The Influence of high kinesiophobia on dynamic postural stability among females with patellofemoral pain syndrome during a single-leg squat test

Amjad Shallan, Bodor Bin sheeha, Hadeel Almimi, Adnan Wshah, Saker M. Obaidat, Ahmad Muhsen, Mohanad Hawamdeh, Saad Al-Nassan

Amjad Shallan et al. – The Influence of high kinesiophobia on dynamic postural stability among females with patellofemoral pain syndrome during a single-leg squat test –  Fizjoterapia Polska 2024; 24(4); 413-418

DOI: https://doi.org/10.56984/8ZG01A8F7G9

Abstract
Objective. The purpose of this study was to examine the effect of Kinesiophobia level on postural stability during Single Leg Squat Test (SLST) in females with patellofemoral pain syndrome (PFPS).
Methods. Forty women with PFPS were divided into a High Kinesiophobia level group (HK), a Low Kinesiophobia level group (LK), and a pain-free control group of twenty participants. Postural stability was measured during the performance of the Single Leg Squat Test (SLST) on a force platform. The centre of pressure (COP) excursion and velocity were recorded.
Results. The HK group had a significantly higher mean medial–lateral and anterior-posterior COP displacement compared to the LK and control groups. However, the results showed no significant differences in COP variables (velocity and displacement) between LK and healthy subjects. Muscle strength of participants with PFPS presented a significant deficit compared to healthy control group.
Conclusions. High Kinesiophobia negatively affects postural stability during the SLST. Kinesiophobia should be considered during the assessment and management of PFPS.
Key words
postural stability, patellofemoral pain syndrome, kinesiophobia, centre of pressure, single leg squat test
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Optimization of U-23 futsal player selection through a simple additive weighting approach

Ari Kusuma Wardana, Andri Arif Kustiawan

Ari Kusuma Wardana, Andri Arif Kustiawan – Optimization of U-23 futsal player selection through a simple additive weighting approach –  Fizjoterapia Polska 2024; 24(4); 407-411

DOI: https://doi.org/10.56984/8ZG01A8D6E8

Abstract
 Futsal playing skills are the main support in successfully achieving the goals of the game. There are several underlying techniques that every player needs to master, including passing, dribbling, controlling, chipping and shooting. This study aims to optimize the selection process for the best futsal players using the Simple Additive Weighting (SAW) method. The SAW method was chosen because of its ability to combine various selection criteria into one composite score, which makes decision-making easier.
This research involves analyzing the needs of a futsal group to determine the relevant criteria and weights in selecting a group of players, such as passing, control, dribbling, chipping, and shooting. These indicators provide a more comprehensive picture of the capabilities and potential of the player group. Potential futsal group data are collected and processed using the SAW method with a weighted sum of the performance ratings for each alternative from all attributes. The SAW method requires a matrix normalization process on a scale that can be compared with all existing alternative ratings to produce objective and transparent ratings for the player groups. Based on the results of calculations using the SAW method, the assessment results for the prospective group of futsal players were obtained based on the specified criteria and weights. The highest score was achieved by Banyumas 1 with a score of 0.85. The research results show that the application of the SAW method in the selection process for futsal players increases the efficiency and accuracy of selecting new players. By using this approach, Porprov can more easily identify the best candidates to meet their needs.
Key words
selection of futsal players, simple additive weighting method, effective, accurate
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Effect of early mobilization on functional recovery in ICU patients with post-COVID ARDS

Saravankumar J, Rathna Paramaswamy, Buvanesh Annadurai, Iswarya S, Santhana Lakshmi S, Surya Vishnuram, Jeslin G N, Shenbaga Sundaram Subramanian, Senthilkumar N

Saravankumar J et al. – Effect of early mobilization on functional recovery in ICU patients with post-COVID ARDS –  Fizjoterapia Polska 2024; 24(4); 402-406

