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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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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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Systematic Review | Open Access

Published on: 23 Feb 2026

Article ID: wjptr.2026.b2308

A Study on the Role of Intermittent Neuromuscular Technique Versus Nutritional Intervention (Fruits and Vegetables) Along with Conservative Management in Patients with Cervicogenic Headache: A Systematic Review
Nagamanikandan R 1 Muthukrishnan P* 2

Background: Cervicogenic Headache (CGH) is a symptomatic headache condition. Causing from, cervical segmental dysfunction, suboccipital muscle hypertoxicity and neuromuscular dysfunction. Non-invasive treatment including, physiotherapy, postural education, and pharmacotherapy treatment, is extensively utilizes, however complementary strategies, may improve outcomes. This systematic review assesses the comparative effectiveness, in Intermittent Neuromuscular Technique (INMT)…

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