International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - 6(20), October, 2014

Pages: 61-65

Date of Publication: 20-Oct-2014


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COMPARISON OF TREADMILL VERSUS CYCLE ERGOMETER TRAINING ON FUNCTIONAL EXERCISE CAPACITY IN NORMAL INDIVIDUALS

Author: Zahara K. Polen, Snehal Joshi

Category: Healthcare

Abstract:Background : There is an increasing awareness among the people about fitness and health. The bicycle ergometer and treadmill are the commonest forms of indoor aerobic exercises. Motor driven treadmill exercise is similar to walking or jogging or running depending upon the speed of the treadmill. In case of bicycle ergometer the amount of exercise can be controlled voluntarily by pedaling the cycle with predefined resistance. Aim of Study: The study was aimed at finding out the effects of these commonly used machines in gyms and in cardiovascular rehabilitation and comparing these effects. Methodology: type of study \? experimental type. • Subjects were randomly allotted into two groups of 10 each. One group underwent treadmill training and the second group underwent cycle ergometer training for 30min, 3days per week for four weeks. The intensity of training was within 60% to 70% of age matched target heart rate(5) which was monitored using pulse oximeter.(12) • Shuttle walk test was admistered pre and post training and the results were recorded. • Vo2 was calculated using the formula (0.0289 *distance)+17.46.(6) • Results were analysed using paired t test for intra group analysis and unpaired t test for inter group analysis. Results: According to the study conducted the increase in shuttle walk distance and Vo2 values post treadmill training and cycle ergometer training were found to be extremely significant. No significant difference was seen between the improvements in two groups.Conclusion: Our study concludes that, treadmill and bicycle ergometer are equally effective in improving functional exercise capacity.

Keywords: Fitness, Aerobic exercises, Shuttle walk test, Vo2 values, Heart rate, Treadmill, Cycle ergometer

Full Text:

INTRODUCTION
Physical fitness is a state of well-being with low risk of premature health problems and energy to participate in a variety of physical activities. Physical fitness is classified into health related and skill related categories. Health related fitness is the ability to perform activities of daily living without undue fatigue. Its components are cardiorespiratory endurance, muscular strength and endurance, flexibility and body composition. (1) Physical fitness is generally achieved through correct nutrition, exercise, hygiene and rest. To stay healthy, it is important to engage in physical activity. The primary recommendations from the ACSM and AHA regarding guidelines for physical activity suggest that all healthy adults aged 18 to 65 need moderate-intensity aerobic physical activity for a minimum of 30 minutes five days per week, or vigorous activity for a minimum of 20 minutes three days per week.(2) Aerobic exercise is associated with low-intensity, repetitive exercise of large muscle groups performed over an extended period of time. Aerobic exercise depends primarily on the aerobic energy-generating process. Aerobic refers to the use of oxygen to adequately meet energy demands during exercise via aerobic metabolism. This mode of exercise primarily increases muscular and cardiopulmonary endurance. Aerobic exercises include walking, cycling, jogging, running, swimming, skating, and skiing. Indoor aerobic exercises include treadmill, stationary bicycle, elliptical trainer, stair climbing, etc. (3) The bicycle ergo meter and treadmill exercises are the commonest to perform as indoor aerobic exercises. The motor driven treadmill exercise can be similar to walking or jogging or running if the speed of the treadmill motor is changed accordingly .Bicycle ergometer is exercise is similar to cycling. The intensity of exercise can be changed by varying the amount of resistance. There is an increasing awareness among the people about fitness and health. Healthy adults are being encouraged to exercise regularly to fight the effects of aging and avoid health problems. There has been a significant increase in the number of people joining health clubs, gyms and other fitness centers. A study was conducted which found that Values of HRmax were significantly higher on treadmill than cycle ergometer for each testing session. The subjects had significantly higher relative VO2max on treadmill than cycle ergometer for each testing session. (9) In a study conducted, it was found that ground walk training increased endurance walking capacity more than cycle training and was similar to cycle training in improving peak walking capacity, peak and endurance cycle capacity and quality of life. (10) This study was attempted to see whether treadmill training and cycle ergometer training improves functional exercise capacity and which of the two machines has a better effect, since both these equipments have their own advantages and disadvantages. The change in functional exercise capacity was indicated by shuttle walk distance and Vo2 consumed pre and post training.

