Tag: Dinesh S

Effect of plyometric training in unilateral knee osteoarthritis

Prasanna Kumar R, Kotteeswaran K, Kamalakannan M, Hariharan J, Supriya P, Priyanga Seemathan, Dinesh S

 

Prasanna Kumar R et al.– Effect of plyometric training in unilateral knee osteoarthritis –  Fizjoterapia Polska 2025; 25(3); 100-103

DOI: https://doi.org/10.56984/8ZG7D19PD06

Abstract
Background. Osteoarthritis is a degenerative condition that begins with the onset of pain and gradually leads to decreased functional movement and activities. It is a complex, progressive disorder resulting in loss of articular cartilage, reduction of joint space, pain, loss of function, and physical incapacity, which together deteriorate quality of life. Plyometrics can be effective in improving joint awareness, balance, and neuromuscular properties, helping to enhance proprioception, kinaesthesia, and muscle performance.
Materials and methods. One hundred and four subjects with unilateral knee osteoarthritis were included in the study. Subjects with rheumatoid arthritis, polyarthritis, other joint complaints, systemic inflammatory arthropathies, previous knee replacement surgery, or intra-articular corticosteroid injections in either knee in the past 12 weeks were excluded. Participants were divided into two groups of 52 each: a control group (conventional exercises) and an experimental group (plyometric training along with conventional exercises) for 4 weeks. Pre- and post-tests were conducted using the knee injury and osteoarthritis outcome score (KOOS), which assesses pain, daily activities, and quality of life.
Results. The post-test values of both groups were compared to determine the difference in improvement due to the interventions. Based on all the data, the results show that the experimental group demonstrated greater improvement in KOOS components compared to the control group that received only conventional treatment.
Conclusion. It is concluded that plyometric training is an effective intervention for improving pain and functional outcomes among individuals with unilateral knee osteoarthritis.
Key words
conventional exercises, knee injury and osteoarthritis outcome score (KOOS), knee osteoarthritis, plyometric exercises
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Effectiveness of Mulligan “MWM” versus Spencer technique on functional ability in subjects with adhesive capsulitis of the shoulder joint

Sundar Rajan M S, Kotteeswaran K, Kamalakannan M, Hariharan J, Priyanga Seemathan, Delphin Kavya D, Dinesh S, Koteeswari Arumugam

 

Sundar Rajan M S et al. – Effectiveness of Mulligan “MWM” versus Spencer technique on functional ability in subjects with adhesive capsulitis of the shoulder joint –  Fizjoterapia Polska 2025; 25(2); 54-59

DOI: https://doi.org/10.56984/8ZG7D19F64U

Abstract
Background. Frozen shoulder, or adhesive capsulitis, is characterized by pain and progressive loss of both active and passive shoulder range of motion due to capsular contracture and fibrosis. The Spencer technique focuses on mobilizing the glenohumeral and scapulothoracic joints. The Mulligan technique combines active movement with passive accessory mobilization to achieve pain-free motion by restoring impaired accessory glide.
Objective. To evaluate the effectiveness of Mulligan “MWM” versus the Spencer technique in patients with adhesive capsulitis of the shoulder joint using range of motion (ROM) and the Shoulder Pain and Disability Index (SPADI).
Methods. Forty subjects meeting the inclusion and exclusion criteria were selected. The procedure was explained in detail, and informed consent was obtained before initiating the study. Pre- and post-test values were measured using ROM and SPADI. Participants were divided into two groups: Mulligan “MWM” with exercise (n = 20), and the Spencer technique with exercise (n = 20). Both groups received arm circles, pendulum stretch, towel stretch, wand exercise, wall climbing, and upper body stretch, three days a week for six weeks (2 sets of 10 repetitions with a 10-second hold).
Results. The data were statistically analyzed using an unpaired t-test. The Mulligan “MWM” group showed significantly greater improvement (p < 0.01) in pain reduction and functional ability compared to the Spencer technique, as measured by ROM and SPADI.
Conclusion. Mulligan “MWM” is more effective than the Spencer technique, when combined with exercise, in reducing pain and improving functional ability in individuals with adhesive capsulitis of the shoulder joint.

Key words
adhesive capsulitis, range of motion, SPADI, Mulligan “MWM”, Spencer technique

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Enhancing recovery: the impact of foam roller-assisted stabilization exercises on low back pain — a comparative analysis with conventional therapies

Revanth M, Kamalakannan M, Hariharan J, Priyadharshini V, Dinesh S, Priyanga Seemathan, Praveenkumar R

 

Revanth M et al. – Enhancing recovery: the impact of foam roller-assisted stabilization exercises on low back pain — a comparative analysis with conventional therapies –  Fizjoterapia Polska 2025; 25(1); 369-375

DOI: https://doi.org/10.56984/8ZG007DLGP0

Abstract
Background. Low back pain (LBP) is one of the most prevalent musculoskeletal conditions affecting individuals worldwide, often resulting in significant disability and reduced quality of life. As the leading cause of years lost to disability globally, the burden of LBP continues to rise alongside an aging and expanding population. Regular exercise plays a pivotal role in alleviating LBP by enhancing spinal muscle strength, improving flexibility, and optimizing posture. Interferential therapy (IFT), a transcutaneous electrical stimulation modality utilizing medium-frequency currents, is a well-established intervention for musculoskeletal disorders. This study evaluates the effectiveness of stabilization exercises using a foam roller in comparison to conventional exercise in individuals with LBP.
Methods. A total of 82 participants meeting the inclusion and exclusion criteria were randomized into two groups: a stabilization exercise group (n = 41) and a conventional exercise group (n = 41). Both groups received IFT alongside their respective exercise protocols. Each intervention session lasted 30 minutes and was administered five times per week for three weeks.
Results. Post-intervention assessments using the Modified Oswestry Disability Index (MODQ) revealed a mean score of 18.8 in the stabilization exercise group compared to 22.93 in the conventional exercise group, with a statistically significant p-value of < 0.0001. These findings demonstrate a superior reduction in pain and disability in the stabilization exercise group.
Conclusion. Stabilization exercises incorporating a foam roller provide enhanced therapeutic benefits for individuals with LBP compared to conventional exercises. The foam roller introduces an unstable surface, challenging participants and promoting greater core activation and postural control.
Key words
foam roller, low back pain, stabilization exercise, interferential therapy (IFT), Modified Oswestry Disability Index (MODQ)
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