Himanshu Rajeev Sharma

Global Asymmetries in Spinocerebellar Ataxia Research: A Critical Review of Epidemiological, Diagnostic and Translational Challenges

Himanshi Mahawar, Himanshu Rajeev Sharma, Pritesh Prajapat

Spinocerebellar ataxias are a genetically heterogeneous group of dominantly inherited neurodegenerative disorders in which progressive cerebellar dysfunction is accompanied by variable extracerebellar involvement. Three decades of molecular work have produced an unusually detailed map of causative loci, yet the global picture of …

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Comparing Effect of Mat Exercise and Gym Ball Exercise Regime on Trunk Control and Functional Balance in Patients with Chronic Stroke

Pritesh Prajapat, Himanshu Rajeev Sharma

Persistent impairment of trunk control is an important constraint on balance, mobility and independence after stroke. Selective trunk exercise performed on a stable mat or plinth and on an unstable gym ball has therefore been proposed to extend task-specific practice beyond conventional …

Motor Control Training and Joint Reposition Sense in the Asymptomatic Shoulder: A Critical Narrative Review

Himanshu Rajeev Sharma

The glenohumeral joint depends on afferent proprioceptive feedback, and specifically joint position sense, to compensate for the limited bony constraint that permits its wide range of motion. Motor control and resistance-based training programmes are widely prescribed on the assumption that they enhance …

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Artificial Intelligence in Musculoskeletal Physiotherapy: A Critical Narrative Review of Diagnosis, Clinical Decision Support and Personalised Exercise Prescription

Himanshu Rajeev Sharma

Musculoskeletal disorders account for a substantial share of global years lived with disability, and physiotherapy services in most health systems operate under demand that exceeds available capacity. Artificial intelligence has been proposed as a means of sharpening diagnostic judgement, structuring clinical reasoning …

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