Tag: Fadwa Alhalaiqa

Effect of bodyweight exercises versus resistance band exercises to improve strength in post-COVID individuals

Dubba NagaRaju, Shenbaga Sundaram Subramanian, Dasarapu Indrani, Surya Vishnuram, Kiran Velukuri, S Purna Chandra Shekhar, K. Himabindu, Jagatheesan Alagesan, Fadwa Alhalaiqa

Dubba NagaRaju, Shenbaga Sundaram Subramanian, Dasarapu Indrani, Surya Vishnuram,Kiran Velukuri, S Purna Chandra Shekhar et al. – Effect of bodyweight exercises versus resistance band exercises to improve strength in post-COVID individuals –  Fizjoterapia Polska 2025; 25(3); 408-411

DOI: https://doi.org/10.56984/8ZG7D192ROZ

Abstract
Background. Resistance training is essential for enhancing muscular strength and overall physical health. Among various methods, bodyweight and elastic resistance training are economical and accessible, making them especially useful for young adults. However, limited research compares their relative effectiveness. The aim of this study was to determine the impact of bodyweight exercises versus resistance band exercises on muscle strength in young adults.
Methods. Thirty young adult participants were randomly assigned to two groups: group A (bodyweight training) and group B (elastic band training), with 15 individuals in each. A structured training protocol was followed for four weeks. Strength was assessed pre- and post-intervention using the push-up test and squat test. Paired t-tests were used to determine within-group changes at p < 0.05.
Results. Both training modalities significantly improved muscular strength. Group A demonstrated notable gains in both the push-up          (t = -9.025, p < 0.001) and squat tests (t = -13.169, p < 0.001). Group B showed greater improvements, with push-up                                           (t = -23.438, p < 0.001) and squat (t = -16.430, p < 0.001) scores improving significantly, and higher mean changes compared to group A.
Conclusion. While both bodyweight and elastic resistance exercises effectively enhance strength, elastic band training yielded slightly superior outcomes. These preliminary findings support the use of resistance bands, especially in settings with limited resources.
Key words
strength training, bodyweight workout, elastic resistance, young adults, push-up test, squat test
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Exploring the relationship between glycated haemoglobin levels and geriatric syndromes in elderly patients with diabetes (a cross-sectional study)

Diovin Derose Vianni, Shenbaga Sundaram Subramanian, Surya Vishnuram, Hazliza Razali, Madhanraj Sekar, Naseem Alyahyawi, Hana K Almufadda, Riziq Allah Mustafa Gaowgzeh,Fadwa Alhalaiqa

Diovin Derose Vianni et al. – Exploring the relationship between glycated haem

Diovin Derose Vianni et al. – Exploring the relationship between glycated haemoglobin levels and geriatric syndromes in elderly patients with diabetes (a cross-sectional study) –  Fizjoterapia Polska 2024; 24(5); 293-299

DOI: https://doi.org/10.56984/8ZG020CN4TC

Abstract Background. One common chronic condition is diabetes mellitus (DM), which is more prevalent in the elderly and is often linked to a variety of issues and concomitant conditions. Geriatric symptoms, such as depression, weakness, tiredness, and insomnia, are known to impact health outcomes in this demographic significantly. Objective. This study investigated the connection between glycated hemoglobin (HbA1c) levels and geriatric symptoms in seniors with diabetes. Methods. An appropriate sample of fifty senior people (60–85 years old) with diabetes mellitus was selected from the outpatient ward of Saveetha Hospital. The HbA1c values were assessed in addition to examinations for geriatric symptoms using established measures. Potential correlations between HbA1c levels and geriatric syndromes were examined by statistical analysis. Results. The following variables showed significant positive relationships with HbA1c levels: frailty (r = 0.571, p < 0.000), fatigue (r = 0.725, p < 0.000), sleeplessness (r = 0.631, p < 0.000), and geriatric depression (r = 0.529, p < 0.000). Conclusion. In older diabetes mellitus patients, higher HbA1c levels were linked to a higher prevalence of fatigue, insomnia, frailty, and depression. These results emphasize the need for glycemic control in treating geriatric diseases in this population.
Key words diabetes mellitus, geriatric syndromes, glycated hemoglobin, depression, frailty, fatigue, insomnia, elderly patients
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Effect of deep breathing and bladder retraining on older women with diabetic-induced stress incontinence

