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Article History

Received: 14 August 2025

Accepted: 3 February 2026

First Online: 20 February 2026

Declarations

:

: This study was conducted in accordance with the highest ethical standards, conforming to both the institutional guidelines and the Declaration of Helsinki. Ethical clearance was obtained from the Institutional Ethics Committee (IEC) before data collection. The research received ethical clearance from the Institute Ethics Committee (IEC No. IIEC/2021-23/PHYSIO/033) of I.T.S. Institute of Health and Allied Sciences.Informed written consent was obtained from all participants after explaining the nature and objectives of the study. Participation was entirely voluntary, and participants were assured of their right to withdraw at any stage without prejudice.

: All participants provided additional written consent regarding the use of anonymized data for research publication purposes. No identifying information is included in this manuscript.

: The authors declare no competing interests.

: During the preparation of this work, the authors cautiously used Perplexity.ai in drafting and language editing in the English language. After using this tool, the authors reviewed and edited the content for originality and accuracy as needed and take(s) full responsibility for the content of the publication.