Tag: ćwiczenia wzmacniające

Exploring the impact of active release technique combined with strengthening exercises on shoulder function and scapular position in upper cross syndrome

Sridivyadharshini S R, Kotteeswaran K, Kamalakannan M, Bharathi Krishnan K, Bharathi Ravichandran

Sridivyadharshini S R, Kotteeswaran K, Kamalakannan M, Bharathi Krishnan K, Bharathi Ravichandran – Exploring the impact of active release technique combined with strengthening exercises on shoulder function and scapular position in upper cross syndrome –  Fizjoterapia Polska 2025; 25(3); 249-254

DOI: https://doi.org/10.56984/8ZG7D191MJQ

Abstract
The purpose of this study was to evaluate the effect of the active release technique combined with strengthening exercises using the SPADI to improve shoulder function and a vernier caliper to measure scapular position in upper cross syndrome. In this experimental study at SMCH, 70 participants aged 30 to 50 were selected based on inclusion and exclusion criteria. Written informed consent was obtained from all subjects prior to the commencement of the study. The experimental protocol and procedures were explained to all subjects before obtaining their consent. These 70 participants were allocated into two groups using convenient sampling: the ART with strengthening group and the conventional group. Both groups received a 30-minute exercise program. The study employed standard outcome measures including the SPADI score to evaluate shoulder function and a vernier caliper to assess scapular position. The pre-test and post-test values were analysed. The results suggest that the ART with strengthening group showed significant improvement when compared with the conventional group, with p < 0.0001, indicating superior changes in scapular position and shoulder function. The active release technique group demonstrated better outcomes. According to this study, the ART with strengthening group achieved better results than the conventional group. ART with strengthening is more effective in improving shoulder function and scapular position among subjects with upper cross syndrome.
Key words
active release technique, strengthening exercises, upper cross syndrome, shoulder function, scapular position
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Effectiveness of muscle energy technique along with strengthening exercise among college students with lower cross syndrome

Aswin Kumaraguru, Anitha.A, Shenbaga Sundaram Subramanian, Karthick.K, Jeslin. G.N, Neha Lakshmanan, Dinesh Sampath Kumar, Sivaraghav Sathish Kumar

Aswin Kumaraguru et al. – Effectiveness of muscle energy technique along with strengthening exercise among college students with lower cross syndrome –  Fizjoterapia Polska 2025; 25(2); 290-293

DOI: https://doi.org/10.56984/8ZG00E1MU5D

Abstract
Aim. Poor posture, prolonged sitting, and a sedentary lifestyle are common among students, causing muscle imbalances, increased lordosis, and a lateral shift in the center of gravity. These conditions affect muscle strength and can cause lower cross syndrome. This study aims to assess the effectiveness of MET and strengthening exercises in college students with lower cross syndrome.
Material and methods. It is a double-blinded study in which subjects diagnosed with lower cross syndrome were recruited after giving consent. Subjects were allocated into the METs group (n = 20) and the conventional group (n = 20). The baseline evaluation for anterior pelvic tilt was done using Kinovea software. The curl-up test and squat test for abdominal and gluteal muscle strength were recorded.
Results. Statistical analyses, using mean and standard deviation, revealed significant improvements in anterior pelvic tilt, abdominal curl, and squats post-intervention in the METs group compared to the conventional group (p < 0.0001 for all). Post-intervention values were 10.30 ± 1.45, 42.05 ± 2.44, and 36.70 ± 3.23, respectively.
Conclusion. Results prove that the subjects of the METs group improved their anterior pelvic tilt, abdominal strengthening, and gluteal strengthening more than those of the conventional group.
Key words
low back pain, anterior pelvic tilt, muscle energy technique, strengthening exercise, Thomas test, Kinovea software, curl up test
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The effectiveness of laser therapy combined with concentric exercises on pain and functional ability in patients with Haglund’s deformity

Kamalakannan M, Hariharan J, Priyanga Seemathan, Andrew Anbarason J P, Tamilselvan R

Kamalakannan M, Hariharan J, Priyanga Seemathan, Andrew Anbarason J P, Tamilselvan R – The effectiveness of laser therapy combined with concentric exercises on pain and functional ability in patients with Haglund’s deformity – utilizing PainChek AI software and AOFAS scoring –  Fizjoterapia Polska 2024; 24(5); 129-135

