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Review Article | Open Access

Published on: 26 Feb 2026

Article ID: wjmd.2026.b2601

Multimodal Biomechanical, Neuromuscular, and Sensorimotor Alterations Associated with Prolonged Smartphone Use and Their Response to Targeted Physiotherapy Intervention
Muthukrishnan P* 1 Rajadurai S 2

Smartphone use has emerged as a significant risk factor for cervical musculoskeletal dysfunction, yet the integrated mechanistic pathways remain inadequately characterized. This study examined the temporal relationship between smartphone exposure and biomechanical, neuromuscular, and sensorimotor alterations in the cervical spine, coupled with physiotherapy-driven recovery mechanisms. We conducted a prospective, randomized controlled trial with 94 asymptomatic to minimally symptomatic…

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Research Article | Open Access

Published on: 26 Feb 2026

Article ID: wjmd.2026.b2602

Comparative Effectiveness of Intermittent Neuromuscular Electrical Stimulation Versus High-Fruit-and-Vegetable Dietary Intervention as Complementary Therapies in Cervicogenic Headache Management: A Randomized Controlled Trial with Mechanistic Outcomes
Nagamanikandan R 1 Muthukrishnan P* 2

Cervicogenic Headache (CGH), originating from cervical musculoskeletal dysfunction and associated neuropathological cascades, represents a significant clinical burden affecting 2.5-4.1% of the global population with limited evidence-based complementary intervention strategies. This randomized controlled trial evaluated the comparative effectiveness of Intermittent Neuromuscular Electrical Stimulation (INES) versus High Fruit-and-Vegetable (HFV) dietary intervention as adjuncts to standard…

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Case Report | Open Access

Published on: 26 Feb 2026

Article ID: wjprm.2026.b2603

Empyema Superimposed on Pseudochylothorax: A Report of a Rare Case
Rezaeifar P 1 Naghavinia A* 1

Background: Pseudochylothorax is an uncommon chronic pleural effusion characterized by elevated pleural cholesterol levels and typically associated with long-standing pleural inflammation, most commonly Rheumatoid Arthritis (RA) and tuberculosis. Although usually sterile, secondary infection may rarely complicate the condition, particularly in immunocompromised patients, posing diagnostic and therapeutic challenges.

Case: A 54-year-old man with…

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Research Article | Open Access

Published on: 23 Feb 2026

Article ID: wjd.2026.b2301

Demography, Incidence, Prevalence, and Comorbidities in Hidradenitis Suppurativa: Insights from a Large-Scale Database Analysis
Nima Karodeh 1 Jordan Young 1 Shanae' Henry 1 Ugonna Nwannunu 1 Gianna Haskin 1 Samrawit Zinabu 2 Akachukwu Eze 1 Isha Wilson 1 Destyni Hubbard 1 Zaria Franklin 1 Rawan Elkomi 2 Elizabeth Beyene 2 Mekdem Bisrat* 2 Miriam Michael 2,3

Background and Aims: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by painful nodules, abscesses, and draining tunnels in intertriginous regions. Despite extensive research since its description in 1854, the global prevalence remains highly variable (0.053%-4.1%), with notable disparities across demographic groups. This study examines demographic patterns and prevalence trends of HS in the United States to inform targeted public health…

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Opinion | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2302

Prevalence of Early Musculoskeletal Discomfort Related to Digital Device Multi-Tasking and Ergonomic Practices in College Students
Swaminathan V* 1 Dr. Nisarudeen M 2

Background: The increased and rapid use of digital devices puts college students into a state of prolonged screen time, multi-tasking behaviors, and poor ergonomics practices, leading to early musculoskeletal discomfort. Early symptoms need to be identified to help avoid long-term musculoskeletal disorders.

Objective: To ascertain the prevalence of early musculoskeletal discomfort associated with digital device multi-tasking and ergonomic…

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Opinion | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2303

Prevalence of Functional Strength in Kabaddi Raiders and Defenders
Seenu S* 1 Dr. Nisarudeen M 2

Background: Kabaddi is high-intensity contact sport that requires players to perform rapid, complex, and multi-directional movements such as sprinting, lunging, twisting, balancing, and resisting opponents. Functional strength is essential for optimal performance in kabaddi, as it integrates strength, balance, core stability, coordination, and neuromuscular control. Raiders and defenders have distinct roles and physical demands during match play, which may influence the…

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Research Article | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2304

Early Mobilization Protocols in Intensive Care Unit Patients: Evidence Based Approaches to Functional Recovery and Prevention of ICU Acquired Weakness
Muthukrishnan P* 1 Rajadurai S 2

Early Mobilization (EM) in the intensive care unit represents a paradigm shift in critical care rehabilitation, addressing the profound physiological consequences of prolonged immobilization in mechanically ventilated patients. This evidence synthesis examines contemporary research on early mobilization protocols and their impact on functional outcomes, ICU acquired weakness prevention, and healthcare utilization in critically ill populations. A systematic analysis of 15 randomized…

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Research Article | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2305

Impact of Prolonged Mobile Phone Use and Sustained Forward Head Posture on Musculoskeletal Dysfunction, Stress Hormone Regulation, and Autonomic Physiological Responses: A Physiotherapy Perspective
Muthukrishnan P* 1 Rajadurai S 2

Smartphone use has become ubiquitous in modern society, with global users exceeding 6.8 billion individuals. Sustained Forward Head Posture (FHP) adopted during prolonged mobile phone engagement represents a significant public health concern, influencing musculoskeletal integrity, neuroendocrine function, and Autonomic Nervous System (ANS) homeostasis. This narrative review synthesizes contemporary evidence examining the biomechanical consequences of "text neck," upper crossed syndrome…

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Research Article | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2306

Association Between Long-Duration Sitting with Forward Trunk Flexion During Mobile Device Use and Its Effects on Musculoskeletal Health, Neuroendocrine Function, and Psychological Well-being: Implications for Physiotherapy Intervention
Muthukrishnan P* 1 Rajadurai S 2

Background: Prolonged sitting with forward trunk flexion during mobile device use has emerged as a ubiquitous occupational and leisure-time behavior in contemporary society, with global implications for musculoskeletal health, metabolic function, and psychological well-being. The biomechanical consequences of sustained sitting posture, coupled with device-related behavioral patterns, create a multisystem physiological disruption affecting approximately 71% of the global…

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Case Report | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2307

Comparative Effectiveness of Intermittent Neuromuscular Versus Dietary Intervention (Fruits and Vegetables) as Complementary Interventions in a Patient with Cervicogenic Headache: A Case Study
Nagamanikandan R 1 Muthukrishnan P* 2

Background: Cervicogenic Headache (CGH) is a symptomatic headache disorder originating from cervical spine musculoskeletal impairment in functional capacity. Complementary investigations, such as Intermittent Neuromuscular Technique (INMT) and nutrition-based interventions, may provide additional clinical benefits.

Objective: To assess and contrast the clinical effectiveness of INMT vs nutritional impairments prioritising nutrient consumption of…

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