Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411619EnglishN2024October10Life Sciences Knowledge and Attitude of Medical Practitioners about the Role of Vestibular Physiotherapy English0106Poorna JainEnglish Prajakta SahasrabudheEnglish Ashok ShyamEnglish Parag SanchetiEnglish Introduction: Vestibular rehabilitation was first developed as a treatment for vestibular disorders but has also been used as a treatment for other causes of dizziness. Most patients with vestibular disorder initially visit a physician before being referred to a physiotherapist. There is a need to investigate the knowledge and attitudes of medical practitioners in India regarding the role and application of vestibular physiotherapy in clinical practice. Methods: A cross-sectional survey was conducted for medical practitioners using a closed-ended questionnaire. The questionnaire consisted of ten questions aimed at evaluating participants’ knowledge, attitudes, and referral practices regarding vestibular rehabilitation. Results: Out of the 402 responses received through online and offline forms, 283 medical practitioners reported treating patients with vestibular symptoms. Among those who were aware of the role of physiotherapists in vestibular rehabilitation, 61.4% recognized their involvement in treating peripheral vestibular disorders, while 38.6% acknowledged their role in rehabilitating central vestibular disorders. Interestingly, only 24.87% of medical practitioners referred vestibular cases to physiotherapists. Conclusion: There is a need to increase awareness among practitioners about the physiotherapist’s role in vestibular rehabilitation. Addressing this gap in understanding could lead to improved patient care and outcomes in managing vestibular disorders. EnglishVestibular rehabilitation, Vestibular physiotherapy, Knowledge, Referral, Physiotherapy, Vestibular symptoms, Vestibular disordershttp://ijcrr.com/abstract.php?article_id=4822http://ijcrr.com/article_html.php?did=4822 1. Vincent AT, Johannes C, Rosie E, Lucy Y, Jos WR, Henriëtte E, et al. Internet-based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three-armed randomised controlled trial. BMJ.? 2019 Nov 5:367:l5922. doi: 10.1136/bmj.l5922. 2. Ahmad H, Shahnawaz A, Effects of vestibular rehabilitation in the management of a vestibular migraine: a review. Front Neurol. 2018; 9: 440. doi: 10.3389/fneur.2018.00440. 3. Herdman SJ. Vestibular rehabilitation - current opinion in neurology. Curr Opin Neurol. 2013 Feb;26(1):96-101. 4. Alyahya D, Alzahrani S, Alghamdi M, Alassiri A, Alharbi M.Perception, knowledge, and attitude of medical practitioners in Saudi Arabia about the role of physiotherapists in vestibular rehabilitation: a cross-sectional survey. Peer J. 2022;10:e14233. 5. Ekwall Hansson E. Vestibular rehabilitation – For whom and how? A systematic review. Adv Physiother. 2009;11(4):226-35. 6. Alghadir AH, Iqbal ZA, Whitney SL. An update on vestibular physical therapy. J Chin Med Assoc.2013;76(1):1-8. DOI: 10.1016/j.jcma.2012.09.00  7. Eldøen G, Kvalheim SE, Thesen T, Mygland Å, Ljøstad U, Bakke S, et al. Web-based vestibularrehabilitation in persistent postural perceptual dizziness. Brain Behav. 2021;11(6):e2290. 8. Garcia FV. Treatment failures in benign paroxysmal positional vertigo: role of vestibular rehabilitation. Rev Laryngol Otol Rhinol. 2005;126(4):217-20. 9. Han BI, Song HS, Kim JS. Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J Clin Neurol. 2011;7(4):184-96. 10. Weckel A, Fraysse MJE, Marx M, Fraysse B, Gallois Y, Chabbert C. Vestibular disorders: clinician ENT perspective on the need for research and innovation. J Neurol. 2020;267(4):920-8. 11. Power L, Shute W, McOwan B, Murray K, Szmulewicz D. Clinical characteristics and treatment choice in vestibular migraine. J Clin Neurosci. 2018;56:137-43. 12. Meldrum D, Burrows L, Cakrt O, Kerkeni H, Lopez C, Tjernstrom F, et al. Vestibular rehabilitation in Europe: a survey of clinical and research practice. J Neurol. 2020;267(3):778-87. 13. Hall CD, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife TD, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: an evidence-based clinical practice guideline: from the American Physical Therapy Association Neurology Section. J Neurol Phys Ther. 2016; 40(2):124-55. 14. Dunlap PM, Khoja SS, Whitney SL, Freburger JK. Predictors of physical therapy referral among persons with peripheral vestibular disorders in the United States. Arch Phys Med Rehabil. 2020;101(5):769-75. 15. van de Berg R, Murdin L, Whitney SL, Holmberg J, Bisdorff A. Curriculum for vestibular medicine (VestMed) proposed by the Bárány Society. J Vestib Res. 2022;32(2):89-98. doi: 10.3233/ VES-210095

