Tag: Kamalakannan.M

Comparing the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain

Jenifer Augustina S., Kamalakannan M, Dhanusia S, Bharathi Ravichandran

Jenifer Augustina S., Kamalakannan M, Dhanusia S, Bharathi Ravichandran – Comparing the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain –  Fizjoterapia Polska 2024; 24(5); 432-435

DOI: https://doi.org/10.56984/8ZG020C9HJ7

Abstract Background. Postpartum low back pain is a common discomfort reported by women, which has a multifactorial etiology. Physical therapy during and after pregnancy helps to resolve various pregnancy-related and postpartum discomforts, impacting the daily activities of the mother. Objective. The objective of this study is to compare the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain. Methodology. This study involved 30 individuals selected based on the inclusion and exclusion criteria, and they were randomly allotted to two groups receiving the two physiotherapy interventions. Application of hot packs was advised to both groups. NPRS and Oswestry Disability Index were used to analyse the effect of the interventions by comparing the severity of the symptoms associated with postpartum low back pain before and after receiving the allotted treatment for 4 weeks. Results. Significant differences in NPRS and ODI were noted in both groups, indicating the efficiency of both laser therapy with exercises and IFT. However, laser therapy with exercises was more effective in reducing the pain and preventing further pain in comparison to IFT. Conclusion. The conclusion of this study states that both laser with exercises and IFT reduced the severity of pain, among which laser therapy with pelvic floor strengthening was comparatively more effective than IFT.
Key words physiotherapy, postnatal, NPRS, Oswestry disability index, strengthening exercises
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Exploring the long-term impact of PNF interventions on plantar fascitis with restricted dorsiflexion using visual analogue scale and foot and ankle ability measure

Koteeswari Arumugam, Kamalakannan M, Hariharan J, Priyanga Seemathan, Praveenkumar R

Koteeswari Arumugam, Kamalakannan M, Hariharan J, Priyanga Seemathan, Praveenkumar R – Exploring the long-term impact of PNF interventions on plantar fascitis with restricted dorsiflexion using visual analogue scale and foot and ankle ability measure –  Fizjoterapia Polska 2024; 24(5); 322-327

DOI: https://doi.org/10.56984/8ZG020CRL9V

Abstract Introduction. Plantar fasciitis is the inflammation of the plantar fascia, affecting both active and sedentary individuals. Limited dorsiflexion increases tension, worsening symptoms. Diagnosis involves the Windlass test, and PNF shows promise in treatment, though long-term effects need further study. Aim of the study. This prospective longitudinal study aimed to investigate the long-term effectiveness and maintenance strategies following proprioceptive neuromuscular facilitation (PNF) technique interventions in individuals with plantar fasciitis and limited dorsiflexion which is one of the conditions affecting the community. The primary objectives included quantitatively comparing pain levels, functional mobility, and patient adherence to prescribed strategies over an extended follow-up period. Materials and Methods. A cohort of 120 participants with plantar fasciitis and limited dorsiflexion, previously treated with PNF interventions, were enrolled in the study. Follow-up assessments were conducted at three-month intervals over a one-year period. Pain levels were measured using a visual analog scale (VAS), functional mobility was assessed using the foot and ankle ability measure (FAAM), and patient-reported outcomes were recorded. Qualitative insights into maintenance strategies were obtained through in-depth interviews, covering aspects such as home exercise programs, lifestyle modifications, and adherence to recommendations. Results. Statistical analysis revealed a statistically significant (p < 0.05) reduction in pain levels and improved functional mobility over the study period. Recurrence rates were found lower than baseline, with only 15% of recurrence. Logistic regression analysis identified factors contributing to sustained outcomes, including consistent adherence to prescribed home exercises (p = 0.021) and proactive lifestyle modifications (p = 0.035). Conclusion. The study concluded that PNF techniques effectively reduce pain, improve mobility, and sustain outcomes in plantar fasciitis with limited dorsiflexion, highlighting the importance of adherence to exercises and lifestyle modifications.
Key words limited dorsiflexion, long-term outcomes, plantar fasciitis, hold relax PNF stretching
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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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Effectiveness of laser therapy along with eccentric exercises vs laser therapy with concentric exercises for subjects with Haglund’s deformity

Hariharan J, Kamalakannan M, Priyanga Seemathan, Anitha A, Hajira Husna

 

Hariharan J, Kamalakannan M, Priyanga Seemathan, Anitha A, Hajira Husna – Effectiveness of laser therapy along with eccentric exercises vs laser therapy with concentric exercises for subjects with Haglund’s deformity –  Fizjoterapia Polska 2024; 24(5); 62-67