Getcyal Devakirubai Martin Jeyaraj,Shenbaga Sundaram Subramanian, Surya Vishnuram,Keerthana A.K., Saad Suleman Alfawaz, Riziq Allah Mustafa Gaowgzeh, Huda Ibrahim Bakhour, Fadwa Alhalaiqa

Getcyal Devakirubai Martin Jeyaraj et al. – Effect of deep breathing and bladder retraining on older women with diabetic-induced stress incontinence –  Fizjoterapia Polska 2024; 24(5); 227-231

DOI: https://doi.org/10.56984/8ZG020CPW1T

Abstract Background. An increasing number of older women, especially those with diabetes, are experiencing stress incontinence. This ailment can significantly affect the quality of life, frequently made worse by weaker pelvic floor muscles and more significant abdominal strain. The combined impact of deep breathing exercises and bladder retraining is a well-researched technique. Purpose. This research aims to determine how deep breathing techniques and bladder retraining affect stress incontinence in older female diabetics. Methods. Eighty older women with diabetic-induced stress incontinence were randomized into a group for intervention (receiving deep breathing exercises along with bladder retraining) and a control group (receiving standard diabetic care). The research employed a randomized controlled trial design. The frequency of incontinence episodes, stress levels examined using conventional scales, and blood sugar levels before and after the intervention, determined by glycosylated hemoglobin (HbA1c), were among the outcome measures. Results. The frequency of incontinence events in the intervention group was statistically significantly lower compared to the control group. Furthermore, the intervention group displayed a statistically significant decrease in stress levels compared to the control group, which showed no discernible benefits. Measurements of hemoglobin A1c, which tracks blood sugar regulation, demonstrated a noteworthy amelioration in the intervention cohort relative to the control cohort. Conclusion. Together, deep breathing exercises and bladder retraining significantly reduce stress-related incontinence, enhance blood sugar management, and reduce the perceived stress levels of older women with diabetes. This integrated, non-invasive approach effectively treats psychological and physiological elements of stress incontinence. Healthcare providers should apply this strategy to improve the treatment of older diabetic women.
Key words stress incontinence, diabetes mellitus, deep breathing, bladder retraining, older women, integrative therapy, blood sugar control
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Effectiveness of low-level laser therapy with Buerger Allen exercise versus LIPUS with Buerger Allen exercise for diabetic foot ulcer

Srivatsan M, Tamil Ponni S, Shenbaga Sundaram Subramanian, Surya Vishnuram, Ramya S, Hazliza Razali, Inayat Fatima, Fadwa Alhalaiqa

Srivatsan M et al. – Effectiveness of low-level laser therapy with Buerger Allen exercise versus LIPUS with Buerger Allen exercise for diabetic foot ulcer –  Fizjoterapia Polska 2024; 24(5); 174-178

