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: 34-41

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EFFECT OF CORE STABILIZATION EXERCISE ON A TRUNK EXTENSORS ENDURANCE TRAINING
PROTOCOL

Author: Sasidharan Tapan MPT, Shah Sonam BPT, B Harilal MPT , Lende Shailendra MPT

Category: Healthcare

Abstract:Objective: The objective of the study was to find the effectiveness of core stabilization exercises over a
trunk extensor endurance training protocol (TEEP) in improving trunk extensor endurance.
Methods: 30 physiotherapy students in the age group of 18-23 from KJPCP were conveniently selected
and randomly allocated to a control and experimental group having 15 subjects each. Experimental group
was given a trunk extensor endurance protocol along with a core stabilization program and control group
was given only TEEP. Both exercises were given for half an hour each, 6 days a week, for 6 weeks.
Results: It was found that core stabilization exercises along with TEEP is not significantly different from
trunk extensor endurance training protocol alone in improving endurance of trunk extensors.
Conclusions: TEEP protocol alone is effective in improving trunk extensor muscle endurance and its
combination with core stabilization exercises will not produce any significant improvements over use of
TEEP alone.

Keywords: Trunk extensor endurance training protocol (TEEP), core stabilization exercises, Modified Sorenson test.

Full Text:

INTRODUCTION

Muscular endurance is the ability of an isolated muscle group to perform repeated contraction over a period of time, with intensity of the activity being moderate. 1 It is one of basic elements of muscular performance that has great relevance to activities of daily living, lifting and bending in which the ability of trunk extensor to resist fatigue being important in industrial setting2. Poor endurance of trunk muscle may induce strain on passive structure of lumbar spine and hence result in low back pain[1,7]. Muscle has already been identified as a potential source of low back pain[4,5] as failure to protect passive structure from excessive loads may result in damage to pain sensitive structure and produce pain[6,7,12]. Endurance of lumbar stabilizer is a very important key for preventing lumbar pain[,8,9,10].Trunk muscle endurance training has been recommended as means of increasing fatigue threshold and improving performance and reducing disability.[11] Improving endurance of trunk extensor therefore appears to be sound and promising approach for preventing low back pain and hence justification for conducting this study among individual without low back pain[12,20,21] . The trunk extensor training protocols used in previous studies focused extensively on erector spinae composed of longissimus and spainalis, that is on a mobilizer of trunk at expense of stabilizers such as transverse abdominis and multifidus that are affected majorly in individuals with back pain[13,22] . Even though core stabilization exercises are being used widely in clinical setting its effect on dynamic stabilizers of spine remains unexplored. Trunk extensor endurance training protocol may need to be used in conjugation with specific stabilizing exercise of multifidus and transverse abdominals for a better result in back problems in patients. Core stabilization exercise through effective abdominal training is supposed to increases ones strength and stamina. So the training of trunk/ spinal stabilizers is therefore supposed to help in improving the endurance of trunk extensors or mobilizers and preventing potential development of backache in the future. It would of great importance if core stabilization programs with the emphasis on abdominals are found to have an effect on extensors of spine. Thus the purpose of this study is to investigate whether the application of core stabilization exercise along with a trunk extensor endurance protocol can improve trunk extensor endurance than the use of extensor training protocol alone in apparently healthy subjects.

 

MATERIALS AND METHODOLOGY

Materials

1. Rectangular Wooden Box (80x50x20.3cm)

2. Stop Watch

3. Weighing scale

4. Height meter/inch tape

5. Velcro Straps

6. Two pillows

7. Data collection sheet and pen

Methodology 30 normal healthy subjects from the campus of K.J.P College of physiotherapy within the age group of 18-23years were recruited for the study, on the fulfillment of inclusion criteria. A two group pre-test-post-test non randomized controlled trial design was used for subjects being recruited through convenience sampling. The study procedure and rationale were explained to subjects and their informed consent of participation obtained. Subjects were conveniently recruited but randomly assigned into either a controlled or experimental group by asking them to pick a piece of paper on which either E (experimental) or C (control) was inscribed. Age as on last birthday and gender were noted while their body weight and height were measured and recorded using standardized procedures. Their Body Mass Index was then estimated as weight in Kilo grams divided by height in meters square. The subjects in experimental (B) group were given a standard trunk extensor endurance training protocol (TEEP) previously used by Babatunde O.A et al (2007)14 , 4 days a week along with core stabilization exercises for the same number of days. Five standard core stabilization exercises, with the emphasis on abdominal activation, as given by „Therapeutic exercises?, 5th ed were used. All the exercises were started in supine hook lying position. First exercise was abdominal activation using „drawing in? procedure as in standard core stabilization methods. Second exercise was hip knee flexion extension of alternate legs up to 90 degrees of knee flexion, dragging the feel on bed. Third exercise included flexion extension of alternate legs, without dragging, up to 90 degrees of hip knee flexion. Fourth exercise was flexion extension of both legs together up to 90 degrees of knee and hip flexion without dragging of foot. Fifth exercise was straight elevation of lower limbs up to 45 degrees. In each exercises abdominals were contracted for 10 seconds. Each exercise was repeated 25 times per session in subject?s comfortable speed and those who required for break were given a single break of 30 seconds during each exercise. In between different exercises each subjects were given 1 minute rest. Duration of each exercise was between 25-30 minutes per day. The control (A) group had under gone only TEEP for the same duration and number of days. The outcome measure was the trunk extensor muscle endurance (TEME) using modified Sorenson test. TEME of both groups were calculated on day 1 and after 6th week. And the 6 th week score of both E and C groups were also compared.

