Aim: To evaluate the clinical effectiveness of telerehabilitation for various musculoskeletal disorders during the COVID-19 pandemic. Methods: This is a retrospective analysis of patients who underwent musculoskeletal telerehabilitation at a well-established physiotherapy centre in Central India between 1st April – 30th June 2020. A team of two experienced physiotherapists conducted one-on-one video-based physiotherapy sessions for every patient. The main outcome measures included pain reduction using the Numeric Pain Rating Scale (NPRS), functional goals achieved, and patient satisfaction. The effectiveness of treatment was determined based on the change in NPRS scores using the Wilcoxon signed-rank test. The relationship of percent change in NPRS and the functional score as well as the patient feedback score was obtained using Pearson’s correlation coefficient. Results: Of 77 patients who received telerehabilitation during the study period, 31 patients undergoing musculoskeletal rehabilitation who satisfied the eligibility criteria were included. There was a significant reduction in NPRS scores after rehabilitation (P < 0.0001). However, the median number of sessions and the baseline NPRS scores differed insignificantly for various patient characteristics. The distribution of functional score and change in NPRS demonstrated a moderately positive and significant correlation (P = 0.001). The relationship of patient feedback score with the change in NPRS was low positive. Conclusion: Telerehabilitation resulted in significant pain reduction among patients with various musculoskeletal disorders during the COVID-19 pandemic. A positive correlation was demonstrated between change in NPRS scores, patient-reported functional goals, and patient satisfaction. Hence, telerehabilitation provided by a trained physiotherapist can be an effective approach for conservative management of musculoskeletal pain. KEY WORDS: Telerehabilitation, Musculoskeletal disorder, Back pain, COVID-19.

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Introduction and Aim:One of the most utilized parts of the body when playing a wind instrument is diaphragm. It assists to blow air in and out of your lungs and into the instrument to create sound. Using controlled and measured breaths, the breathing and lung capacity could get improve. Even, music therapy, such as playing wind instrument has been used as a technique for managing and fastening recovery on a physical and emotional level.Therefore, aim of this study was to determine the effects of respiratory muscle training with wind instrument among obese individuals. The objective was to find out the effects of respiratory muscle training with wind instrument in improving maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity and reducing dyspnoea among obese individuals.   Materials and Methods: Study included 40 individuals with obesity aged 18-30years. Participants were equally divided into 2 groups- A and B. Group A treated with wind instrument (flute) and group B treated with incentive spirometer, both the groups were treated for 5 days a week for 5 weeks in which 1 session per day for 40 minutes with 5 minutes of warm up, 10 minutes of breathing training, 20 minutes of intervention training program and 5 minutes of cool down. Both the groups were tested for maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity using spirometry and dyspnea was graded with modified borg scale as a pre-test and post-test.   Results: The comparison of pre and post-test values of maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity and modified borg scale showed a statistically significant difference with p-value <0.0001. While comparing the post-test values of maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity and modified borg scale between group A and group B, group A showed higher result with statistical significant difference of p-value <0.0001.   Conclusion: Playing a wind instrument was found to be more effective than respiratory training using an incentive spirometer.

Aim: To determine the effects of stretch pole exercises on pulmonary functions among smartphone users.Objective: To evaluate the effects of stretch pole exercises on FEV 1 , FVC, and FEV1/FVC. Method: A total of 10 patients were selected based on the inclusion and exclusion criteria. Detailed procedure was explained to the patient in colloquial terms, and informed consent was obtained. They were allocated in a single group and were treated with stretch pole exercises. After four weeks forced vital capacity, forced expiratory volume in one second and the ratio of forced expiratory volume in one second to forced vital capacity was measured as a post test.Result: Based on the obtained statistics, there was significant improvement in FVC, FEV1 and FEV1/FVC ratio at the end of four weeks within the group when compared to the pre-test values (p<0.05). Conclusion:The study concluded that the stretch pole exercises both clinically and statistically have significant effect in improving forced vital capacity, forced expiratory volume in one second and their ratio among smartphone users.Therefore, the implementation of these exercises is recommended in clinical practice.

Recently, patients with respiratory diseases utilize different devices, which help the ejection of mucus from the airways and the change of pulmonary function. The point of the present investigation is to find out the effectiveness of the present devices of respiratory physiotherapy, as it originates from the survey of writing. The current devices of physiotherapy for patients with respiratory diseases are introduced as an option therapy strategy or a supplemental therapy and they can persuade patients to apply therapy without anyone else. The biofeedback techniques utilized as a part of rehabilitation depend on biomechanical measurements and estimations of the physiological systems of the body. The physiological frameworks of the body which can be measured to give biofeedback are the neuromuscular system, the respiratory system, and the cardiovascular system. This paper inspected distinctive articles in totally 35 are taken from standard journals, for example, IEEE, Science direct, PubMed and Pedro about the biofeedback devices for the respiratory system, airway choice and different devices and the performance of the techniques are analysed. Likewise, the quantity of extensive scale considers inspecting the utilization of respiratory biofeedback in rehabilitation is restricted. Estimations of development, postural control, and force output can be made by utilizing various different devices and used to express biomechanical biofeedback.