Tag: B Sathya Prabha

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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Ineffect of tele-based modified pilates on menopausal symptoms and pelvic floor muscle dysfunction in premenopausal women. A randomized controlled trial

T. Kavya, B. Sathya Prabha, P. Ponmathi

T. Kavya, B. Sathya Prabha, P. Ponmathi – Ineffect of tele-based modified pilates on menopausal symptoms and pelvic floor muscle dysfunction in premenopausal women. A randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 367-373

DOI: https://doi.org/10.56984/8ZG5608C3D

Abstract
Background. Menopause is defined as the endless cessation of period caused by a reduction of ovarian follicular exertion. During this period women may experience hot flashes, sweating, sleep issues, heart discomforts, vertigo, fatigue, headache, frequent urination, weak pelvic floor muscles (PFM), muscular and joint pain, emotional insecurity, depression. Exercise and other physical activities can help relieve menopausal symptoms (MPS) and improve PFM function in premenopausal women. Among these activities, pilates is a safe technique to improve one’s physical and psychological performance.
Aim. To find out the effect of tele- based modified Pilates on menopausal symptoms and pelvic floor muscle dysfunction in pre- menopausal women.
Methodology. Women were screened for menopausal symptoms and pelvic floor distress using Menopausal Rating Scale (MRS) and Pelvic Floor Distress Inventory (PFDI). Based on the inclusion and exclusion criteria, subjects were allocated randomly into 2 groups as Group A – Control (CG) and Group B – Experimental (EG). Subjects in both the groups have been assessed with MRS and PFDI along with Transverse Abdominis (TrA) and PFM strength. Subjects in the CG followed aerobics exercise – walking for 8 weeks. Subjects in the EG followed TMPE as a group session for 40 minutes. Both the groups were assessed during the first session and final session after 8 weeks.
Result. TMPE group has shown significant improvement in reducing MPS and pelvic floor distress. It was noted that TMPE had shown improvement in PFM and TrA muscle strength than control group.
Conclusion. Pilates group had shown improvement in MPS and it reduces pelvic floor distress symptoms coupled with PFM and TrA muscle strength improvement.
Keywords
menopause, menopausal symptoms (MPS), pelvic floor muscle (PFM) dysfunction, tele-based modified pilates exercise (TMPE), physical activity (PA)
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Development and validation of an e-health module – PregEx to support antenatal exercise and education

Janani C., B. Sathya Prabha


Janani C., B. Sathya Prabha – Development and validation of an e-health module – PregEx to support antenatal exercise and education. Fizjoterapia Polska 2023; 23(2); 122-127

DOI: https://doi.org/10.56984/8ZG0DF31B

Abstract

Background. Pregnancy, childbirth, and motherhood are major life phases in a woman’s life. During these phases, not only do women experience physiological changes but they are also adjusting to their new roles and responsibilities as mothers. The World Health Organization has declared that the benefits of e-health should be considered among the fundamental components of any strategy and most important programs for the collection of pregnancy healthcare information. Hence this study aimed to develop an e-health module to support antenatal exercise and education for pregnant women.

Aim. To develop and validate an e-health module to support antenatal exercise and education.

Methodology. The development of an e-health module was prepared using the structured antenatal exercise protocol. Face and content validation was done by expert opinion and feedback on the application was obtained. Feedback from the usability evaluation was used to revise the app. The application was named as PregEx. The developed application (PregEx) was validated among fifty antenatal mothers. They were instructed to follow up on antenatal exercises and education and were on follow-up for 2 weeks. Then the feedback on the mobile application was collected from the mothers using a mobile application rating scale (MARS).

Results. The overall quality mean scores of the MARS scale was 4.08 ± 0.39. The ratings of MARS app specific responses had shown about 80% were on awareness creating, 90% were knowledge oriented, 71% of the mothers found this app as a help-seeking and satisfaction and about 67% felt it improves the mothers on behavior change.

