International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 03 Issue 03, March, 2011

Pages: 12-21

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IMMEDIATE EFFECTS OF PROPHYLACTIC KNEE TAPING AND BRACING ON PROPRIOCEPTION AND
DYNAMIC BALANCE IN ASYMPTOMATIC AMATEUR ATHLETES- A RANDOMIZED CROSS-OVER TRIAL

Author: Sandhya Sharma, Zulfeequer C.P, S. Raja sekar

Category: Healthcare

Abstract:Purpose of the study: To compare the immediate effects of prophylactic taping and bracing on proprioception and dynamic balance on asymptomatic knee in amateur athletes.
Methods:
36 subjects of both sexes (mean age group was 22.3 + 1.8) were included in the study. Inclusion criteria were minimum proprioceptive degree error: 30 using universal
goniometer, full and free range of motion of lower extremity. They were randomized into two
groups, group A and group B using block randomization, with 18 subjects in each group. Their
proprioception (universal goniometer) and dynamic balance (SEBT) were assessed in both the
knees, and the values were noted by the observer. The subjects underwent, either taping or
bracing in both the knees and their proprioception and dynamic balance were assessed again.
Followed by 24hrs of rest, cross-over of subjects to other technique were performed.
Results:
The result showed that there is significant improvement in both proprioception and dynamic balance with taping and bracing. Application of tape and brace on right knee showed a
significant reduction in proprioceptive error. The amount of decrease in error was 3.940 + 1.70
and 50 + 1.90 with bracing and taping respectively. The same when analyzed for left side the
error significantly reduced to 3.920 + 1.70 with bracing and 4.890 + 1.50 with taping. Tape and
brace have shown equal effect on proprioception. With taping and bracing there is statistically
significant increase in dynamic balance (p< 0.001) in all the direction of SEBT for bilateral
knee.
Conclusion:
Bracing and taping were effective in improving the proprioception and dynamic
balance of the amateur athletes.

Keywords: Taping, Bracing, Dynamic Balance, Proprioception, SEBT.

Full Text:

INTRODUCTION

Knee is the most vulnerable site for injuries sustained by the athletes, who engage in sports that demands frequent change in the direction of the body movement and rapid acceleration and deceleration. Moreover knee injuries can significantly affect performance and result in the lost practice and game time and they can lead to the development of chronic knee instability and pain.1 Because of the high prevalence of these injuries, many organized sports association have implemented prophylactic measures in an attempt to decrease the incidence and prevalence of injuries,

however controversy continues to exist in regard to the best method of treatment and prevention of these injuries.2,3 Proprioception and balance are two of the essential components that play an important role in avoiding the injury rates.4 Proprioception has been indicated to coordinate the following movement variables: positioning, force, and velocity. Because of its importance for coordinating sophisticated movements, proprioception is even more crucial for the skill-demanding movements (e.g., tennis playing) than daily movements.5,6 The effect of proprioception on the sports and its difference between patients and healthy adults has been widely tested. However, current knowledge provides insufficient insight into the effect of experience within an amateur athletic population.4 Measures of proprioception characteristically have high variability between different measurement techniques and also between subjects within the same measurement technique, one making objective comparisons of baseline joint position sense (JPS) scores difficult between subjects.7 Dynamic balance is required for normal daily activities, such as walking, running and stair climbing. Sports activities also require proper balance control. The visual, somatosensory, and vestibular systems all contribute to the maintenance of balance and may be adversely affected by musculoskeletal injury, head trauma, disease, or aging. These influences on the visual, somatosensory, and vestibular systems might decrease a person's ability to perform dynamic activities and, thus, impede normal daily functioning. Quantification of balance, or postural control, is often necessary to assess the level of injury or ability to function in order to initiate an appropriate plan of care.8 Squatting exercises are commonly included in lower-extremity rehabilitation programs in an effort to improve strength, balance, and neuromuscular control. Recently, a more complex squatting task to train and assess lower-extremity balance and neuromuscular control has been reported. The Star Excursion Balance Tests (SEBTs) are a series of unilateral mini squats performed while attempting with the opposite leg to reach as far as possible in a given direction.9 Proprioceptive training, star excursion balance exercise, taping and bracing are commonly employed in sports to prevent injury and re-injury. Athletic taping and bracing can prevent injury or facilitate injured athletes return to competition. In general the tape will limit the abnormal or excessive movement of the sprained joint while also providing support to the muscle that the sprain has compromised. Many clinicians attribute the value of taping to the enhanced proprioceptive feedback that the tape provides the athletes during performance.10 The literature shows taping and bracing has positive effect on proprioception but comparing among these which is better is not been studied. The aim and objective of the study was to compare the immediate effects of prophylactic taping and bracing on proprioception and balance on asymptomatic knee in amateur athletes.

