High-intensity interval training for patients with diabetes mellitus. A scoping review

Muhammad Irfan Alhady, Farid Rahman

Muhammad Irfan Alhady, Farid Rahman – High-intensity interval training for patients with diabetes mellitus. A scoping review –  Fizjoterapia Polska 2025; 25(1); 417-429

DOI: https://doi.org/10.56984/8ZG007DGAWB

Abstract
Background. The spread of diabetes mellitus is increasing worldwide, significantly affecting public health. Management of this chronic condition requires effective strategies to control blood glucose levels and improve overall health. High-intensity interval training is emerging as a potential non-pharmacological approach to managing diabetes.
Aim. To investigate the effectiveness of high-intensity interval training in improving glycemic control, insulin sensitivity, and overall physical fitness in patients with diabetes mellitus. It also sought to identify the most effective high-intensity interval training protocols and provide recommendations for their application in diabetes management.
Material and methods. The method used in this study is a scoping review, which aims to find answers to questions from researchers related to the literature on the research topic. The collected articles were synthesized using the TIDIER checklist, and articles were searched through various databases.
Result. After conducting the article selection process, which can be seen in Figure 1, 35 suitable articles were found. The details of articles related to population, interventions, outcome measures, and risk of bias can be seen in Table 1.
Conclusion. High-intensity interval training presents a viable and superior exercise strategy for managing diabetes mellitus, particularly type 2, provided that appropriate protocols are followed. However, further research is needed to standardize high-intensity interval training protocols and evaluate long-term impacts.
Key words
diabetes mellitus, high-intensity interval training, insulin resistance, glycemic control, blood pressure, physical fitness, quality of life
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Comparative efficacy of mobilization vs. stabilization exercises combined with TENS therapy and pelvic floor muscle training in managing pelvic girdle pain

Nithyadarshini Nadar, Suriya Nedunchezhiyan, Kamalakannan M, Hariharan J, Snigdha Josyula, Priyanga Seemathan, Rajashri R

Nithyadarshini Nadar et al. – Comparative efficacy of mobilization vs. stabilization exercises combined with TENS therapy and pelvic floor muscle training in managing pelvic girdle pain –  Fizjoterapia Polska 2025; 25(1); 238-241

DOI: https://doi.org/10.56984/8ZG007DHXNY

Abstract
Background. Pelvic girdle pain (PGP) is a prevalent and debilitating condition, particularly during and after pregnancy, often requiring tailored therapeutic interventions. Despite various treatment options, the comparative effectiveness of different multimodal approaches remains insufficiently explored. This study evaluates the impact of mobilization exercises combined with transcutaneous electrical nerve stimulation (TENS) therapy and pelvic floor muscle training versus stabilization exercises paired with the same adjunct therapies.
Objective. To compare the effectiveness of these two intervention strategies in reducing pain, improving functional mobility and pelvic stability, and enhancing quality of life in individuals with PGP.
Methods. Eighty patients diagnosed with PGP were randomly assigned to two groups. Group A underwent mobilization exercises, TENS therapy, and pelvic floor muscle training, while Group B engaged in stabilization exercises, TENS therapy, and pelvic floor muscle training. The six-week intervention included daily exercises and five weekly TENS therapy sessions. Outcome measures included pain severity (via Visual Analog Scale), functional mobility (Pelvic Girdle Questionnaire scores), pelvic stability, and patient-reported quality of life.
Results. Group A demonstrated a significant reduction in pain (VAS scores from 4.1 to 2.6, p < 0.001) and improved functional mobility (PGQ scores from 29.3 to 16.2, p < 0.001) compared to Group B. Patient-reported outcomes, including satisfaction, stability, and quality of life, were also significantly better in Group A. While both groups experienced improvements, mobilization exercises combined with TENS therapy and pelvic floor muscle training proved superior in overall effectiveness.
Conclusion. Mobilization exercises combined with TENS therapy and pelvic floor muscle training offer a more effective approach to managing PGP than stabilization exercises with the same adjunct therapies. This combination provides superior pain relief, functional mobility, and overall quality of life improvements, supporting its use in clinical practice.
Key words
pelvic girdle pain, pelvic floor, mobilization, stabilization, TENS therapy, quality of life
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Ocena stanu funkcjonalnego i jakości życia pacjentów po 60. roku życia