DOI: https://doi.org/10.56984/8ZG020CB7JK

Abstract
Background: Diabetic foot ulcers (DFUs) are a severe diabetes complication with a burden similar to cancer. Risk factors include peripheral neuropathy, arterial disease, foot abnormalities, and socioeconomic and geographical influences. Low-Level Laser Therapy (LLLT) relieves pain, promotes tissue repair, and aids wound healing. Ultrasound therapy enhances circulation and tissue healing through sound waves. Buerger-Allen Exercises (BAE) improve lower extremity perfusion, aiding wound healing and reducing neuropathy symptoms. Purpose: This pilot study compared the effectiveness of LLLT with BAE versus Low-Intensity Pulsed Ultrasound Therapy (LIPUS) with BAE in managing DFUs. Methods: 40 patients were assigned to two groups (20 each). Group A received LLLT for 10 minutes, while Group B received LIPUS for 10 minutes. Both groups performed BAE for 10 minutes on alternate days, 3 days a week for 12 weeks. Outcomes were assessed using the Visual Analog Scale (VAS), Bates-Jensen Wound Assessment Tool (BWAT), and Diabetic Foot Ulcer Scale (DFS). Results: Both groups showed significant improvements (P ≤ 0.05), but LLLT with BAE was superior in pain reduction, wound healing, and quality of life. Conclusion: LLLT with Buerger-Allen exercises is a more effective treatment for DFUs than LIPUS.
Key words
diabetic foot ulcer, Laser therapy, Ultrasound therapy, Buerger-Allen exercise
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Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players

Tamil Ponni S, Srivatsan M, Shenbaga Sundaram Subramanian, Surya Vishnuram, Ramya S, Mohammed Atallah F Almutairi, Riziq Allah Mustafa Gaowgzeh, Naseem Alyahyawi, Fadwa Alhalaiqa

Tamil Ponni S et al. – Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players –  Fizjoterapia Polska 2024; 24(5); 114-118

DOI: https://doi.org/10.56984/8ZG020CD2WT

Abstract Background. Shin splints result from repetitive stress on the shin bone, causing strain in the muscles and connective tissues of the lower leg. Among athletes, females (55.3%) experience shin splints more frequently than males (44.7%). Dynamic cupping combines negative pressure, massage movements, and joint motions, while instrument-assisted soft tissue mobilization (IASTM) involves repeated strokes to stimulate muscles, tendons, and fascia. Eccentric exercises enhance muscle activation through lengthening. Purpose. This study aimed to compare the effectiveness of dynamic cupping therapy with eccentric exercise and IASTM with eccentric exercise in managing shin splints among football players. Method. Forty football players were divided into two groups: Group A (dynamic cupping + eccentric exercise) and Group B (IASTM + eccentric exercise). Pain (VAS), medial tibial stress syndrome (MTSS) questionnaire, and range of motion (ROM) were assessed weekly to evaluate outcomes. Results. Dynamic cupping therapy with eccentric training showed significant improvements in pain reduction and ROM compared to IASTM with eccentric training. Conclusion. Dynamic cupping therapy combined with eccentric exercise was more effective than IASTM with eccentric exercise in treating shin splints in football players.
Key words shin splint, cupping therapy, soft tissue mobilization, eccentric exercises, soccer players, range of motion
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Evaluating the integrated effect of aromatherapy and biofeedback therapy with rehabilitation among geriatric population with panic disorder

Bhavaani sree Dhandapani, Shenbaga Sundaram Subramanian, Surya Vishnuram, Syed Abudaheer K, SaadSuleman Alfawaz, Nouf Yousef Khojah, Riziq Allah Mustafa Gaowgzeh, Fadwa Alhalaiqa

  

Bhavaani sree Dhandapani et al – Evaluating the integrated effect of aromatherapy and biofeedback therapy with rehabilitation among geriatric population with panic disorder –  Fizjoterapia Polska 2024; 24(5); 45-49

