article-entry">
  <p class="article-meta"><strong>Journal:</strong> International Journal of Physiotherapy and Research (IJPR) | Volume 14 | Issue 4 | 2026</p>
  <p class="article-citation"><strong>Citation:</strong> Int J Physiother Res 2026;14(4):5038-5046. DOI: <a href="https://doi.org/10.16965/ijpr.2026.146">10.16965/ijpr.2026.146</a></p>
  <p class="article-authors"><strong>Authors:</strong> Samuel S E, B. V Suresh, Vineetha P N</p>
  <div class="authors-affiliations">
    <p>• <strong>Samuel S E</strong> (Professor & Principal) - Laxmi Memorial College of Physiotherapy, Rajiv Gandhi University of Health Sciences, Mangalore, Karnataka, India.</p>
    <p>• <strong>B. V Suresh</strong> (Head of the Department) - Department of Neurology, AJ Institute of Medical Sciences, Mangalore, Karnataka, India.</p>
    <p>• <strong>Vineetha P N</strong> - Laxmi Memorial College of Physiotherapy, Rajiv Gandhi University of Health Sciences, Mangalore, Karnataka, India. | ORCID: <a href="https://orcid.org/0009-0009-1628-6748">0009-0009-1628-6748</a></p>
  </div>
  <p class="article-correspondence"><strong>Correspondence:</strong> Vineetha P N, Laxmi Memorial College of Physiotherapy, Rajiv Gandhi University of Health Sciences, Mangalore, Karnataka, India. ORCID: 0009-0009-1628-6748, E-Mail: vinzabeth2001@gmail.com</p>
  <p class="article-doi"><strong>DOI:</strong> <a href="https://doi.org/10.16965/ijpr.2026.146">https://doi.org/10.16965/ijpr.2026.146</a></p>
  <p class="article-pages"><strong>Pages:</strong> 5038-5046</p>
  <p class="article-keywords"><strong>Keywords:</strong> Physical Activity, Pain, Catastrophizing scale, Cognitive Function, Chronic Pain, Elderly, MoCA</p>
  <hr />
  <div class="article-abstract">
    <h4>Abstract</h4>
    <p><strong>Objectives:</strong> To determine the correlation of physical activity with pain catastrophizing and cognitive function in community-dwelling older adults with chronic pain.</p>
    <p><strong>Design & Methods:</strong> Pilot cross-sectional study of community-dwelling older adults evaluated via the Physical Activity Scale for the Elderly (PASE), Pain Catastrophizing Scale (PCS), and Montreal Cognitive Assessment (MoCA). Pearson's correlation coefficient was utilized for inferential analysis.</p>
    <p><strong>Results:</strong> Mean age was 74.80 ± 7.23 years. A statistically significant strong negative correlation was identified between physical activity and pain catastrophizing (r = -0.650, p = 0.009). Non-significant trends were observed between physical activity and cognitive function (r = 0.296, p = 0.284) and pain catastrophizing and cognitive function (r = -0.419, p = 0.120).</p>
    <p><strong>Conclusions:</strong> Physical activity is strongly associated with reduced pain catastrophizing in older adults with chronic pain, underlining the value of exercise in cognitive and psychological pain management.</p>
  </div>
  <hr />
  <p class="article-links">
    <a href="https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.146">[View Article &amp; Abstract Online]</a> &nbsp;|&nbsp; 
    <a href="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.146.pdf">[Download Full-Text PDF]</a>
  </p>
  <p class="article-copyright"><small><em>Open Access article distributed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0).</em></small></p>
</div>
      ]]></content:encoded>
    </item>

    <!-- ==================== ARTICLE 04: 10.16965/ijpr.2026.150 ==================== -->
    <item>
      <title><![CDATA[Effect of Combined Physiotherapy Exercise Programme on Pain and Menstrual Symptoms among Young Female Students with Primary Dysmenorrhea: A Pre Post Experimental Study]]></title>
      <link>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.150</link>
      <guid isPermaLink="true">https://doi.org/10.16965/ijpr.2026.150</guid>
      <pubDate>Sun, 11 Oct 2026 00:00:00 +0530</pubDate>

