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Research Article | Open Access

Published on: 02 Mar 2026

Article ID: wjptr.2026.c0203

Prevalence of Smartphone-Related Cervico Scapulothoracic Postural Deviations and Musculoskeletal Symptoms Among College Students: A Cross-Sectional Observational Study
P. Muthukrishnan* 1 Dr. Raja Durai 2

Background: Smartphone usage among college students has become ubiquitous, with daily screen time exceeding 4–6 hours in sustained flexed cervical postures. Prolonged smartphone engagement precipitates forward head posture, scapular dyskinesis, and associated musculoskeletal symptomatology. However, the integrated prevalence of cervico-scapulothoracic postural deviations specifically in college-age populations remains incompletely…

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Case Report | Open Access

Published on: 02 Mar 2026

Article ID: wjh.2026.c0204

Hb M- Hyde Park - Rare Hemoglobinopathy in Tamil Nadu
Dr. A. Noorul Ameen* 1

Cyanosis is most often due to cardiac or pulmonary disease, but genetic and acquired disorders of hemoglobin can result in significant arterial desaturation. Disorders such as methemoglobinemia, sulfhemoglobinemia, Hemoglobin M, Low oxygen affinity hemoglobin are the differential diagnosis once cardiopulmonary causes were excluded [1]. Acquired disorders are more common whereas long standing symptoms or symptoms in siblings is suggestive of hereditary causes. A 23-year-old female patient…

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Review Article | Open Access

Published on: 02 Mar 2026

Article ID: wjot.2026.c0205

The Truth about Hearing
Dr. Jan Myjkowski* 1

The paper discusses the direct path of sound waves to the receptor, especially high frequencies. Attention was drawn to inertia in the middle and inner ear. The significance of the resonance of the longitudinal wave in the fluid with the transverse wave of the basilar membrane's natural vibrations was critically assessed. Problems related to the rocking movements of the stapes and the difference in the speed of the sound wave in the fluid and the traveling wave on the basilar membrane were…

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Research Article | Open Access

Published on: 28 Feb 2026

Article ID: wjptr.2026.b2801

Impact of Chronic Mobile Phone-Induced Postural Stress on Autonomic Nervous System, Hormonal Balance, and Cognitive Fatigue: A Physiotherapy-Based Intervention Study
P. Muthukrishnan* 1 Dr. Raja Durai 2

Background: Prolonged mobile phone use induces forward head posture (FHP), creating a bidirectional pathway linking musculoskeletal strain to neuroendocrine dysregulation and cognitive impairment. No existing global study integrates postural biomechanics, autonomic nervous system function, hormonal biomarkers, and cognitive outcomes in smartphone populations.

Objective: To investigate the multisystem impacts of chronic mobile phone-induced…

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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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