METHOD

Study was approved by ethics committee of K.M.C Mangalore. Study was conducted at Kasturba Medical College, Mangalore. The inclusion criteria were Minimum proprioceptive degree error: 3 0 using universal goniometer (pilot study) and subjects with full and free range of motion of lower extremity. Subjects were excluded if they had any neurological deficits of lower extremity, history of lower extremity injury within 6 months and deformity of lower extremity / spine.

Demographic data of the participants were collected. Subjects were randomized into two groups, group A and group B using block randomization with 18 subjects in each group. Their proprioception (universal goniometer) and dynamic balance (SEBT) was assessed in both the knees, and the values were noted by the observer, the tester was blinded. The subjects underwent, either taping or bracing in both the knees depending on the block randomization and their proprioception and dynamic balance were –assessed again, Followed by 24hrs of rest, cross-over of subjects to other technique were performed. During the 24hrs rest period the subject were advised strictly not to undergo any form of training.

Proprioceptive Error Measurement Procedure

The subjects were asked to sit on a table, with their legs allowed to hang freely over the side of the table at a distance of 5cms to 10cms proximal to the popliteal fossa. The knee joint was palpated to place the goniometer, as the lateral joint line acts as the fulcrum (fig 1). The subject?s knee was then extended to 450 , passively and held for 10 seconds in order to memorize the position. Same procedure was repeated with the subject blindfolded and the leg was again held for 10 seconds to facilitate memorizing the position by the subject. In the fourth step the subject still being blindfolded was asked to achieve or place his knee range of motion in the same range i.e. 450 , actively. The degree of error was hence noted by the observers, and the proprioceptive error was calculated.

Star Excursion Balance Test Procedure (SEBT) The SEBT was performed with the participants standing in the middle of a grid formed by eight lines extending out at 450 from each other (fig 2). The participant were asked to reach as far as possible along each of the eight lines, make a light touch on the line, and return the reaching leg back to the center, while maintaining a single-leg stance with the other leg in the center of the grid. Participants were instructed to make a light touch on the ground with the most distal part of the reaching leg and return to a double leg stance without allowing contact to affect overall balance. The terminology of the excursion direction is based on the direction of reach in relation to the leg stance. When reaching in the lateral and postero-lateral directions participants reached from behind the stance leg to complete the task.

Participants were allowed to practice reaching in each of the eight directions six times to minimize the learning effect. Following a five minute rest period, participants performed three trails in each of the eight directions. They began with the anterior direction and progressed clock wise around the grid. After completion of the three trails of the eight directions and another five minute rest period, the test continued with the stance leg. The investigator recorded each reach distance with the mark on the tape as the distance from the center of the grid to point of maximum excursion by the reach leg. At the conclusion of all trails, the investigator measured the distance of each excursion with a standard tape measure. If the investigator felt the participants used: The reaching leg for a substantial amount of support at any time Removed his/her foot from the center of the grid or Was unable to maintain balance on the support leg throughout the trails The trail would be discarded and repeated.11 Taping Technique Knee Support: Diamond Wrap: Split both ends of the tape, forming four tails. Stretch the tails and apply firmly around the patella superiorly and inferiorly, interlocking the ends (fig 3). Close off with a strip of tape.12

