Original
Article
3
Effect of Cervical Proprioceptive Sensorimotor Training Combined With Ergonomic Postural Correction Versus Conventional Cervical Exercises on Cervical Joint Position Error, Postural Alignment, Neck Pain, and Functional Performance in Adults With Chronic Mechanical Neck Pain
Dr. Sana Nawaz1, Dr. Rida Sohail2, Dr. Zunaira3, Sumaira Kanwal4, Dr. Sarfraz Ahmad5, Abdul Rehman Noor6, Dr. Haseeb Arain7, Dr. Hafiza Mubashra*8
1Consultant Physical Therapist, Al Hayat Physio & Rehab Clinic, Lahore, Pakistan; Senior Physiotherapist, Ajwa Clinic, Bahria Town, Lahore, Pakistan, 2Physical Therapist, Al Umeed Rehabilitation Association for Cerebral Palsy (AURA), 3Senior Physiotherapist, Turkish International Hospital, Karachi, 4Senior Physiotherapist, Al Joud Healthcare, Abu Dhabi, 5CEO, Physiosic Neuro Spine and Joints Pain Care Center, 6Physical Therapist | ORCID iD: 0009-0004-7625-5357, 7Orthopedic Manual Therapist, Flexfit Pro Physiotherapy Clinic, Faisalabad, 8*Senior Physiotherapist, Alkarim Hospital, NNS.
Background:
Chronic mechanical neck pain is frequently accompanied by altered cervical
sensorimotor control, impaired joint repositioning accuracy, forward-head
posture, pain, and activity limitation. Exercise-based rehabilitation may
improve symptoms, while specific proprioceptive and sensorimotor training
targets impaired cervical afferent processing more directly.
Objective: To
determine whether cervical proprioceptive sensorimotor training combined with
ergonomic postural correction produces greater improvements in cervical joint
position error (JPE), postural alignment, neck pain, and functional performance
than conventional cervical exercises in adults with chronic mechanical neck
pain.
Methods: In this
two-arm, parallel-group randomized controlled trial template, 60 adults with
chronic mechanical neck pain are allocated 1:1 to an experimental group
receiving cervical proprioceptive sensorimotor training plus ergonomic postural
correction or a control group receiving conventional cervical exercises. A
6-week intervention with three supervised sessions per week is proposed.
Primary outcome is cervical JPE; secondary outcomes include craniovertebral
angle, Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), and
Patient-Specific Functional Scale (PSFS).
Results:
Illustrative results are provided only to demonstrate appropriate within-group
and between-group reporting, tables, and graphs. The simulated pattern favors
the combined intervention across the prespecified outcomes; no clinical
inference should be made from these placeholder values.
Conclusion: The
proposed trial directly tests whether combining cervical sensorimotor
retraining with ergonomic correction provides additional benefit over
conventional cervical exercise. Actual conclusions should be based exclusively
on the final analyzed dataset.
Original
Article
3
A Cross-Sectional Study on Awareness Regarding Sexually Transmitted Infections Among Adults in Selected Rural Communities.
Dr. R. Venkatesh*1, Dr. M. Shakthi Priya2, Dr. A. M. Janani3
1*Department of Noi-Naadal and Noi Mudhal Naadal,, 2Department of Gunapadam Marunthiyal ,, 3Department of Gunapadam Marunthakaviyal, Nandha Siddha Medical college and HospitL, Erode, Tamilnadu, Pin – 638052.
Background: Sexually transmitted
infections (STIs) are a major health problem. Awareness about their
transmission, prevention, testing, and treatment is important, especially among
young adults. This study aimed to assess STI awareness among adults in selected
coastal communities of Kanyakumari district, Tamil Nadu.
Methods: A cross-sectional
study was conducted among 150 adults aged 18–30 years. Data were collected
using a printed questionnaire administered in selected coastal communities. The
questionnaire included questions about STI transmission, symptoms, prevention,
testing, and treatment. The data were analysed using frequencies and
percentages.
Results: The study included 62
(41.3%) males and 88 (58.7%) females. Among the participants, 60 (40%) were
students, 40 (26.7%) were employed, and 50 (33.3%) belonged to other
occupational groups. Of the recorded responses, 90 participants knew that
condoms could help prevent STIs, and 75 knew that STI testing was available.
However, some questionnaire responses were incomplete, so the overall level of
STI awareness could not be clearly determined.
Conclusion: Awareness about STIs
is important for preventing infections and encouraging early testing and
treatment. Health education programmes may help improve STI awareness among
young adults in coastal communities. Complete data are needed to draw clear
conclusions.