DOI: https://doi.org/10.56984/8ZG020CRT8H

Abstract
Introduction. Haglund’s deformity is an inflammation of the bursa in the posterior calcaneus, posing a significant challenge in orthopedic care. This study examines the effectiveness of combining laser therapy with either eccentric or concentric exercises in managing Haglund’s deformity, a bony enlargement on the heel that causes pain and discomfort. Eccentric and concentric exercises are commonly used in rehabilitation to improve tendon function and reduce symptoms.
Aim of the study. The aim of this study was to evaluate the effectiveness of eccentric exercises with laser therapy versus concentric exercises with laser therapy in reducing pain and enhancing functionality in people with Haglund’s deformity.
Materials and methods. A total of 30 subjects with Haglund’s deformity were randomly selected for this study. Inclusion criteria: participants aged 20 to 35 years of both genders diagnosed with Haglund’s deformity. Exclusion criteria: history of foot fractures, open wounds in the hindfoot area, or non-cooperative behavior. Participants were divided into two groups: Group A (laser therapy with eccentric exercises) and Group B (laser therapy with concentric exercises), with 15 individuals in each group. For both groups, pre-test results from the American Orthopedic Foot and Ankle Score (AOFAS) and Numeric Pain Rating Scale (NPRS) were documented. Treatment intervention consisted of 3 weeks of exercises (3 sets per session, 15 reps per set, 5 days a week).
Results. The post-treatment mean NPRS value for Group A was 4.87, whereas it was 6.53 for Group B. The post-treatment mean AOFAS for Group A was 79.33, whereas it was 63.33 for Group B. It was discovered that Group A was more effective in reducing discomfort and enhancing function in individuals with Haglund’s deformity.
Conclusion. The study concluded that the combination of laser therapy with eccentric exercises was more successful than laser therapy with concentric exercises in reducing pain and improving functionality for Haglund’s deformity.
Key words
concentric exercises, eccentric exercises, Haglund’s deformity, laser therapy, pain management
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Impact of resistance training on salivary interleukin-6 and c-reactive protein – A scoping review

Kilani Kusuma, Hari Hara Subramanyan P.V, Mahesh Kumar P.G, Kamalakannan.M, Shenbaga Sundaram Subramanian, Abdel Razzaq Al Hadidi, Riziq Allah Mustafa Gaowgzeh, Ahmed Fekry Salman

 

Kilani Kusuma et al. – Impact of resistance training on salivary interleukin-6 and c-reactive protein – A scoping review –  Fizjoterapia Polska 2024; 24(4); 20-24

DOI: https://doi.org/10.56984/8ZG01A8A9K8

Abstract
This review examines the impact of resistance training on salivary interleukin-6 (IL-6) and C-reactive protein (CRP). These biomarkers are essential indicators of inflammation and immune response. The study employed a systematic literature review method following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. 20 articles published so far were included in the literature review, sourced from various databases: PubMed, Google Scholar, ERIC, EBSCO, Embase, Medline, Global Health, and Scopus. Keywords including MESH terms “resistance training,” “salivary IL-6,” “salivary CRP,” and “inflammation.” The inclusion criteria were fixed to studies that involved human participants, measured salivary IL-6 and CRP, and incorporated resistance-training protocols. Studies were excluded if they focused on other forms of exercise or used invasive measurement techniques and were not randomized control traits or quasi-experimental trials. The study population in these articles includes a diverse range of patients, such as the general population, adults, elderly adults, individuals with type 2 diabetes, COVID-19 patients with and without diabetes, patients with systemic inflammation and cardiovascular disease, overweight and obese individuals, and men with varying levels of physical fitness. By focusing on salivary measurements, this review emphasizes non-invasive methods for monitoring the physiological effects of resistance training. This review highlights the potential of resistance training to modulate inflammation as measured by salivary biomarkers. It underscores the importance of considering various factors when designing training programs and interpreting their physiological impacts. The variability in findings suggests that the relationship between resistance training and salivary IL-6 and CRP is complex. The reductions in these markers observed in some studies may be attributed to the anti-inflammatory effects of regular exercise. The final remarks from an intense review of the literature have shown resistance training has the potential to influence salivary IL-6 and CRP levels, reflecting changes in systemic inflammatory and immune responses. However, the impact varies based on training protocols and individual differences. Resistance training and biomarkers have practical applications in physiotherapy, such as developing tailored treatment programs, making progressive load adjustments, selecting appropriate exercise modalities, and providing patient feedback and monitoring. Additionally, more focused studies could investigate the underlying mechanisms behind observed outcomes, and new technologies such as advanced imaging and biomarkers could be incorporated to gain deeper insights. Research could also explore the impact of combining resistance training with other therapeutic modalities or investigate the role of individualized treatments in enhancing patient outcomes.
Keywords
resistance training, interleukin-6, C-reactive protein
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