Tomasz Wiktorek, Robert Irzmański, Małgorzata Kilon

Tomasz Wiktorek, Robert Irzmański, Małgorzata Kilon – Assesment of the functional status and quality of life of patient over 60 years of age –  Fizjoterapia Polska 2025; 25(1); 71-77

DOI: https://doi.org/10.56984/8ZG007DZ3QF

Abstract
Aim. The aim of the study was to asses the functional status and quality of life of patients over 60 years of age living in the community and using institutional care.
Materials and Methods. The study included 60 people aged 66 to 98 (82.8 ± 8.4), residents of a long-term care facility (HCC) and patients of geriatric clinic. Both groups were equal in size. An original survey was used in the study. In order to assess the functional status, handgrip measurement (HGS), the Up and Go test (TUG), short Physical Performance Battery (SPPB) and the Barthel scale were performed and the WHOQOL-BREEF questionnaire was used to assess the quality of life. The obtained results were subjected to statistical analysis. The normality of the distributions was verified using the Shapiro-Wilk test. Student’s T-test and non-parametric Mann-Whitney U test were used to determine the statistical significance of differences between groups. The significance level was set to p < 0.05.
Results/ All tests assessing functional status and quality of life differed between groups at the level of statistical significance (p < 0.001).Physical fitness significantly influenced the quality of life (p < 0.001).
Conclusions/ People living in an institutional environment achieved poorer results in all functional and quality of life tests. The quality of life depended on the functional status and was higher in people living in an institutional environment.
Key words
functional status, quality of life, erderly people, institutional care
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Wizualizacja globalnych trendów badawczych dotyczących sportowców na emeryturze za pomocą analizy bibliometrycznej: możliwości opracowania ćwiczeń dla sportowców na emeryturze w przyszłych badaniach

Dewi Nurhidayah, Yudik Prasetyo, Panggung Sutapa, Bernadeta Suhartini, Fitri Agung Nanda, Kartini

 

Dewi Nurhidayah, Yudik Prasetyo, Panggung Sutapa, Bernadeta Suhartini, Fitri Agung Nanda, Kartini – The frequency and severity of urinary incontinence symptoms in the group of adult physically active women –  Fizjoterapia Polska 2024; 24(5); 17-25

DOI: https://doi.org/10.56984/8ZG020C5CUN

Abstract
This study aims to explore future research directions concerning retired athletes through a bibliometric analysis based on a literature review, utilizing the VOS Viewer application. The research employs a literature review methodology incorporating three tools: Harzing’s Publish or Perish, Mendeley Desktop, and VOS Viewer. Harzing’s Publish or Perish was used to identify articles published in international journals indexed in Scopus from 2016 to 2024 using the keyword “retired athlete.” Mendeley Desktop and VOS Viewer were applied to filter and categorize articles by keywords, as well as to analyze performance, co-citation, bibliographic integration, and scientific mapping. An initial search with Harzing’s Publish or Perish yielded 153 articles. After thematic filtering, 96 articles were retained, and 33 were further analyzed using VOS Viewer. The keyword analysis, based on clustering, highlights prevalent challenges faced by retired athletes, including mental health, well-being, quality of life, physical activity, risk factors, suicide, and career transitions. However, prevention strategies addressing these issues remain underexplored. Consequently, research on preventive measures, such as the development of educational and training models to help retired athletes maintain their fitness, quality of life, and overall well-being, presents a promising avenue for future studies.
Key words
bibliometric analysis, retired athletes, fitness, quality of life, well-being, future research
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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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The Effect of Nomophobıa on Anxıety and Qualıty of Lıfe in Physıotherapy and Rehabılıtatıon Department Students

Sena Gizem Arslan, Ayşe Alkan, Nazlı Hazal Işık

 

Sena Gizem Arslan, Ayşe Alkan, Nazlı Hazal Işık – The Effect of Nomophobıa on Anxıety and Qualıty of Lıfe in Physıotherapy and Rehabılıtatıon Department Students –  Fizjoterapia Polska 2024; 24(4); 60-65