DOI: https://doi.org/10.56984/8ZG01A8B5C1

Abstract
Background. The COVID-19 pandemic has significantly increased the number of patients requiring intensive care unit (ICU) admissions due to severe complications such as acute respiratory distress syndrome (ARDS). Prolonged ICU stays, often associated with immobility, lead to muscle weakness, ICU-acquired weakness (ICU-AW), and reduced functional status, which impede recovery. Early mobilization in the ICU has been proposed as a beneficial intervention to mitigate these effects, but its impact on patients with post-COVID ARDS remains underexplored. Objective. This study aimed to evaluate the effect of early mobilization on functional recovery in ICU patients with post-COVID ARDS. Methods. A prospective, randomized controlled trial was conducted at Saveetha Medical College and Hospital, Chennai, from August 2021 to August 2024. Two hundred patients with post-COVID ARDS were randomly assigned to either an early mobilization or standard care group. The early mobilization group received structured physical therapy interventions within 48 hours of ICU admission. Functional status was measured using the ICU Mobility Scale (IMS) and Functional Status Scale ICU (FSS ICU) at baseline, weekly, and discharge. Secondary outcomes included the duration of ICU stay, mechanical ventilation, and incidence of ICU-AW. Results. Patients in the early mobilization group demonstrated significantly higher functional recovery, with a mean IMS score of 7.8 ± 1.2 compared to 4.3 ± 1.5 in the standard care group (p < 0.001). The FSS ICU score was also significantly higher in the early mobilization group (90.6 ± 8.3) than in the standard care group (65.4 ± 10.7; p < 0.001). Additionally, early mobilization reduced the mean ICU stay (14.5 ± 3.2 vs. 19.8 ± 4.1 days, p < 0.001), shortened the duration of mechanical ventilation (10.1 ± 2.9 vs. 13.7 ± 3.6 days, p < 0.001), and decreased the incidence of ICU-AW (20% vs. 45%, p = 0.002). Conclusion. Early mobilization significantly improves functional recovery, reduces ICU stay and mechanical ventilation duration, and lowers ICU-AW risk in post-COVID ARDS patients. These findings highlight the importance of integrating early mobility into standard ICU care to enhance patient outcomes.
Keywords
Early Mobilization, Functional Recovery, Post-COVID ARDS, Intensive Care Unit (ICU), COVID-19
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Muscle energy technique versus Maitland’s mobilization on shoulder pain and disability after neck dissection surgeries

Marwa Mahdy Abd Elhameed, Hagar Reda Shawky El-Habiby, E.M. Othman, Sherif Bahaa El-Din Zayed, Shaimaa M. A. Elsayeh, Dr. Heba Mohamed Mohamady

Marwa Mahdy Abd Elhameed, Hagar Reda Shawky El-Habiby, E.M. Othman, Sherif Bahaa El-Din Zayed, Shaimaa M. A. Elsayeh, Dr. Heba Mohamed Mohamady – Muscle energy technique versus Maitland’s mobilization on shoulder pain and disability after neck dissection surgeries –  Fizjoterapia Polska 2024; 24(4); 396-401

DOI: https://doi.org/10.56984/8ZG01A8C7L3

Abstract
Background. A substantial number of patients who undergo various neck dissection procedures experience shoulder dysfunction and pain, which can significantly complicate or disrupt daily routines, social engagements, and overall Quality of Life (QOL). Muscle Energy Techniques (MET) and mobilization have been demonstrated to effectively reduce shoulder pain and disability.
Objective. The objective of this study was to examine the therapeutic benefits of MET and mobilization in improving shoulder pain and disability following neck dissection surgeries and compare these two techniques’ efficacies.
Design. The present study employed a randomized, single-blind, controlled trial
Methods. Thirty patients between the ages of 25 and 70 (13 men and 17 women) with shoulder dysfunction following six months’ post-neck dissection surgeries were enrolled in the study. Patients were equally randomized into two groups of 15per each: Group A received the Muscle Energy Technique (MET), and Group B underwent Maitland’s Mobilization. Both groups participated in identical conventional physiotherapy regimens. Both interventions were administered at a frequency of three sessions per week over four weeks. Visual Analogue Scale (VAS) for pain assessment, Shoulder Pain, and Disability Index (SPADI), in addition to shoulder range of motion (flexion, abduction, and lateral rotation), were measured before and after four weeks of intervention.
Results. Following four weeks of intervention, both groups exhibited significant improvements in VAS, SPADI, and shoulder flexion, abduction, and lateral rotation, with p values ≤ 0.001. A comparison between the groups showed a statistically significant difference in all measured outcomes, favoring Group A, with p-values < 0.001.
Conclusion. The Muscle Energy Technique (MET) and Maitland’s Mobilization were effective therapeutic strategies for alleviating shoulder pain and disability following neck dissection surgeries. However, the results showed that MET outperformed Maitland’s Mobilization strategies.
Keywords
disability, muscle energy technique, Maitland’s mobilization, neck dissection, shoulder pain
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Exercise benefits following breast cancer surgery – a narrative review