Statistical methods Statistical test used was student?s t Test. With in groups Pre and post test scores were compared using paired t test and In between group pre and post test group scores were compared using unpaired t test. Level of significance was kept at 0.05. Data was analyzed using SPSS version 14.

RESULTS

Pre test scores didn?t show significant difference between two groups proving the homogenicity of the groups..Group E did show significant difference between pre and post test scores(t=5.043 sig=.000 ).Similarly group C also did show significant difference between pre and post test scores(t=5.386,sig=.000).But on comparison of post test scores between two groups, it was found that there were no significant differences(t= -1.499 ,sig=.145).

DISCUSSION

From the analysis it was seen that there was significant difference between pre test- post test scores of both groups but no statistically significant results were found between the post test scores between the group A (TEEP) and group B(TEEP + core stabilization) . The reason for insignificant difference would be that core stabilization exercises might not be so much effective in improving trunk extensor endurance of normal population either because of the inability of normal subjects in proper activation of core stabilizers or the duration of study might not be so much effective in getting results in normal healthy population. The study was conducted for four days weekly for one and a half month taking less than half hour per day, so there may be need to increase the duration of the study to get a statistically significant outcome in normal healthy population over a trunk extensor training protocol. In the study conducted by Cairns, Mindy C.; Foster, Nadine E.; Wright, Chris on September 2006 it was concluded that there was no effect of core stabilization exercises on recurrent low back pain[15,23]. That study used 2 groups: conventional, physiotherapy consisting of general active exercise and manual therapy; and conventional physiotherapy plus specific spinal stabilization exercises. Both groups showed improved physical functioning. No statistically significant differences between the 2 groups were shown for any of the outcomes measured, at any time and there was no additional benefit of adding specific spinal stabilization exercises to a conventional physiotherapy package for patients with recurrent LBP. Similarly when studies were conducted on healthy subjects it was concluded that there was no effect of core stabilization on trunk extensors. George A Koumantakis, Paul J Watson and Jacqueline A Oldham on March 2005 examined the usefulness of the addition of specific stabilization exercises to a general back and abdominal muscle exercise approach for patients with sub acute or chronic nonspecific back pain by comparing a specific muscle stabilization–enhanced general exercise approach with a general exercise. But there were generally no differences between the 2 exercise approaches for any of their outcomes other than self reported disability16 . They concluded that a general exercise program reduced disability in the short term to a greater extent than a stabilization-enhanced exercise approach in patients with recurrent nonspecific low back pain. The mode of action of stabilization retraining still remains unclear, because it has not been shown to be capable of mechanically containing an unstable segment, even upon improvement of muscle activation. Stabilization exercises do not appear to provide additional benefit to patients with subacute or chronic low back pain who have no clinical signs suggesting the presence of spinal instability. Similarly in healthy subjects correct contraction of the stabilizing muscles could not be achieved initially and subjects had to be constantly corrected by the treating physical therapist also each time new exercises were introduced[17,18] . This too can be attributed to the minimal effect of core stabilization excercises on the experimental group. Professor Eyal Lederman in his article „myths of core stabilization? Concluded that Core stability exercises are no more effective than, and will not prevent injury more than, any other forms of exercise. Core stability exercises are no better than other forms of exercise for back care19 . In the light of existing literature it can be easily concluded that core stabilization exercises have controversial validity and their inability to produce significant changes to trunk extensor endurance in normal healthy population in comparison to a specific trunk extensor endurance training protocol is well in sync with their controversial validity.

ACKNOWLEDGEMENT

All the authors would like to express a deep sense of gratitude towards the head of the physiotherapy department, Sumandeep University, Vadodara for his seamless support and encouragement and we would like to extend our gratitude towards the university management and entire staff of physiotherapy department for providing us with the all necessary facilities.