RESULTS

In our study the numbers of samples included were 36, 28 were females and 8 males. The mean age group was 22.3 + 1.8. Taping and bracing has improved the proprioceptive and dynamic balance and comparison between them showed taping to be statistically better than bracing. 1. Comparison between bracing & taping and right knee & left knee A. Proprioceptive error Wilcoxon signed rank test showed statistical significant reduction in error in post bracing and taping in right as well as left knee. (Table 1)

DISCUSSION

Our study aimed at finding the immediate effects of prophylactic knee taping and bracing on proprioception and dynamic balance in asymptomatic amateur athletes. The result showed that there was significant improvement in both proprioception and dynamic balance with taping and bracing. Application of tape and brace on right knee showed a significant reduction in proprioceptive error. The amount of decrease in error was 30 and 50 with bracing and taping respectively. The same when analyzed for left side the error significantly reduced to 30 with bracing and 4 0 with taping. Tape and brace have shown equal effect on proprioception. The minimum error considered for proprioception is 10 using the electronic goniometer.4 In this study we used the universal goniometer, the minimum error established was 30 , which was found from our pilot study. In the present study, taping and bracing showed significant improvement in proprioception. Earlier studies have done on the effects of knee bracing on the joint position sense of subjects with anterior cruciate ligament reconstruction. Results indicated a significant difference for the knee joint angle repositioning test with bracing. In addition, the present study had the same positive findings as McNair et al who reported a significant improvement in the proprioceptive performance of normal subjects who used a knee sleeve.13 As active repositioning relies on afferent feedback from both muscle and joint mechanoreceptors, and that this greater influx of neurological information to the brain and spinal cord tends to increase repositioning ability. The additional information from the muscle mechanoreceptors involved in the active movement and going to the brain requires more processing and increases the precision involved with joint repositioning. It would seem plausible that both Golgi tendon organs (GTO) and muscle spindle activity may be improved as a result of the compression to muscle following application of tape or brace, as muscle spindle is a major receptor of movement. Mechanoreceptors respond specifically to extremes in range of motion and localized compressions. Also, the traction of the tape on the hair and skin provides sensory cues about orientation and position, thus improving joint position sense. 14 The other outcome measure in this study was dynamic balance (SEBT). With taping and bracing there is statistically significant increase in dynamic balance, in all the direction of SEBT for bilateral knee. The increase in dynamic balance following taping and bracing would help athletes to enhance performance and reduce injury. The mechanism by which it is attained is by joint stability. Joint stability requires the interaction of three different subsystems – the passive (the bone, ligaments, fascia and any other non-contractile tissue such as discs and menisci), the active (the muscles acting on the joints) and the neural (central nervous system and nerves controlling, the muscles) subsystems. The most vulnerable area of a joint is known as the neutral zone, where little resistance is offered by the passive structures. Dysfunction of the passive, active or neural systems will affect the neutral zone and hence the stability of the joint. The size of the neutral zone can be increased by injury. Muscle strengthening and application of external support to the joint, decreases the neutral zone.15 When we compared taping and bracing, bracing restricted the anterior lateral, lateral, posterior, medial and anterior medial directions of right knee and anterior, posterior lateral, posterior, posterior medial and medial directions in the left knee . This can be because of braces that restrict the motion, which reduces the opposite-limb reach distances in the braced stance leg. Whether ROM is limited by the brace, causing other segments in the kinetic chain to compensate and achieve necessary motion, is unknown. It is important to examine dynamic balance to gain insight into how braces affect motion in specific directions. Restricted motion in a single direction may affect one?s performance or risk of injury and, therefore, whether a brace should be used for prophylactic purposes in a healthy athlete must be carefully considered. 16 Our results revealed that taping and bracing have significant effect on proprioception and dynamic balance. Tape and brace have certain advantages and disadvantages over each other. So the use of either of them would also depend on these factors. Taping can limit the range of knee, thus offering protection from over stretch or impingement of non-contractile structures. However, the taping technique used by athletes and physiotherapists is often governed by personal preference, the experience of the person applying the tape, and a general "feel" as to the correct technique.17 Braces have advantages over tape in being self applied without needing the expertise of qualified personnel, convenient to apply and remove," reusable, readjust able, and washable. Also, skin problems are less common, especially among those athletes who have an allergic reaction to elastoplasts or zinc oxide. These readymade braces are of various materials, thus providing varying amounts of support and stability. The non rigid braces are often made of canvas or a neoprene-type material, which can easily be slipped on and off, some with additional lacing. A number of studies have established the role of braces in restricting the amount of movement.15 Though, as mentioned above bracing have its advantages over taping. Hence the choice of use among taping and bracing would depend on sports specific needs. We measured the proprioceptive error with the universal goniometer, it was the limitation of our study. Before performing the star excursion balance test, the sports shoe used were also not being assessed. The long term effectiveness of tape and brace were not studied, and there is a need to study the comparison between tapes and brace effectiveness in injured athletes and its sports specific use. Our study population was amateur athletes, studies are warranted to be done in elite groups and post fatigue. Also, studies are required to analyze the various taping techniques.