MATERIALS AND METHODOLOGY
The project was sent to Ethical committee for approval and clearance was obtained. Healthy subjects between 18 to 24 years of age were selected. PAR-Q was administered to the subjects. The subjects were informed about the project and written consent was obtained. Study Type: Experimental Type. Inclusion Criteria: Healthy individuals of age group 18 to 24 years. Exclusion Criteria: Person with 1. Normal individual training in a gym or exercising regularly 2. A known Cardiac and Respiratory disorder 3. Any systemic Illness at the time of training and 4. Lower limb orthopaedic problems Materials used: Treadmill, bicycle ergometer, pulse oximeters to monitor heart rate during exercise, 10m track for shuttle walk test, shuttle walk test, audio CD, CD player, calculator, book and a pen.

METHODOLOGY
 • Shuttle walk test was administered to each healthy subject and results were recorded.

• Subjects were randomly allotted into two groups. One group underwent treadmill training and the second group underwent cycle ergometer training for 30min, 3days per week for four weeks. The intensity of training was within 60% to 70% of age matched target heart rate(5) which was monitored using pulse oximeter.(12)

• At the end of four weeks, subjects were reassessed using shuttle walk test and the results were recorded.

• Vo2 was calculated using the formula (0.0289 *distance)+17.46.(6)

• The Shuttle Walk Test (SWT) is a submaximal, standardized, incremental walking test that measures functional capacity by exercising an individual to a symptom limited maximal performance.

This incremental exercise test requires patients to walk at increasing speeds back and forth a 10-m course. (6)

STATISTICAL TESTS
Results were analysed using paired t test for intra group analysis (i.e for pre and post effect of each) and unpaired t test for inter group analysis (i.e for pre and post effect of each).

RESULTS
On observational analysis it was seen that there was a significant increase in exercise capacity brought about by treadmill training protocol and cycle ergometer training indicated by the increase in shuttle walk test distance and Vo2 values post training protocol. There was no significant difference between the improvements in exercise capacity in treadmill as compared to bicycle ergometer.

DISCUSSION
The increase in shuttle walk distance and Vo2 values post training protocol on treadmill as well as cycle ergometer is due to the adaptations in skeletal muscle and bone, metabolic changes and cardiovascular adaptations that take place in the body following aerobic exercise and training. (7) Skeletal muscle adapts to endurance training chiefly through a small increase in the cross-sectional area of slow-twitch fibers, because aerobic activity primarily recruits these fibers. Endurance training also increases number of capillaries in skeletal muscle, thereby allowing a greater capacity of blood flow in the exercised muscle. (7) Significant metabolic adaptations occur in skeletal muscle in response to endurance training. Both the size and number of mitochondria increase substantially as does the activity of oxidative enzymes. Myoglobin content in the muscle is also augmented. Such adaptations combined with increase in capillary and muscle blood flow in the trained muscle, greatly enhance the oxidative capacity of endurance trained muscle. (7) After training, stroke volume is increased at rest, during submaximal exercise, and during maximal exercise; conversely, post training heart rate is decreased at rest and during submaximal exercise and is usually unchanged at maximal rates of work. The increase in stroke volume appears to be the dominant change and explains most of the changes observed in cardiac output. Arterial blood pressure at rest, blood pressure during submaximal exercise, and peak blood pressure all show a slight decline as a result of endurance training. (7) Body response to exercise depends on the type of exercise. Cardiovascular changes again depend on the type of exercise and severity of exercises. Cardiovascular responses differ in bicycle ergometer exercise and treadmill exercise as the method of exercise differs. Studies have shown that increase in heart rate was more in treadmill exercise compared to bicycle ergometer exercise. Systolic blood pressure increases more in treadmill exercise compared to bicycle ergometer exercise due to more sympathetic activation. (8) The study conducted also shows no significant difference between improvements in between the two groups that is treadmill and bicycle trained individuals. This is due to the fact that both types of exercises primarily focus on large muscles of the lower limb. Responses in the exercised muscle produce an effect on central circulation and leg blood flow. In both cases similar muscular and cardiovascular adaptations are produced responsible for the increase in shuttle walk distance and increased V02 value in both groups. Hence treadmill and bicycle ergometer can be interchangeably used for training.

CONCLUSION
The study shows that there is an extremely significant increase in exercise capacity brought about by treadmill training protocol indicated by the increase in shuttle walk test distance and Vo2 values post training protocol. The increase in exercise capacity post cycle ergometer training protocol was very significant as indicated by the increase in shuttle walk distance and Vo2 values. There was no significant difference between the improvements in exercise capacity in treadmill as compared to bicycle ergometer. Thus, it is concluded that, treadmill and bicycle ergometer are equally effective in improving functional exercise capacity.