Conclusion. The mobile app (Preg Ex) was user-friendly and feasible for antenatal mothers to understand easily and practice antenatal exercise and education.

 

Keywords: mHealth app, mobile application, educational applications, pregnant women, Pregnancy exercises and antenatal care

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The relationship of anthropometric measurement, physical activity, psychosocial aspects and endometriosis

Shyamrani.Y, B.Sathya Prabha


Shyamrani.Y, B.Sathya Prabha – The relationship of anthropometric measurement, physical activity, psychosocial aspects and endometriosis. Fizjoterapia Polska 2022; 22(2); 50-53

DOI: https://doi.org/10.56984/8ZG0DEHN3

Abstract
Aim. To find out the association between the anthropometric measurement, the physical activity, psychosocial level and endometriosis. Materials and Methods. Thirty women diagnosed as endometriosis and 30 age matched non endometriosis women were recruited. Anthropometric measurement – Body Mass Index (BMI) and Waist hip ratio (WHR) was measured. International Physical Activity Questionnaire (IPAQ) and Beck Depression Inventory scale (BDI) were used to measure the physical activity level and the psychosocial level respectively. Results. There was a significant difference in BMI between the groups. The odds ratio and relative risk analysis of endometriosis showed that there is an association between increased BMI, WHR, BDI and the risk of endometriosis (p < 0.05). Conclusion. Increased Body mass index, Waist Hip Ratio and Beck depression score (BMI > 30, WHR > 0.85 and BDI > 16) are associated with increased risk of endometriosis.
Key words:
endometriosis, body mass index, physical activity, waist hip ratio, depression
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Effect of pregnancy exercises and education on pregnancy related musculoskeletal discomforts

B Sathya Prabha, Jaya Vijayaraghavan, N.Venkatesh, R.Sivakumar

B Sathya Prabha, Jaya Vijayaraghavan, N.Venkatesh, R.Sivakumar – Effect of pregnancy exercises and education on pregnancy related musculoskeletal discomforts. Fizjoterapia Polska 2021; 21(3); 114-119

DOI: https://doi.org/10.56984/8ZG141900

Abstract
Aim. Women experience significant physiological and anatomical adaptations during pregnancy to meet the maternal and foetal demands. Biomechanical and hormonal factors, ligament laxity, posture and weight gain may put lot of stress on musculoskeletal system which may in turn induce various musculoskeletal symptoms in pregnancy. Most of the women believe that physical activity during pregnancy is harmful to maternal and foetal health, which results reduction in their routine physical activity. Physical inactivity during gestational period leads to various maternal discomforts and complications. The purpose of this study is to evaluate the effect of structured antenatal exercise programme and education on pregnancy related musculoskeletal discomforts.
Material and Methods. Total of 186 mothers were recruited for the study. 94 Participants were selected as the study group samples and 92 were chosen as the control group .The study group received structured antenatal classes  and education in addition to routine antenatal care whereas  the control group received routine antenatal care and exercises. Antenatal classes were conducted as individualised therapy for the interventional group along with routine antenatal care from 20th week of gestation.  The primary outcome measure was pregnancy induced musculoskeletal dysfunction scale (PMDS scale). PMDS scale was assessed at 20, 24 and   32 weeks.
Results and Discussion. There was a significant difference in the values of low back pain, symphysis pubic pain, knee pain, pelvic girdle pain and edema at 32 weeks (p value p< 0.05). Exercise during pregnancy increased the β endorphin levels and decrease the perception of pain and pregnancy induced musculoskeletal symptoms.
Conclusion. The antenatal   exercise programme and education were found to be effective in reducing pregnancy induced musculoskeletal dysfunction. Hence we suggest the pregnancy exercise and education programme in routine antenatal care to improve maternal quality of life.
Key words:
Pregnancy, musculoskeletal discomforts, pregnancy exercises, antenatal education and pregnancy discomfort
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