      <!-- Dublin Core 1.1 Metadata -->
      <dc:creator><![CDATA[Satheerthya Shaju]]></dc:creator>
      <dc:creator><![CDATA[Julee Das]]></dc:creator>
      <dc:date>2026-10-11</dc:date>
      <dc:publisher><![CDATA[International Journal of Physiotherapy and Research (IJPR)]]></dc:publisher>
      <dc:rights><![CDATA[Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)]]></dc:rights>
      <dc:format>text/html, application/pdf</dc:format>
      <dc:identifier>doi:10.16965/ijpr.2026.150</dc:identifier>
      <dc:source><![CDATA[Int J Physiother Res 2026;14(4):5047-5053]]></dc:source>
      <dc:language>en</dc:language>
      <dc:subject><![CDATA[Primary dysmenorrhea]]></dc:subject>
      <dc:subject><![CDATA[Physiotherapy]]></dc:subject>
      <dc:subject><![CDATA[Stretching exercise]]></dc:subject>
      <dc:subject><![CDATA[Chair aerobics]]></dc:subject>
      <dc:subject><![CDATA[Relaxation technique]]></dc:subject>
      <dc:subject><![CDATA[Visual Analogue Scale]]></dc:subject>
      <dc:subject><![CDATA[WaLIDD]]></dc:subject>
      <dc:subject><![CDATA[Body mass index]]></dc:subject>

      <!-- PRISM 2.0 Article Level Metadata -->
      <prism:publicationName>International Journal of Physiotherapy and Research</prism:publicationName>
      <prism:issn>2321-8975</prism:issn>
      <prism:eIssn>2321-1822</prism:eIssn>
      <prism:volume>14</prism:volume>
      <prism:number>4</prism:number>
      <prism:section><![CDATA[Original Research Article / Experimental Study]]></prism:section>
      <prism:startingPage>5047</prism:startingPage>
      <prism:endingPage>5053</prism:endingPage>
      <prism:doi>10.16965/ijpr.2026.150</prism:doi>
      <prism:url>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.150</prism:url>
      <prism:copyright>Authors / IJPR</prism:copyright>

      <!-- Keywords & Subject Categories -->
      <category><![CDATA[Primary dysmenorrhea]]></category>
      <category><![CDATA[Physiotherapy]]></category>
      <category><![CDATA[Stretching exercise]]></category>
      <category><![CDATA[Chair aerobics]]></category>
      <category><![CDATA[Relaxation technique]]></category>
      <category><![CDATA[Visual Analogue Scale]]></category>
      <category><![CDATA[WaLIDD]]></category>
      <category><![CDATA[Body mass index]]></category>
      <category><![CDATA[Women's Health & Gynecological Physiotherapy]]></category>

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      <enclosure url="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.150.pdf" length="0" type="application/pdf" />
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      <!-- Standard Abstract Description for RSS Readers & Bots -->
      <description><![CDATA[Background: Primary dysmenorrhea is a common cause of menstrual pain and may interfere with daily activities and academic participation. Exercise-based physiotherapy offers a non-pharmacological approach to symptom management.
Objective: To determine the effect of a combined physiotherapy exercise programme consisting of stretching exercises, chair aerobics and Mitchell's relaxation technique on pain intensity and dysmenorrhea-related functional outcomes among college students with primary dysmenorrhea, and to assess the relationship between body mass index (BMI) and study outcomes.
Methods: A pre-post experimental study was conducted among female physiotherapy students aged 18-25 years with primary dysmenorrhea. Thirty-nine participants were initially recruited; 30 completed the 21-day intervention and were included in the final analysis. The intervention was given for 30 minutes per day, five days per week, for three weeks. Pain intensity and dysmenorrhea-related functional impact were assessed using the Visual Analogue Scale (VAS) and WaLIDD score. BMI was recorded. Paired t-tests compared pre- and post-intervention outcomes, and Pearson correlation assessed associations between BMI and study variables.
Results: Mean VAS decreased from 4.83 to 3.20, with a mean reduction of 1.50 ± 1.46 points (t = 5.642, p < 0.001). Mean WaLIDD decreased from 6.13 to 5.13, with a mean reduction of 0.97 ± 1.65 points (t = 3.209, p = 0.003). BMI was not significantly correlated with pre- or post-intervention VAS or WaLIDD scores (p > 0.05).
Conclusion: A 21-day combined programme of stretching exercises, chair aerobics and Mitchell's relaxation technique was associated with significant reductions in pain intensity and dysmenorrhea-related functional impact among college students with primary dysmenorrhea.]]></description>