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411619EnglishN2024October10Life Sciences Estimation of Gestational Age from Human Fetal Diaphyseal Length of Femur     English0714Sana KhanEnglish Vaishali MandhanaEnglish Gautam ShroffEnglish Introduction: Length of femur is the good marker of late gestational age. Femur length denotes exact gestational age and helps in classification of fetus as pre-term, term or post-term. Also, it is an important parameter in medicolegal cases like decomposed fetuses, infanticide and mutilated parts of fetus. This study was mainly conducted to estimate the gestational age from human fetal diaphyseal length of femur. Material and Methods: Study was conducted on 35 human aborted fetuses obtained from OBGY department of MGM Medical college, Aurangabad and 70 femurs of right and left side were dissected out in Anatomy department of same institute for the fetal femur morphometry and its correlation with gestational age. Fetuses were divided into 4 groups as A, B, C, D according to their gestational age and diaphyseal length i.e., measurement from greater trochanter to lateral condyle (L1) was measured. Results: In each group following parameter was analyzed by descriptive statistics. The Mean +SD, minimum and maximum values for diaphyseal length of femur (L1) was calculated in each group. L1 of right femur increases gradually from 38.96 mm in group A to 74.294 mm in 32 in group D. Similarly for left femur, the diaphyseal length increase gradually from 38.971 mm in group A to 76.594 mm in group D. The mean diaphyseal length L1 of both right and left side is 38.95 in group A and 75.44 in group D, shows linear correlation with gestational age. It was found that femur length gives a positive correlation with gestational age. Conclusion: Diaphyseal length of fetal femur, is one of the most important parameter for the estimation of gestational age in 2nd and 3rd trimester. EnglishFetal femur length (L1), Gestational age, Crown rump length, Greater trochanter, Lateral condyle, Univariate statistical equations, Femur growth, Medicolegal importance, Ossification, Diaphyseal lengthhttp://ijcrr.com/abstract.php?article_id=4823http://ijcrr.com/article_html.php?did=4823 1. Carol B, Peter M. Callens ultrasonography in obstetrics and gynecology. sixth edition. Philedelphia: Elsiever. 2017; p.118-131. 2. Campbell S, Wars of SL, Little D, Cooper DJ. Routine ultrasound screening for the prediction of gestational age. Obstet Gynecol. 1985 May;65(5):613-20. 3. Ziyan T, Murshid KA. An assessment of femur growth parameters in human fetuses and their relationship to gestational age. Turk J Med Sci. 2003; 33: 27-32. 4. Vidhu D, Kanchan K, Mahesh S, Balbir S, Alka S. Morphometry of fetal femora as an indication of gestational age: Eur. J. Anat. 2014;18 (2): 85-92. 5. Khan Z, Faruqi NA. Determination of gestational age of human fetuses from diaphyseal lengths of long bones-A Radiological study. J. Anat. Soc. India. 2006; 55[1]:67-71. 6. Mukta M, Prashant G, Vineet N. ‘’Fetal gestational age estimation by fetal foot length measurement and femur to foot length ratio in Indian population-A prospective study.’’ JEMDS. 2014 March; 3(10):2620-2625. 7. Chaithra Rao BR, Sunkeswari S, Kalghatgi RN. The study of relation between gestational age of human fetuses and diaphyseal length of femur using ultrasonography. Int J Anat Res 2017, 5(1):3342-49. 8. Carneiro C, Curate F, Borralho P, Cunha E. Radiographic fetal osteometry: Approach on age estimation for the Portuguese population. Forensic Sci Int. 2013 Sep 10; 231(1-3): 397. e1-5 9. Beazly JM, Underhill RA. Fallacy of the fundal height. Br Med J, 1970; 4: 404-6. 10. Andrzej MB, Ma?gorzata K, Joanna M, Bart?omiej MK, Jerzy SG. Is manual foot length measurement of comparable value to ultrasound femur and humerus measurement in anatomical studies for the assessment of foetal age? Folia Morphol. 2004 May; 63(2):203-7.