CONCLUSION

Bracing and taping were effective in improving the proprioception and dynamic balance of the amateur athletes.

References:

1. K, Docherty CL, Dapena J, Schrader J. Prophylactic ankle braces and knee varus-valgus and internal-external rotation torque. J Athl Train 2006;41:239–44.

2. Olmsted LC, Vela LI, Denegar CR, Hertel J. Prophylactic ankle taping and bracing: a numbers-needed-to-treat and cost-benefit analysis. J Athl Train 2004;39:95–100.

3. Mickel TJ, Bottoni CR, Tsuji G, Chang K, Baum L, Tokushige KNS. Prophylactic bracing versus taping for the prevention of ankle sprains in high school athletes: a prospective, randomized trial. JFAS 2006;45:360–5

. 4. Lin CH, Lien YH, Wang SF, Tsauo JY. Hip and knee proprioception of the elite, amateur, and novice tennis players. Am J Phys Med Rehabil 2006;85:216-21.

5. Roberts D, Friden T, Zatterstorm R, Lindstrand A, Moritz U. Proprioception in people with anterior cruciate ligament deficient knee: comparison of symptomatic and asymptomatic patients. J Orthop Sports Phys Ther 1999;29:587-94.

6. Hoffman M, Payne VG. The effects of proprioceptive ankle disk training on healthy subjects. J Orthop Sports Phys Ther 1995;21:90-93. 7. Mizelle C, Brindle TJ, Stanhope S. Proprioceptive error can be reduced with training. Phys Ther Rehabil Sci. 2004;41:260–5.

8. Kinzey SJ, Armstrong CW. The reliability of the star-excursion test in assessing dynamic balance. J Orthop Sports Phys Ther 1998;27:356-60.

9. Neufeld SD. Reproducing movement in the lower extremity using kinesthetic cues of distance and location. Phys Ther 1981;61:1147-51.

10. Perrin DH. Athletic taping and bracing. Human Kinetics; 2nd ed: 2005. p .4-8.

11. Macdonald R. editor. Taping techniques principles and practice. 2nd ed.Philadelphia (USA): Butterworth Heinemann; 2004. p. 126.

12. Shumbay – cook A, Woollacott MH. Motor control, theory and practical application. Maryland (USA) Williams and wilkins 1995. p. 3-21

13. Earl JE, Hertel J. Lower – extremity muscle activation during the star excursion balance tests. Sport Rehabil 2001;10:93-104

14. Kaminski TW, Gerlach TM. The effect of tape and neoprene ankle supports on ankle joint position sense. Phys Ther Sport 2001; 2:132 – 40.

15. Hardy L, Huxel K, Brucker J, Nesser T. Prophylactic Ankle Braces and Star Excursion BalanceMeasures in Healthy Volunteers. J Athl Train. 2008;43:347– 51.

16. McLean DA. Use of adhesive strapping In Sport. Br J Sports Med 1989 23:147-49.

17. Callaghan MJ. Role of ankle taping and bracing in the athlete. Br J Sports Med 1997;31:102-8.

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

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Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

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A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
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A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
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A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
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A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
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A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
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A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



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International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

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