DOI: https://doi.org/10.56984/8ZG01A8K7N2

Abstract
Objective. While smartphones provide convenience to individuals, they also cause many problems. One of these problems is smartphone addiction, known as nomophobia. The aim of our study is to investigate the impact of nomophobia on anxiety and quality of life among students in the Department of Physiotherapy and Rehabilitation..
Methods. The study included 211 students enrolled at Sakarya University of Applied Sciences, Department of Physiotherapy and Rehabilitation. Participants completed a data collection form to provide their demographic characteristics. They also completed the Turkish Nomophobia Scale to assess nomophobia levels, the Beck Anxiety Scale to evaluate anxiety levels, and the SF-36 Quality of Life Scale to measure their quality of life levels.
Results. In our study, the nomophobia scale score was found to be 77.28. The distribution of the nomophobia scale according to the cut-off points is 30% mild, 45% moderate, and 25% extreme. We identified a statistically significant relationship between nomophobia and anxiety (p < 0.05). Additionally, there was a statistically significant association between nomophobia and quality of life parameters, excluding vitality/energy, mental health, and social functioning (p < 0.05). However, no statistically significant relationship was found between anxiety and quality of life.
Conclusion. The anxiety levels of nomophobic individuals increase in parallel with their nomophobia, leading to a decrease in their quality of life. Necessary information should be provided and awareness should be raised in order to prevent nomophobia, which is especially common in the young population.
Key words
anxiety, addiction, nomophobia, students, quality of life
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Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study

G. Balaji, P. Senthil

G. Balaji, P. Senthil – Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study –  Fizjoterapia Polska 2024; 24(2); 42-49

DOI: https://doi.org/10.56984/8ZG56084SH

Abstract
Introduction: Post radical mastectomy patients will have physical problems like reduced shoulder movements and upperlimb muscles strength. The performance and overall function of upper limb and Quality of Life (QOL) will reduce followed by these muscle’s reduced activity. The aim of present study is To find the effects of manual lymphatic drainage with low resistance training of upper limb on shoulder function and QOL of post mastectomy patients. Generally, upper limb muscles like Trapezius, serratus anterior, pectoralis s group. 1 subject from experimental group withdrawal from study. The treatment duration is 12 weeks based on cancer Rehabilitation principle. Outcome measures are taken Lymph ICF(for QOL), anatomical circumferential measurements(for Lymphedema). Patients selected based on the inclusion and exclusion criteria. Experimental group Patients receiving upper limb low resistance training and manual lymphatic drainage techniques and controll group Patients receiving only manual lymphatic drainage techniques. Both group of patients are advised to wear upper limb elastic stockings for 8 hours per day. Result: All Outcome measures taken in baseline(pre) and end of 12 weeks(post) in both groups. Data was analysed by using paired ’t’ test. Results analysed based on pre and post test values. Conclusion:The study has designed a structured low resistance upperlimb exercise program for post radical mastectomy patients in improving shoulder function and QOL.
Keywords
Breast cancer Rehabilitation, Post radical mastectomy, QOL, Low resistance training, Lymphedema, Shoulder function
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Work related musculoskeletal disorders in school teachers: risk factors, prevalence, and association with health-related quality of life in Emirate of Sharjah, United Arab Emirates

Alyazia Obaid Hassan Khudoum Almarashda, Kalyana Chakravarthy Bairapareddy, Meeyoung Kim

Inas Gita Amalia, Suharjana, Ahmad Nasrulloh, Enggista Hendriko Delano, Abiyyu Amajida
– Work related musculoskeletal disorders in school teachers: risk factors, prevalence, and association with health-related quality of life in Emirate of Sharjah, United Arab Emirates.
Fizjoterapia Polska 2023; 23(5); 217-226

DOI: https://doi.org/10.56984/8ZG20A65A

Abstract
Introduction. This study aimed to determine the prevalence of work-related musculoskeletal pain (MSP) and correlations between associated risk factors, physical activity levels, stress, and quality of life among schoolteachers in Sharjah, United Arab Emirates.
Materials and methods. A cross-sectional study using SPSS version 23.0 for the statistical analysis, was conducted using the Shapiro–Wilk test, independent t-test and one-way ANOVA test to compare the quality of life scores and stress level scores based on variables.
Results. In total, 342 teachers working in private and public schools were recruited. Our results showed a high prevalence of MSP among teachers. The most reported areas were the lower back, shoulder, and neck, followed by the upper back. The suggested causes are long hours spent on devices, as the average hours spent on devices range from 6 to 9 hours, heavy load of teaching from 16 to 30 classes per week, old age in most participants (35 years and above), and low physical activity. Moreover, quality of life is low among teachers with known chronic medical conditions and teachers working in private schools. Stress was moderate when all variables were tested.
Conclusion. Work-related MSP are highly prevalent among schoolteachers in the UAE. A high prevalence is associated with older age, longer teaching hours, higher teaching load, poor quality of life, and moderate stress.