DOI: https://doi.org/10.56984/8ZG020CKU34

Abstract Introduction. Haglund’s deformity, characterized by inflammation of the bursa situated in the posterior aspect of the calcaneus (heel bone), poses a significant challenge in orthopedic treatment. This study examines the effectiveness of laser therapy combined with concentric exercises on pain and functional ability in patients with Haglund’s deformity, pain and discomfort in the heel caused by the bony enlargement in it. Aim of the study. The aim of this study was to evaluate the effectiveness of concentric exercises and laser therapy in lowering pain and enhancing functionality in people with Haglund’s deformity. Materials and Methods. A study was conducted involving 40 subjects diagnosed with Haglund’s deformity, aged between 20 to 35 years and of both genders, randomly selected and divided equally into two groups: Group A (experimental) and Group B (traditional). Exclusion criteria encompassed foot fracture history, hindfoot open wounds, or non-cooperative behavior. Pre-test assessments utilizing the American Orthopaedic Foot & Ankle Society (AOFAS) scale and PainChek AI software were administered to both groups. Treatment intervention for both groups involved three weeks of exercises, comprising 3 sets per session, 15 repetitions per set, and 5 days a week. Post-treatment evaluations were conducted to compare the effectiveness of the interventions using AOFAS and PainChek scores, alongside monitoring for any adverse effects or complications arising from the treatments. Results. The post-treatment mean PainChek value for Group A was 5.10, whereas it was 6.45 for Group B. Group A’s post-treatment mean AOFAS score was 79.50, whereas Group B was 61.50. It was discovered that Group A was beneficial in lowering discomfort and enhancing function in those with Haglund’s deformity. Conclusion. The results of this study suggest that among individuals with Haglund’s deformity, the utilization of laser therapy alongside concentric exercises in the experimental group proved to be more effective in reducing discomfort and enhancing functionality compared to employing stretching exercises in the conventional group.
Key words Haglund’s deformity, laser therapy, concentric exercises, strengthening exercises
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Adjunctive effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury

Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme


Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme – Adjunctive effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury. Fizjoterapia Polska 2022; 22(4); 122-127

DOI: https://doi.org/10.56984/8ZG1A6ZsV

Abstract
Purpose. This study was conducted to examine the effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury.
Methods. From April 2021 to June 2022, sixty male patients who suffered from second degree lower limb thermal burn injury and Total body surface area (TBSA) from 25% to 35% participated in this study. Their ages ranged from (20-40) years. They were randomly assigned in two groups, a study group composed of 30 patients who received (PEMF) over thigh area before strengthening exercise for quadriceps muscle and a control group composed of 30 patients who received strengthening exercise for quadriceps muscle. Patients of both groups received traditional physical therapy program.. Evaluation tool was isokinetic dynamometer to measure the quadriceps muscle peak torque before the treatment and after 8 weeks of treatment for both groups.
Results. There was no significant difference between both group (study and control) in mean values of quadriceps peak torque pre-treatment (P > 0.05). There was a significant increase in the mean values of quadriceps peak torque after 8 weeks of treatment in both groups (p < 0.05) while there was a significant difference in post treatment mean values of quadriceps peak torque in the study group when compared with control group (p < 0.05).
Conclusion. Pulsed electromagnetic field therapy is an effective modality that can be used for improving muscle strength and performance in patients with lower limb burn when applied prior to strengthening exercise.

Keywords
pulsed electromagnetic field therapy, strengthening exercise, quadriceps peak torque, lower limb burn

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Static Magnetic Stimulation Versus Conventional Treatment on Cross Sectional Area of Quadriceps Muscle in Knee Osteoarthritis Patients: A Randomized Controlled Study

Haytham M. Elhafez, Sohier S. Rizkallah, Magda R. Zahran, Doaa S. Mostafa, Ahmed F Geneidy

Haytham M. Elhafez, Sohier S. Rizkallah, Magda R. Zahran, Doaa S. Mostafa, Ahmed F Geneidy – Static Magnetic Stimulation Versus Conventional Treatment on Cross Sectional Area of Quadriceps Muscle in Knee Osteoarthritis Patients: A Randomized Controlled Study. Fizjoterapia Polska 2021; 21(2); 216-222