      <!-- Rich Full-Encoded Content for Aggregators & Google Crawlers -->
      <content:encoded><![CDATA[
<div class="article-entry">
  <p class="article-meta"><strong>Journal:</strong> International Journal of Physiotherapy and Research (IJPR) | Volume 14 | Issue 4 | 2026</p>
  <p class="article-citation"><strong>Citation:</strong> Int J Physiother Res 2026;14(4):5047-5053. DOI: <a href="https://doi.org/10.16965/ijpr.2026.150">10.16965/ijpr.2026.150</a></p>
  <p class="article-authors"><strong>Authors:</strong> Satheerthya Shaju, Julee Das</p>
  <div class="authors-affiliations">
    <p>• <strong>Satheerthya Shaju</strong> (Physiotherapy Intern) - Kengal Hanumanthaiah Institute of Physiotherapy, Bengaluru, Karnataka, India.</p>
    <p>• <strong>Julee Das</strong> (Dr. Julee Das, PT, Lecturer) - Kengal Hanumanthaiah Institute of Physiotherapy, Nagarabhavi 2nd Stage, Bengaluru-560090, Karnataka, India.</p>
  </div>
  <p class="article-correspondence"><strong>Correspondence:</strong> Dr. Julee Das, PT, Lecturer, Kengal Hanumanthaiah Institute of Physiotherapy, Nagarabhavi 2nd Stage, Bengaluru-560090, Karnataka, India. E-Mail: juliedas143@gmail.com</p>
  <p class="article-doi"><strong>DOI:</strong> <a href="https://doi.org/10.16965/ijpr.2026.150">https://doi.org/10.16965/ijpr.2026.150</a></p>
  <p class="article-pages"><strong>Pages:</strong> 5047-5053</p>
  <p class="article-keywords"><strong>Keywords:</strong> Primary dysmenorrhea, Physiotherapy, Stretching exercise, Chair aerobics, Relaxation technique, Visual Analogue Scale, WaLIDD, Body mass index</p>
  <hr />
  <div class="article-abstract">
    <h4>Abstract</h4>
    <p><strong>Background:</strong> Primary dysmenorrhea is a frequent cause of menstrual pain interfering with daily function. Non-pharmacological exercise regimens offer effective conservative care.</p>
    <p><strong>Objective:</strong> To evaluate the efficacy of a 21-day combined physiotherapy regimen (stretching, chair aerobics, Mitchell's relaxation technique) on pain intensity, functional disability, and its association with BMI in college students.</p>
    <p><strong>Methods:</strong> Thirty female students aged 18-25 underwent 30-minute supervised sessions (5 days/week for 3 weeks). Outcomes were measured using VAS and WaLIDD score before and after intervention.</p>
    <p><strong>Results:</strong> Mean VAS significantly decreased from 4.83 to 3.20 (mean reduction 1.50 ± 1.46, p < 0.001). Mean WaLIDD decreased from 6.13 to 5.13 (p = 0.003). BMI showed no significant correlation with pain reduction.</p>
    <p><strong>Conclusion:</strong> The combined physiotherapy exercise protocol significantly reduced pain severity and dysmenorrhea symptoms, providing an evidence-based non-pharmacological therapy.</p>
  </div>
  <hr />
  <p class="article-links">
    <a href="https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.150">[View Article &amp; Abstract Online]</a> &nbsp;|&nbsp; 
    <a href="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.150.pdf">[Download Full-Text PDF]</a>
  </p>
  <p class="article-copyright"><small><em>Open Access article distributed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0).</em></small></p>
</div>
      ]]></content:encoded>
    </item>

