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Research Article | Open Access

Published on: 28 Feb 2026

Article ID: wjptr.2026.b2802

Cervico-Thoracic Fascial Densification and Altered Force Transmission Induced by Prolonged Smartphone Use: A Multimodal Ultrasonographic, Elastographic, and Electromyographic Investigation with Targeted Physiotherapy Modulation
P. Muthukrishnan* 1 Dr. Raja Durai 2

Background: Smartphone-related neck disorders predominantly focus on postural kinematics and muscle activation patterns. The cervico-thoracic fascial system's role in altered load transmission during prolonged mobile device use remains uncharacterized. This study investigates fascial densification, shear-strain impairment, and myofascial force transmission dysfunction in smartphone users.

Objective: To evaluate cervico-thoracic fascial…

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Research Article | Open Access

Published on: 28 Feb 2026

Article ID: wjptr.2026.b2803

Association of Study Posture Variability, Backpack Carrying Pattern, Late Night Study Habits, and Study Break Frequency with Musculoskeletal Discomfort and Fatigue Among Students: An Observational Study
Meera Swathi* 1 Muthukrishnan P 2

Background: Musculoskeletal discomfort among students has become increasingly prevalent due to prolonged sitting, poor postural habits, and demanding academic schedules. However, limited evidence exists on the combined influence of postural variability, backpack carrying patterns, late night study habits, and break frequency on these outcomes.

Objective: This study aimed to investigate the association between study posture variability, backpack…

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Research Article | Open Access

Published on: 28 Feb 2026

Article ID: wjda.2026.b2804

Perceived Education-Job Mismatch in Nigeria: Prevalence, Moderators and Outcomes
Abah Monday Onoja* 1

Perceived Education-job mismatch is an individual's subjective belief that their education or degree does not align with the requirements of their job. This research aims to investigate the association between education-job mismatch and two groups of individual and workplace outcomes in Nigeria. A second aim also is to test the extent to which these associations can be moderated by personality traits and employability. A sample of 303 (64.7% male and 35.3% female) graduates from Nigeria were…

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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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