Keywords
musculoskeletal pain, stress, quality of life, teachers

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Effect of vaginal CO2 laser therapy in mixed urinary incontinence

Amr N. Badawy, Mahmoud S. El-Basiouny, Mamdouh Bibars, Sameh Salama, Mai Maged, Amr Mostafa, Galal Elshorbagy, Doaa Saeed, M.H. El Ebrashy, Amr H. Elnoury

Amr N. Badawy, Mahmoud S. El-Basiouny, Mamdouh Bibars, Sameh Salama, Mai Maged, Amr Mostafa, Galal Elshorbagy, Doaa Saeed, M.H. El Ebrashy, Amr H. Elnoury – Effect of vaginal CO2 laser therapy in mixed urinary incontinence. Fizjoterapia Polska 2023; 23(5); 191-196

DOI: https://doi.org/10.56984/8ZG20BA1B

Abstract
Objective. This prospective study provides preliminary findings on the clinical effectiveness of minimally invasive CO2 vaginal laser for patients suffering from mixed urinary incontinence.
Materials and Methods. Thirty females suffering from mild to moderate degrees of mixed urinary incontinence underwent CO2 laser treatment with a specialized applicator and wavelength of 10,600 nm in an outpatient setting without anaesthetics or postoperative drugs. All patients received a total of two sessions, each separated by a 4-week period. The ICIQ-UI SF questionnaire (Arabic form) as well as a cough stress test were used to assess the clinical outcome 3 months following treatment in all patients. Patients were given the ICIQ-UI SF to complete before starting treatment and once again three months after completing two sessions of therapy.
Results. A statistically significant decline in the ICIQ UI -SF was observed from baseline (from 8 ± 0.58) to the 3-month follow-up (5.1 ± 0.79). Moreover, eight patients (26.7%) had a negative cough stress test 3 months after the second laser session. During the study duration, there were no severe side effects.
Conclusions. Collagen remodeling and production induced by vaginal CO2 laser may assist in the recovery and repair of pelvic floor function. In patients with MUI, this treatment method demonstrated effective as well as safe clinical outcomes as evaluated by the ICIQ-UI SF questionnaire, despite the limited sample size and short follow-up.

Keywords
bladder symptoms, quality of life, urinary mixed incontinence, ICIQ UI-SF, cough stress test, vaginal CO2 laser

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Monitoring of functional ability, mobility and quality of life in seniors during the COVID-19 pandemic

Pavol Nechvátal, Lucia Demjanovič Kendrová, Tomáš Uher, Michal Macej, Gabriela Škrečková

 

Pavol Nechvátal, Lucia Demjanovič Kendrová, Tomáš Uher, Michal Macej, Gabriela Škrečková – Monitoring of functional ability, mobility and quality of life in seniors during the COVID-19 pandemic. Fizjoterapia Polska 2023; 23(2); 92-95

DOI: https://doi.org/10.56984/8ZG0DFB8A

 

Abstract
Aim. The aim of the work is to map the functional fitness, level of mobility and quality of life of seniors at the time of the COVID-19 pandemic.
Methods. The study group consisted of 130 seniors from the Prešov Region, with an average age of 74.1 (max. 94, min. 65) years and an average Body Mass Index (BMI) of 27.13 (max. 41.09, min 16.00). There were 54 men (41.5%), with an average age of 74.3 years and an average BMI of 26.78, women with an average age of 74.0 years and an average BMI of 27.37. In all seniors we assessed physical fitness by Senior Fitness Test, level of mobility by the Up & go test and quality of life and mental health by the WHOQOL-BREF test during the lockdown in COVID-19 pandemic.
Results. Seniors living in rural areas (t = -2,341; p = 0.020) and living alone (t = -2.05; p = 0.042) had slightly higher rate of mild obesity (according to BMI). Seniors living alone had a lower quality of life compared with seniors living partner or family member (t = 3.728; p < 0.001). Finally, seniors living in rurar areas had worse physical (t = 3.113; p = 0.002) and mental health status (t = 2.601; p = 0.010). Women had slightly worse mental health status than men (t = 2.308; p = 0.022).
Conclusions. Restrictions on movement due to the COVID-19 pandemic put seniors who live alone, at risk, especially women. Men show higher resistance to these measures, mostly in physical and psychological health area.
Key words:
COVID-19, movement activity, physical fitness, quality of life, seniors
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