    <!-- ==================== ARTICLE 05: 10.16965/ijpr.2026.152 ==================== -->
    <item>
      <title><![CDATA[Effectiveness of Inspiratory Muscle Training in CKD With Cardiogenic Pulmonary Edema: A Case Series]]></title>
      <link>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.152</link>
      <guid isPermaLink="true">https://doi.org/10.16965/ijpr.2026.152</guid>
      <pubDate>Sun, 11 Oct 2026 00:00:00 +0530</pubDate>

      <!-- Dublin Core 1.1 Metadata -->
      <dc:creator><![CDATA[Vishnu K Nair]]></dc:creator>
      <dc:creator><![CDATA[Priya S]]></dc:creator>
      <dc:creator><![CDATA[Stacy Santan Fernandes]]></dc:creator>
      <dc:date>2026-10-11</dc:date>
      <dc:publisher><![CDATA[International Journal of Physiotherapy and Research (IJPR)]]></dc:publisher>
      <dc:rights><![CDATA[Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)]]></dc:rights>
      <dc:format>text/html, application/pdf</dc:format>
      <dc:identifier>doi:10.16965/ijpr.2026.152</dc:identifier>
      <dc:source><![CDATA[Int J Physiother Res 2026;14(4):5054-5061]]></dc:source>
      <dc:language>en</dc:language>
      <dc:subject><![CDATA[Dyspnea]]></dc:subject>
      <dc:subject><![CDATA[Chest expansion]]></dc:subject>
      <dc:subject><![CDATA[Inspiratory Resistance Training]]></dc:subject>
      <dc:subject><![CDATA[Chronic Renal Insufficiency]]></dc:subject>
      <dc:subject><![CDATA[Cardiac Pulmonary Edema]]></dc:subject>
      <dc:subject><![CDATA[CKD]]></dc:subject>
      <dc:subject><![CDATA[IMT]]></dc:subject>

      <!-- PRISM 2.0 Article Level Metadata -->
      <prism:publicationName>International Journal of Physiotherapy and Research</prism:publicationName>
      <prism:issn>2321-8975</prism:issn>
      <prism:eIssn>2321-1822</prism:eIssn>
      <prism:volume>14</prism:volume>
      <prism:number>4</prism:number>
      <prism:section><![CDATA[Case Series]]></prism:section>
      <prism:startingPage>5054</prism:startingPage>
      <prism:endingPage>5061</prism:endingPage>
      <prism:doi>10.16965/ijpr.2026.152</prism:doi>
      <prism:url>https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.152</prism:url>
      <prism:copyright>Authors / IJPR</prism:copyright>

      <!-- Keywords & Subject Categories -->
      <category><![CDATA[Dyspnea]]></category>
      <category><![CDATA[Chest expansion]]></category>
      <category><![CDATA[Inspiratory Resistance Training]]></category>
      <category><![CDATA[Chronic Renal Insufficiency]]></category>
      <category><![CDATA[Cardiac Pulmonary Edema]]></category>
      <category><![CDATA[CKD]]></category>
      <category><![CDATA[IMT]]></category>
      <category><![CDATA[Cardiovascular and Pulmonary Physiotherapy]]></category>

      <!-- Direct Full-Text PDF Enclosure -->
      <enclosure url="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.152.pdf" length="0" type="application/pdf" />
      <media:content url="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.152.pdf" medium="document" type="application/pdf" />

      <!-- Standard Abstract Description for RSS Readers & Bots -->
      <description><![CDATA[Background: Patients with chronic kidney disease (CKD) frequently develop cardiogenic pulmonary edema and associated respiratory muscle weakness, reduced chest expansion, increased dyspnea and reduced quality of life. Inspiratory muscle training (IMT) may help improve respiratory mechanics, oxygenation and patient-reported outcomes in this population.
Context and Purpose of Study: To examine the effectiveness of supervised IMT in CKD patients with cardiogenic pulmonary edema using chest expansion, mMRC dyspnea score, and oxygen saturation (SpO2). Oxygen saturation improved significantly from baseline up to 98.00 ± 1.00% (p = 0.001). Chest expansion also improved in all participants, indicating enhanced respiratory function. Overall, these findings demonstrate meaningful enhancements in respiratory function and clinical status.
Conclusion: The study found that IMT helped reduce dyspnea and improve oxygenation and chest expansion in CKD patients with cardiogenic pulmonary edema.]]></description>

