Occupational Strain and Its Potential Impact on Padatalagata Kurcha Marma (Plantar Neurovascular Complex at the Base of Toes) in Office Workers: A PRISMA-Guided Integrative Review
DOI:
https://doi.org/10.47552/ijam.v17i2.6649Keywords:
Padatalagata Kurcha Marma, Occupational strain, Office workers, Musculoskeletal disorders, Ayurveda, PRISMA reviewAbstract
Background: Office workers are exposed to prolonged sitting, repetitive lower-limb movements, and poor ergonomic conditions that may contribute to musculoskeletal strain and postural imbalance. In Ayurveda, Padatalagata Kurcha Marma, situated in the plantar region of the foot near the base of toes, is associated with locomotor and neuromuscular functions. Objective: To review Ayurvedic and contemporary scientific evidence regarding the possible impact of occupational strain on Padatalagata Kurcha Marma in office workers. Methods: A literature search was conducted in PubMed, Scopus, Web of Science, Google Scholar, AYUSH Research Portal, and classical Ayurvedic texts. PRISMA 2020 guidelines were followed. The review protocol was not registered in PROSPERO. Out of 312 identified records, 38 studies were included in qualitative synthesis after screening and eligibility assessment. Risk of bias was assessed using Joanna Briggs Institute (JBI) critical appraisal tools appropriate to study design. Results: Modern evidence suggests that prolonged sitting, constrained posture, and repetitive lower-limb activity may contribute to musculoskeletal dysfunction in the plantar and lower-extremity regions. Ayurvedic literature describes occupational strain as a factor causing Vata aggravation and functional disturbance of Marma structures. The reviewed evidence indicates a possible anatomical and functional correlation between occupational stress-related lower-limb dysfunction and Padatalagata Kurcha Marma. Conclusion: Occupational strain may influence the functional integrity of Padatalagata Kurcha Marma and contribute to lower-limb discomfort in office workers. Integrative preventive strategies including ergonomics, Marma therapy, and Yoga may support musculoskeletal health. Further clinical and imaging-based studies are required for validation.
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