CLINICAL IMPLICATION:
Since both treadmill and cycle ergometer are equally effective in improving functional exercise capacity, they can be used interchangeably or as per convenience. Treadmill can be used by younger individuals as it brings about higher energy expenditure as compared to bicycle. (11) Also walking is a familiar movement pattern as opposed to cycling. Since treadmill walking or running is in the weight bearing position it puts more stress on the joints especially the knees and may not be suitable in individuals with arthritis or injuries. Also it involves exercising on an unstable surface and can be hazardous for individuals with poor balance. Bicycle ergometer is a non weight bearing exercise and can be used in older individuals. Also it is a stable exercise. The increase in heart rate is also comparatively lesser than treadmill hence it is better for patients with cardiac conditions. However, it has a lower energy and caloric expenditure as compared to treadmill. (11) The advantages of Bicycle ergometer are that is more economic, occupies less space compared to treadmill and does not require electricity to run whereas treadmill does require electricity(8)

ACKNOWLEDGEMENT:
Authors would like to express their gratitude to the Principal and the staff of D.E.Society’s Brijlal Jindal College of Physiotherapy, Pune for their constant support and encouragement and for letting me use the college OPD and the college equipments. They are also thankful to the subjects of this study for their valuable participation. The authors of this study also acknowledge the great help received from the scholars whose articles are cited and included in references of this manuscript. The authors are also grateful to authors/ editors/ publishers of all those articles, journals and books from where the literature for this article has been reviewed and discussed. Authors are grateful to IJCRR editorial board members and IJCRR team of reviewers who have helped to bring quality to this manuscript.

References:

1. Dr Wener Hoeger, Sharon Hoeger Principles and labs for fitness and wellness, 12th edition.

2. American College of Sports Medicine ACSM’s Guidelines for Exercise Testing and Prescription 8th edition.

3. Carolyn Kisner, Lynn-Allen Colby Therapeutic exercise 5th edition, pages 165, 232-240.

4. Vanessa Noonan, Elizabeth Dean Submaximal Exercise Testing: Clinical Application & Interpretation Physical Therapy Journal, Vol 80, August 2000, pages 782-807.

5. W.D. McArdle, F.I. Katch and V.L. Katch Exercise Physiology 6th edition, Chap. 21.

6. Patricia J. Ohtake Field tests for aerobic capacity for children and older adults Cardiopulmonary Physical Therapy Journal, Vol 6 June 2005, pages 3-11.

7. Center for Disease control and Prevention CDC Physiological responses and long term adaptation to exercise Physical activity and health, chap. 3.

8. Dr R. Kisan, Dr S. Kisan, Dr Anitha, Dr Chandrakala Treadmill and bicycle ergometer exercise: cardiovascular response comparison Global Journal of Medical Research, Vol 12 June 2012, pages 23-25.

9. Fabien Basset, Marcel Boulay Treadmill and Cycle ergometer tests are interchangeable to monitor triathletes annual training Journal of Sports Science and Medicine (2003) 2, pages 110-116.

10. Leung, R.W.M. , Alison, J.A., McKeough, Z.J., Peters, M.J Ground walk training improves functional exercise capacity more than cycle training in people with chronic obstructive pulmonary disease (COPD): A randomized trial Journal of physiotherapy, Vol. 56 June 2010, pages 105-112

11. Anne Zeni, Martin Hoffman, Philip Clifford Energy Expenditure with Indoor Exercise Machines Journal of American Medical Association Vol 275, May1996, pages 1424-1427

12. Y. Iyriboz,S. Powers, J. Morrow, D. Ayers and G. Landry Accuracy of pulse oximeters in estimating heart rate at rest and during exercise Br J Sports Med 1991, pages 162-164



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Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A study by Dorothy Ebere Adimora et al. entitled \"Remediation for Effects of Domestic Violence on Psychological well-being, Depression and Suicide among Women During COVID-19 Pandemic: A Cross-cultural Study of Nigeria and Spain\" is awarded Best Article of Vol 14 issue 23
A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
A study by Saurabh Suvidha entitled \"A Case of Mucoid Degeneration of Uterine Fibroid with Hydrosalphinx and Ovarian Cyst\" is awarded Best article of Vol 14 issue 21
A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
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A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
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A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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