Venugopalan, Divya Varshini R, Ramamoorthy Veyilmuthu, C.K.V. Bhuvaneswari

Venugopalan, Divya Varshini R, Ramamoorthy Veyilmuthu, C.K.V. Bhuvaneswari – Exercise benefits following breast cancer surgery – a narrative review –  Fizjoterapia Polska 2024; 24(4); 392-395

DOI: https://doi.org/10.56984/8ZG01A8Z9Y3

Abstract
One of the most common cancer diseases among women is breast cancer. Treatment following breast cancer surgery leads to many complications. Exercises play an important role from the immediate post operative period which could help in preventing post-surgical complications. Prevention of complications improves the quality of life of women. Though women feel that performing exercises following treatment are difficult there are many positive effects of exercises. This current study was done with an objective to analyse the various effects of exercises especially on the resisted exercises in preventing Secondary lymphedema (SL) and to focus light on the benefits of the exercises during and after chemotherapy. Literature search of PubMed, Clinical Key and Google scholar was performed. For women recovering from breast cancer surgery, resisted exercises, either by themselves or in combination with aerobic exercises, were safe and effective. These exercises improved upper body strength, increased endurance, decreased adipose tissue, decreased waist and hip circumferences, increased lean body mass, improved cardiovascular fitness, improved self-esteem, and decreased depression. Women with breast cancer related lymphedema had a considerable improvement in pain after performing deep breathing exercises combined with upper limb movements. Exercise can help mitigate the negative effects of chemotherapy and helps to overcome cancer related fatigue. Along with conventional exercises including range of motion exercises and aerobic exercises, moderate-intensity upper body resistance exercises are recommended to be a part of exercise protocol prescribed and educated to the women following breast cancer surgery for them to lead a better quality of life.
Key words
Breast cancer, lymphedema, resisted, exercises, breathing, chemotherapy
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Effectiveness of Ali Satia Graha massage therapy method on increasing range of motion and reducing knee pain in pre-elderly

Putriana Damayanty, Sumaryanto, Sigit Nugroho, Deva Maharani Putri, Danny Eka Wahyu Saputra

Putriana Damayanty, Sumaryanto, Sigit Nugroho, Deva Maharani Putri, Danny Eka Wahyu Saputra – Effectiveness of Ali Satia Graha massage therapy method on increasing range of motion and reducing knee pain in pre-elderly –  Fizjoterapia Polska 2024; 24(4); 385-391

DOI: https://doi.org/10.56984/8ZG01A8W4X2

Abstract
This study aims to test the effectiveness of the Ali Satia Graha massage therapy method on increasing Range Of Motion (ROM) and reducing knee pain in pre-elderly. This study is a pre-experimental study using a One Group Pretest-Posttest research design. The population in this study was pre-elderly patients with knee injuries at the Ali Satia Graha Method Sports Injury Massage Therapy Service at Plaza UNY. The study used incidental sampling with a sample size of 17 people. The data collected were: (1) The scale of Range Of Motion (ROM) of the knee joint was measured using a goniometer. (2) The scale of knee joint pain was measured using the Numeric Rating Scale (NRS). The data analysis technique used a quantitative descriptive analysis and hypothesis testing using the Wilcoxon Signed Rank Test with a significance level of 5%. The results of the study showed that: (1) massage therapy could reduce knee joint flexion motion pain with an effectiveness of 54.9%. (2) Massage therapy could reduce knee joint extension motion pain with an effectiveness of 56.1%. (3) Massage therapy could increase the Range Of Motion (ROM) of knee joint flexion with an effectiveness of 10.2%. (4) Massage therapy could increase the Range Of Motion (ROM) of knee joint extension with an effectiveness of 48.8%. It can be concluded that the massage therapy applied in the Ali Satia Graha Method Sports Injury Massage Therapy Service was effective in increasing ROM and reducing knee joint pain in pre-elderly.
Keywords
therapeutic massage, knee ROM, knee pain
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Review of systematic reviews on the effects of blood flow restriction training on knee osteoarthritis patients