      <!-- Rich Full-Encoded Content for Aggregators & Google Crawlers -->
      <content:encoded><![CDATA[
<div class="article-entry">
  <p class="article-meta"><strong>Journal:</strong> International Journal of Physiotherapy and Research (IJPR) | Volume 14 | Issue 4 | 2026</p>
  <p class="article-citation"><strong>Citation:</strong> Int J Physiother Res 2026;14(4):5054-5061. DOI: <a href="https://doi.org/10.16965/ijpr.2026.152">10.16965/ijpr.2026.152</a></p>
  <p class="article-authors"><strong>Authors:</strong> Vishnu K Nair, Priya S, Stacy Santan Fernandes</p>
  <div class="authors-affiliations">
    <p>• <strong>Vishnu K Nair</strong> (Assistant Professor) - Laxmi Memorial College of Physiotherapy, Mangaluru, Karnataka, India. | ORCID: <a href="https://orcid.org/0000-0002-4781-4605">0000-0002-4781-4605</a></p>
    <p>• <strong>Priya S</strong> (Associate Professor) - Laxmi Memorial College of Physiotherapy, Mangaluru, Karnataka, India. | ORCID: <a href="https://orcid.org/0000-0001-8151-596X">0000-0001-8151-596X</a></p>
    <p>• <strong>Stacy Santan Fernandes</strong> (Second Year MPT Student, Cardiovascular and Pulmonary Sciences) - Laxmi Memorial College of Physiotherapy, Mangaluru, Karnataka, India. | ORCID: <a href="https://orcid.org/0009-0008-2858-2926">0009-0008-2858-2926</a></p>
  </div>
  <p class="article-correspondence"><strong>Correspondence:</strong> Stacy Santan Fernandes, Second Year MPT Student, Cardiovascular and Pulmonary Sciences, Laxmi Memorial College of Physiotherapy, Mangaluru, Karnataka, India. ORCID: 0009-0008-2858-2926, E-Mail: stacyfernandes2001@gmail.com</p>
  <p class="article-doi"><strong>DOI:</strong> <a href="https://doi.org/10.16965/ijpr.2026.152">https://doi.org/10.16965/ijpr.2026.152</a></p>
  <p class="article-pages"><strong>Pages:</strong> 5054-5061</p>
  <p class="article-keywords"><strong>Keywords:</strong> Dyspnea, Chest expansion, Inspiratory Resistance Training, Chronic Renal Insufficiency, Cardiac Pulmonary Edema, CKD, IMT</p>
  <hr />
  <div class="article-abstract">
    <h4>Abstract</h4>
    <p><strong>Background:</strong> Patients with chronic kidney disease (CKD) frequently develop cardiogenic pulmonary edema, predisposing them to respiratory muscle weakness, diminished thoracic expansion, progressive dyspnea, and decreased functional capacity.</p>
    <p><strong>Purpose:</strong> To investigate the therapeutic effectiveness of supervised Inspiratory Muscle Training (IMT) in CKD patients with cardiogenic pulmonary edema.</p>
    <p><strong>Results:</strong> Supervised IMT produced marked clinical improvements: oxygen saturation (SpO2) rose significantly to 98.00 ± 1.00% (p = 0.001), thoracic chest expansion increased across all patients, and mMRC dyspnea scores improved noticeably.</p>
    <p><strong>Conclusion:</strong> Inspiratory muscle training effectively ameliorated dyspnea, enhanced peripheral oxygenation, and improved chest mobility in CKD patients complicated by cardiogenic pulmonary edema.</p>
  </div>
  <hr />
  <p class="article-links">
    <a href="https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2026.152">[View Article &amp; Abstract Online]</a> &nbsp;|&nbsp; 
    <a href="https://www.ijmhr.org/ijpr.14.4/IJPR.2026.152.pdf">[Download Full-Text PDF]</a>
  </p>
  <p class="article-copyright"><small><em>Open Access article distributed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0).</em></small></p>
</div>
      ]]></content:encoded>
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