DOI: https://doi.org/10.56984/8ZG020CF7JA

Abstract
Background. Aging or senescence is mainly associated with multiple health concerns that impact the physical, psychological, and cognitive functions of older individuals, significantly affecting their daily living. The prevalence of panic disorder in this population is rising, often manifesting as fear of falls, anxiety, decreased self-esteem, and breathing difficulties, leading to increased caregiver dependency. Current anxiety disorders, characterized by neurological and psychiatric symptoms, elevated cortisol levels, and irregular immune function, contribute to heightened mental distress and are associated with palpitations and elevated blood pressure. Objectives. The study aims to explore the integrated effect of aromatherapy and biofeedback therapy combined with conventional rehabilitation on reducing fear of falls, anxiety, and breathing difficulties among geriatric patients with panic disorder. Method. One hundred geriatric participants aged 65 years and above were randomly selected into Group A and Group B. Group A received aromatherapy and biofeedback therapy, and Group B received conventional rehabilitation. Outcome measures included pre- and post-treatment assessments using the Fall Efficacy Scale-International, Borg Dyspnoea Scale, Panic Disorder Severity Scale, and standard Hamilton Anxiety Scale. Result. This study shows a significant decline in fear of falls, anxiety, and breathing difficulties by integrating aromatherapy and biofeedback therapy compared to standard rehabilitation. There was no significant differentiation in treatment outcomes within the aromatherapy and biofeedback groups. Conclusion. Integrated aromatherapy and biofeedback therapy with conventional rehabilitation provides an effective strategy for managing fear of falls, anxiety, and breathing difficulties among geriatric patients with panic disorder. These holistic approaches may enhance the quality of care and improve health outcomes and quality of life for this vulnerable population.
Key words
aromatherapy, biofeedback therapy, panic disorder, fear of fall, anxiety, breathing difficulty
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Effectiveness of shoulder kinesio taping and conventional exercises on Fugl-Meyer assessment scale and Rivermead mobility scale in sub-acute hemiplegic subjects with shoulder subluxation: A single group pre-post design

Venkatesan Ramakrishnan, Shenbaga Sundaram Subramanian, Kavitha Selvarj, Albin Jerome, Kavitha Ramanathan, Fadwa Alhalaiqa, Huda Yahya Alyahyawi, Saad Suleman Alfawaz, Riziq Allah Mustafa Gaowgzeh

 

Venkatesan Ramakrishnan et al. – Effectiveness of shoulder kinesio taping and conventional exercises on Fugl-Meyer assessment scale and Rivermead mobility scale in sub-acute hemiplegic subjects with shoulder subluxation: A single group pre-post design –  Fizjoterapia Polska 2024; 24(3); 317-323

DOI: https://doi.org/10.56984/8ZG020A7QB

Abstract:
Background. Most hemiplegic patients develop subluxation in the acute stage of stroke. Despite various prevention strategies, over 80% of stroke survivors experience shoulder subluxation, affecting gait, balance, and mobility. This study evaluated the impact of shoulder kinesio taping and conventional exercises on upper limb function and mobility in sub-acute hemiplegic patients with shoulder subluxation.
Methods. Thirty-three stroke patients (post-stroke duration: 45.42 ± 2.90 days) participated. Kinesio tape was applied twice a week, while conventional exercises were performed five days a week, over eight weeks. The Fugl-Meyer assessment and Rivermead mobility scale were used to measure outcomes.
Results. The intervention significantly improved upper limb function and mobility, with notable changes in Fugl-Meyer and Rivermead scores (p < 0.00001).
Conclusion. Combining kinesio taping and conventional exercises improved upper limb function and mobility in sub-acute hemiplegic patients with shoulder subluxation.

Keywords:
shoulder kinesio taping, conventional exercises, sub-acute hemiplegic subjects, upper limb functions, functional mobility

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Effects of muscle energy technique overhold relax on pain and range of motion in patients with post-surgical elbow stiffness

Junior Sundresh, Kalidasan Varathan, Shenbaga Sundaram Subramanian, Arul Pragassame, Thabbashvinny A.P. Suresh, Makesh Babu Subramanian, Ayman Abdullah Alhammad, Nayef Hamad E Alhatlani, Fadwa Alhalaiqa, Riziq Allah Mustafa Gaowzeh, Kavitha Ramanathan

Junior Sundresh et al. – Effects of muscle energy technique overhold relax on pain and range of motion in patients with post-surgical elbow stiffness –  Fizjoterapia Polska 2024; 24(3); 242-248