Ahmed Abdelmoniem Ibrahim, Shammaa Homoud H Alsroor, Mashael Jarallah A Alshammari,Khalid Ayad S Alanazi, Amany Raafat Mohamed, Hisham Mohamed Hussein

Ahmed Abdelmoniem Ibrahim et al. – Review of systematic reviews on the effects of blood flow restriction training on knee osteoarthritis patients –  Fizjoterapia Polska 2024; 24(4); 379-384

DOI: https://doi.org/10.56984/8ZG01A8R3T9

Abstract
Objectives. A review of the systematic reviews designed to assess the overall certainty in the evidence for the effect of blood flow restriction training (BFRT) in patients with knee osteoarthritis (OA).
Methods. A systematic search identified systematic reviews using BFRT in knee osteoarthritis OA. Two authors searched five electronic databases, including Google Scholar, Cochrane Library, PubMed, PEDro, and CINAHL, from October 2010 to October 2023. The quality of included reviews was analyzed by the AMSTAR tool.
Results. Six systematic reviews were eligible, and 33 randomized controlled trials (RCTs) with a total of 1248 participants were included. The quality varied from moderate to high, and results showed minimal enhancement in pain, physical function, and life quality.
Conclusion. The synthesis of the reviews has shown some potential improvement in OA patient outcomes. BFRT can be beneficial in OA rehabilitation, and the findings suggest conducting a higher-quality review to explore the use of BFRT with different loads.
Key words
knee osteoarthritis, training, blood flow restriction, review, AMSTAR
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Sports and mind: A systematic review of physical activity and mental well-being in the modern era

Ahmad Chaeroni, Kamal Talib, Karuppasamy Govindasamy, Yuke Permata Lisna, Bekir Erhan Orhan, Mottakin Ahmed, Mert Kurnaz

Ahmad Chaeroni, Kamal Talib, Karuppasamy Govindasamy, Yuke Permata Lisna, Bekir Erhan Orhan, Mottakin Ahmed, Mert Kurnaz – Sports and mind: A systematic review of physical activity and mental well-being in the modern era –  Fizjoterapia Polska 2024; 24(4); 371-378

DOI: https://doi.org/10.56984/8ZG01A8P7Q6

Abstract
This research aims to examine the connection between physical activity, mental health, and quality of life through a systematic review of scholarly literature. The approach used is a Systematic Literature Review (SLR), leveraging the Scopus database, employing a keyword search strategy relevant to the topic, and following PRISMA guidelines. Articles published from 2020 to 2024 that focus on physical activity and mental health within Q1-Q2 percentile indices were screened. Out of the 89 articles identified, 28 met the inclusion criteria and were relevant to the topic. The analysis of these studies reveals that increased physical activity is associated with a reduction in symptoms of depression and anxiety, and an improvement in mental well-being and quality of life. Additionally, the study notes variations in measurement methods, such as the use of accelerometers and different mental health questionnaires. These findings support the development of evidence-based interventions to enhance mental well-being through physical activity, especially among children, adolescents, and the elderly. However, the study identifies challenges related to measurement methods and intervention duration, indicating a need for further research to develop more comprehensive and practical recommendations.
Key words
physical activity, mental health, quality of life, accelerometer
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Effect of home based tele pilates on pelvic girdle pain and lumbo pelvic stability among pregnant women

Akilandeeswari. S., B. Sathya Prabha, Ponmathi P.