Abstract
Background. Quadriceps femoris muscle significantly affected knee osteoarthritic patients. Weakness and atrophy occur as a result of muscle unloading and dysfunction. As the maximum force produced by a muscle has a direct proportion to its cross-sectional area (CSA), the current study revealed that static magnetic stimulation (SMS) is beneficial for improving CSA of the quadriceps muscle. Purpose. To examine the influence of magnetic stimulation on CSA of the quadriceps muscle in knee osteoarthritis patients and hence knee function. Materials and Methods. This study adopted a randomized controlled trial design. Twenty-four patients with both knee osteoarthritis (Grades II and III) participated. The participants, aged between 45–55 years, were randomly assigned to two groups. Group (A) received magnetic first stimulation in addition to selected physical therapy consisting of ultrasound device and isometric exercise for quadriceps. Group (B) received selected physical therapy consisting of ultrasound device and isometric exercise for quadriceps only. Two therapeutic sessions were given weekly for three consecutive weeks. Outcome measures were CSA of quadriceps at both sides and Lysholm knee scoring for assessment of the functional ability of the knee joint. These measures were taken before and after three consecutive weeks of intervention. Results. Within groups, the analysis showed a statistically significant increase for all measured variables in the two studied groups (p < 0.05). Between groups, the analysis revealed that quadriceps at both side and Lyshlom were significant increase in group (A) compared to group (B). Conclusions. Adding SMS to quadriceps strengthening exercises improved the CSA of quadriceps, which protects muscle from being atrophied and hence improved the knee joint functions more than quadriceps strengthening exercises alone.
Key words:
Electromyostimulation, Knee osteoarthritis, Quadriceps femoris, Strengthening exercises
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Effect of plyometrics, closed kinetic chain versus quadratus lumborum strengthening exercises on vertical jump height in volley ballplayers: A randomized controlled trial

Yasmein M. Mahmoud, Wadeda H. Elsayed, Amira H. Draz

Yasmein M. Mahmoud, Wadeda H. Elsayed, Amira H. Draz – Effect of plyometrics, closed kinetic chain versus quadratus lumborum strengthening exercises on vertical jump height in volley ballplayers: A randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 192-196

Abstract
Purpose. To compare the effects of plyometrics, closed kinetic chain with quadratus lumborum strengthening exercises on vertical jump height in volley ball players.
Design. Pre-post measurement randomized controlled trial.
Methods. Two hundred volleyball players were recruited from Cairo and Kafer El Sheikh University, Egypt. 140 volleyball players met the inclusion criteria and were randomly assigned into four equal groups. Group (A) consisted of 35 volley ball players with mean body mass index (BMI) value of 21 ± 3.76 kg/m2 and received plyometric exercise (Counter Movement jump (CMJ). Group (B) consisted of 35 volley ball players with mean BMI value of 21.44 ± 1.681 kg/m2 and received closed kinetic chain (CKC) exercise (double limp squat free weights), Group (C) consisted of 35 volley ball players with mean BMI value 22.17 ± 1.8 kg/m2 and received quadratus lumorum strengthening exercise (isotonic hip hiking), group (A), (B) and (C) received the exercises two times per week for eight weeks. Group (D) consisted of 35 volley ball players with mean BMI value of 22.01 ± 1.69 kg/m2 and received no exercise (control group).
Results. Statistical analysis revealed that there was significant difference (p < 0.05) in favour to group A, B and C in compared to group D. while there were no significant differences (p > 0.05) among groups (A, B and C).
Conclusion. Plyometrics (CMJ), CKC (Double limb squat free weights), and quadratus lumborum strengthening exercise (Hip hiking) yield an improvement on vertical jump height.
Key words:
plyometrics, CKC, vertical jump, strengthening exercise
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Core Stability in the Rehabilitation of Children – Physiotherapy Aspects

Sylwia Dyczewska-Wójtowicz

S. Dyczewska-Wójtowicz – Core Stability in the Rehabilitation of Children – Physiotherapy Aspects. FP 2016;16(3);96-105

Abstract
Introduction. The term “core stability” refers to the efficiency of the deep torso muscles, which control the center of our body, both in statics and dynamics. This study presents the various physiotherapy related aspects regarding the core stability issue in the scientific materials, which confirm the effectiveness of physical exercises.
Materials and Methods. In the process of search for the topic related materials, we have used the article databases of MedLine, PubMed and PBL, applying the following keywords: core stability, lumbar stability, dynamic stability, motor control, neuromuscular training, trunk stability, core strengthening.
Results. Numerous scientific studies show, that the muscles playing the major role in this mechanism are: anterior scalene, multifidus muscle, internal oblique, pelvic floor muscles and sellar diaphragm. When properly functioning, the muscles form the kind of cylinder, providing sufficient stability for the lower trunk area (which is the basis for perimeter mobility).
Conclusions. In children with the pain sensation in the area of the lower spine, the deep muscles are being inhibited and their timing is being disrupted. First tighten the large surface muscles responsible for the execution of movement, and then the local center stabilizers get engaged. The role changing between the groups of muscles may be causing overload problems, thus it is important to provide the appropriate rehabilitation, which would support the core stability.

Key words:
Central stabilization, rehabilitation, physiotherapy, spine, strengthening exercises

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