 

 

 

 

References:

1. Hui L, Ng GY, Yeung SS, et al. Evaluation of physiological work demands and low back neuromuscular fatigue on nurses working in geriatric wards. Appl Ergon 2001; 32:479– 83.

2. Mayer T, Gatchel R, Betancur J, et al. Trunk muscle endurance measurement. Spine 1995; 20:920–7.

3. Lavangie P, Norkin C. Joint Structure and Function: A Comprehensive Analysis, 3rd edition. Philadelphia: FA Davis, 1992

4. Biering-Sorensen F. Physical measurement as risk indicators for low-back trouble over a one-year period. Spine 1984;9:106–9. 17:121–7.

5. Mannion AF, Dolan P. Electromyographic median frequency changes during isometric contraction of back extensors to fatigue. Spine 1994;19:1223–9.

6. Mannion AF, Dumas GA, Stevenson JM, et al. The influence of muscle fiber size and type distribution on electromyographic measures of back muscle fatigability. Spine 1998;23:576–84.

7. Kankaanpaa M, Laaksonen D, Taimela S, et al. Age, sex, and body mass index as determinants of back and hip extensor fatigue in the isometric Sorensen back endurance test. Arch Phys Med Rehabil 1998; 79:1069– 75

. 8. Chok B, Lee R, Latimer J, et al. Endurance training of the trunk extensor muscles in 38 International Journal of Current Research and Review www.ijcrr.com Vol. 03 issue 03 Mar 2011 people with subacute low back pain. Phys Ther 1999;79:1032–42.

9. Jorgensen K, Nicolaisen T. Trunk extensor endurance: determination and relation to low-back trouble. Ergonomics 1987; 30:259–67.

10. Carr D, Gilbertson L, Frymoyer J, et al. Lumbar paraspinal compartment syndrome: a case report with physiologic andanatomic studies. Spine 1985;10:816–20.

11. Seidel H, Beyer H, Brauer D. Electromyographic evaluation of back muscle fatigue with repeated sustained contractions of different strengths. Eur J Appl Physiol Occup Physiol 1987; 56:592– 602.

12. Manniche C, Hesselsoe G, Bentzen L, et al. Clinical trial of intensive muscle training for chronic low back pain. Lancet 1988;2:1473–6.

13. Moffroid MT, Haugh LD, Haig AJ, et al Endurance training of trunk extensor muscles. Phys Ther 1993;73:10–7.

14. Babatunde O.A. Adegoke, Folarin O. Babatunde. Effect of exercise protocol on the endurance of trunk extensor muscles-A randomized control trial. Hong kong physiotherapy journal2007;25:2-9.

15. Cairns, Mindy C.; Foster, Nadine E.; Wright, Chris et al. To evaluate the effect of adding specific spinal stabilization exercises to conventional physiotherapy for patients with recurrent low back pain (LBP) in the United Kingdom. September 2006; 31: Issue 19 - pp E670-E681.

16. George A Koumantakis, Paul J Watson and Jacqueline A Oldham Trunk Muscle Stabilization Training Plus General Exercise Versus General Exercise Only: Randomized Controlled Trial of Patients With Recurrent Low Back Pain Vol. 85, No. 3, March 2005, pp. 209-225

17. Dedering A, Roos af Hjelmsater M, Elfving B, et al. Between days reliability of subjective and objective assessments of back extensor muscle fatigue in subjects without lower-back pain. J Electromyogr Kinesiol 2000;10:151–8

18. Ebenbichler GR, Bonato P, Roy SH, et al. Reliability of EMG time-frequency measures of fatigue during repetitive lifting. Med Sci Sports Exerc 2002;34:1316–23.

19. Lederman Eyal. The myth of core stability. Journal of Bodywork and Movement Therapies (2010) 14, 84-98.

20. Nourbakhsh MR, Arab AM. Relationship between mechanical factors and incidence of low back pain. J Orthop Sports Phys Ther 2002;32:447–60.

21. Hamberg-van Reenen HH, Ariens GAM, Blatter BM, et al. Physical capacity in relation to low back, neck, or shoulder pain in a working population. Occup Environ Med 2006;63:371–7.

22. Demoulin C, Vanderthommen M, Duysens C, et al. Spinal muscle evaluation using the Sorensen test: a critical appraisalof the literature. Joint Bone Spine 2006;73:43–50.

23. Nicolaisen T, Jorgensen K. Trunk strength, back muscle endurance and low-back trouble. Scand J Rehabil Med 1985;17: 121–7.

 

Announcements

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

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021


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

A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
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
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
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
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
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
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
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
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
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
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
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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