Original
Article
3
Effect of Schroth-Based Corrective Exercises Combined With Smartphone-Based Postural Feedback Versus Conventional Postural Exercises on Thoracic Kyphosis, Spinal Mobility, Postural Alignment, and Quality of Life in Middle-Aged Adults: A Randomized Controlled Trial
Dr. Suman1, Dr. Sarfraz Ahmad2, Dr. Maryam Ramzan3, Dr. Ahmed Mian4, Dr. Haseeb Arain5, Dr. Insha Jane6, Dr. Hafiza Mubashra*7
1Physiotherapist, National Institute of Cardiovascular Diseases, Karachi, 2CEO, Physiosic Neuro Spine and Joints Pain Care Center, Lahore, Pakistan., 3Physiotherapist, Ability Enhancer Academy; House Officer, Jinnah Postgraduate Medical Center, Karachi, 4Physiotherapist, MALC Rehabilitation Center, Kamber and Shahdadkot, 5Orthopedic Manual Therapist, Flexfit Pro Physiotherapy Clinic, Faisalabad, 6Doctor of Physical Therapy; House Officer, Jinnah Postgraduate Medical Center, Karachi, 7*Senior physiotherapist at Alkarim Hospital, NNS, Pakistan.
Background:
Thoracic hyperkyphosis and impaired sagittal alignment may be associated with
reduced thoracic mobility, altered movement strategies, discomfort, and poorer
quality of life. Exercise programmes can improve postural parameters, but the
additional value of real-time smartphone feedback during a three-dimensional
corrective exercise programme remains insufficiently established. Objective: To
compare an eight-week Schroth-based corrective exercise programme combined with
smartphone-based real-time postural feedback with a dose-matched conventional
postural exercise programme in middle-aged adults with increased thoracic
kyphosis. Methods: This assessor-blinded, parallel-group randomized controlled trial
model includes adults aged 40–60 years with increased thoracic kyphosis.
Participants receive three 50-minute supervised sessions per week for eight
weeks, plus 15 minutes of daily home practice. The primary outcome is thoracic
kyphosis angle. Secondary outcomes include thoracic mobility, sagittal postural
alignment, and quality of life. Assessments occur at baseline, week 4, week 8,
and follow-up. Results: In the illustrative dataset, the combined Schroth and
smartphone group shows larger numerical improvements in kyphosis, mobility,
alignment, and quality of life than conventional postural exercise. These
numerical findings are simulated and are not clinical evidence. Conclusion: The
protocol provides a reproducible framework for testing whether immediate
digital postural feedback adds benefit to a structured three-dimensional
corrective exercise programme.
Original
Article
9
The Relation Between Thought and Language: Locke's Theory of Meaning and Wittgenstein's Private Language Argument
Jin Yang*1
1*Department of Foreign Languages, University of Shanghai for Science and Technology, Shanghai, China.
Locke's Essay Concerning Human
Understanding treats words as outward marks of inner ideas. That
position seems to imply that language is private. Wittgenstein's private
language argument in the Philosophical Investigations challenges
the implication at its root. This paper looks at the tension inside Locke's
theory of meaning and at Cook's reading of Wittgenstein, with recent
scholarship in view. Locke's ideational theory faces a structural conflict. It
holds that thought is unknowable, and it also holds that words express ideas.
Wittgenstein's treatment of private language is better understood as a
grammatical investigation than as a single argument. Its aim is to dissolve the
temptation to treat sensations as private objects. Ying Li's recent work (2024)
shows that Locke is not the private-language theorist he is often taken to be:
the meaning of words is settled by public use. Recent research tends to read
the private language argument as a grammatical therapy for the urge to
privatize thought, not as an empirical thesis about language.
Original
Article
9
Sensation and Rules: Revisiting Two Core Issues in the Private Language Argument
Jin Yang*1
1*Department of Foreign Languages, University of Shanghai for Science and Technology, Shanghai, China.
The private language problem has long held a central place in the
philosophy of language. It does so in part because two difficult questions meet
there: what role sensations play in meaning, and what it is to follow a rule.
Locke's Essay Concerning Human Understanding already contains
a tacit argument for the privacy of language. Wittgenstein, in the Philosophical
Investigations, turns that argument into a series of thought experiments
whose method is grammatical rather than demonstrative. This paper sets aside
the attempt at another comprehensive reading. It asks two narrower questions.
Can the meaning of sensation words rest on private objects? Is a private rule
possible once public criteria of correctness are removed? Ayer, Cook, and
Kripke give different answers. Drawing on recent scholarship, we argue that
Wittgenstein's work is closer to therapy than to refutation, and that Kripke's
rule-skepticism, while philosophically powerful, marks a hermeneutic shift. The
most important step in the argument, on this reading, is the treatment of
privacy claims as meaningless grammatical propositions.