DOI: https://doi.org/10.56984/8ZG020AHBC

Abstract:
Background. An elbow joint that can move and is stable is important for work, play, and sports. Stiffness in the elbow after surgery is common and can make it difficult to perform daily activities. This is a significant problem for therapy. Therapeutic exercises, especially stretching exercises, are a crucial part of physiotherapy for alleviating elbow stiffness. Muscle Energy Technique (MET) is a manual therapy that uses mild isometric contractions to utilize the muscles’ energy to help with limited limb movement. On the other hand, Proprioceptive Neuromuscular Facilitation (PNF) is one of the best ways to improve motor performance and speed up recovery by increasing the range of motion and flexibility. The goal is to determine how MET over Hold‑Relax affects pain and range of motion when rehabilitating stiffness in the elbow after surgery.
Methods. A quasi-experimental study was conducted on 12 patients post-elbow fracture fixation. Group A was given MET, while Group B received the Hold-Relax Technique three times a week for three consecutive weeks after the immobilization period. As baseline treatment, both groups received active ROM exercises. Pain (Visual Analog Scale) and ROM (goniometer) were assessed pre- and post-3 weeks.
Results. In the third week, the two treatment groups showed a statistically significant difference in all parametric values (P < 0.05). However, Group B Hold-Relax’s mean difference and paired and unpaired t-test values were greater compared to Group A MET at the end of the third week.
Conclusion. This study concludes that implementing PNF stretch (Hold-Relax) in conjunction with conventional treatment techniques in post-surgical stiffness is beneficial in enhancing the subject’s quality of life by reducing pain and restoring ROM. Hence, PNF (Hold-Relax) can be the best treatment option in physiotherapy practice.
Keywords:
elbow stiffness, muscle energy technique, Hold-Relax, pain, range of motion
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Impact of PNF and MET technique on hamstring flexibility among university students with hamstring tightness

Vijayamurugan Eswaramoorthi, Shenbaga Sundaram Subramanian, Ayman Abdullah Alhammad, Arul Pragassame, Makesh Babu Subramanian, Abdulrahman Abdulwahab Alzahrani, Abrar Nayel Alsharief, Kavitha Ramanathan, Fadwa Alhalaiqa, Riziq Allah Mustafa Gaowgzeh

 

Vijayamurugan Eswaramoorthi et al. – Impact of PNF and MET technique on hamstring flexibility among university students with hamstring tightness –  Fizjoterapia Polska 2024; 24(3); 49-54

DOI: https://doi.org/10.56984/8ZG020A97H

Abstract

Background. Hamstring tightness affects pelvic posture, contributing to symptoms such as low back discomfort and improper lumbar-pelvic area motions. The purpose of this study is to determine the immediate effectiveness of both Proprioceptive Neuromuscular Facilitation (PNF) and Muscle Energy Technique (MET) interventions on hamstring tightness. A paucity of literature has left a research gap on this topic. Thus, my study aims to compare the effects of these two interventions on improving hamstring flexibility among university students with hamstring tightness. Methods. Group I, consisting of 20 subjects, received PNF for 30 minutes. Group II, also consisting of 20 subjects, received MET for 30 minutes. The study was conducted for 4 weeks. Results. The ROM variables were examined using an independent ‘t’ test with a significance level of 0.05. The mean ± SD of the difference in hamstring ROM for the PNF group was 9.77 ± 4.01° and 10.7 ± 5.21° for the MET group. This indicates that a marked difference was obtained between Group I and Group II, as well as a substantial variation between both the pre-intervention and post-intervention values. Conclusion. The findings demonstrated that both PNF and MET significantly improved (p = 0.000) ROM. Meanwhile, no significant difference (p > 0.05) was found between these two interventions.

Keywords:

hamstring tightness, PNF, MET, range of motion, knee extensiona

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