Akilandeeswari. S., B. Sathya Prabha, Ponmathi P. – Effect of home based tele pilates on pelvic girdle pain and lumbo pelvic stability among pregnant women – A randomized controlled trial –  Fizjoterapia Polska 2024; 24(4); 364-370

DOI: https://doi.org/10.56984/8ZG01A8L8M1

 

Abstract
Introduction. Pelvic girdle pain is one of the common musculoskeletal problems in pregnancy, resulting from hormonal variations and biomechanical alterations in the muscles that support lumbo-pelvic stability. The Pilates method, which includes mind-body approaches and focuses on core strength, provides relief from pelvic pain. In recent years, tele-rehabilitation has emerged as one of the most popular solutions in clinical practice.
Aim. To find out the effect of home-based Tele Pilates on pelvic girdle pain and lumbo-pelvic stability among pregnant women.
Materials and methods. A randomized controlled trial was conducted in Sri Ramachandra Hospital, Chennai, from January 2023 to June 2023. Pregnant women with pelvic girdle pain from 20-30 weeks of gestation were screened and randomly divided into a Pilates exercise group (n = 19) and a control group (n = 19). Subjects in the Pilates group followed the exercise thrice a week for eight weeks. Subjects in the control group followed standardized antenatal exercises and education. The outcome measures used were Visual Analogue Scale (VAS) for pain level, Pelvic Girdle Questionnaire (PGQ) for functional disability, and Pressure Biofeedback for lumbo-pelvic stability. Mann-Whitney test, Wilcoxon signed rank test, and ‘t’ test were performed to examine the pain score, Pelvic Girdle Questionnaire, and the lumbo-pelvic stability.
Results. Baseline parameters are similar and comparable. (p < 0.05). Between-group analysis revealed that the experimental group showed improvement in the pain and disability with a significant difference (p ≤ 0.001). Both groups showed significant improvement in lumbo-pelvic stability in the within-group analysis (p < 0.001).
Conclusion. Home-based tele Pilates (HTPE) can be recommended as an effective and safe method for decreasing pain levels and improving lumbo-pelvic stability among pregnant women with pelvic girdle pain.
Key words
antenatal, pelvic pain, lumbo pelvic pain, home based pilates, core stability exercises
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Effect of BOTELI practice frequency and hand grip strength on rally groundstroke forehand tennis skills in sports students: A two-way ANOVA analysis

Agustiyanta, Rumi Iqbal Doewes

Agustiyanta, Rumi Iqbal Doewes – Effect of BOTELI practice frequency and hand grip strength on rally groundstroke forehand tennis skills in sports students: A two-way ANOVA analysis –  Fizjoterapia Polska 2024; 24(4); 356-363

DOI: https://doi.org/10.56984/8ZG01A8H5J4

Abstract
Introduction. BOTELI is intended to train beginner tennis players in rally groundstrokes. BOTELI is different from a ball-throwing machine
Study Aims. 1) To determine the effect of BOTELI practice frequency on rally groundstroke forehand tennis skills. 2) To evaluate the effect of BOTELI training and hand grip strength on rally groundstroke forehand tennis skill. 3) To examine the interaction effect between BOTELI practice frequency and hand grip strength on rally groundstroke forehand tennis skill.
Materials and Methods. The research used an experimental method. The study sample was 48 sports students from Sebelas Maret University in 2024. The data collection involved using the Kem-Vincent rally tests to assess rally skills and a hand dynamometer to measure hand grip strength. The data analysis technique used a 2×2 factorial two-way ANOVA with a significance level of α = 0.05, using SPSS version 26 software for Windows.
Results. The results showed that BOTELI practice frequency could improve forehand tennis rally groundstroke skills, with a value of (0.000 < α 0.05) and (F-count = 128.004 > F-table 4.06). Hand grip strength can improve rally groundstroke forehand tennis skills, with a value (0.000 < α 0.05) and (F-count = 83.505 > F-table 4.06). There was an interaction between BOTELI training frequency and hand grip strength in improving rally groundstroke forehand tennis skills, with a value of (0.000 < α 0.05) and (F-count = 9.278 > F-table 4.06). So, improving rally groundstroke forehand Tennis skills was influenced by the BOTELI frequency training and hand grip strength.
Conclusions. This study showed that for beginner tennis players, the improvement of rally groundstroke forehand tennis skill can be effectively achieved using the BOTELI method. This method has been proven to be valid and reliable in rapidly improving rally groundstroke forehand tennis skill while providing an efficient, effective, and enjoyable exercise experience.
Key words
tennis, frequency, training, HGS, BOTELI, racquet sport
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