Effect of low-level laser therapy on sitting tolerance and activities of daily living in individuals with coccydynia

Jeniffer A, N Senthil Kumar, Jeslin G N, Ramya S, Pooja S, Surya V, Aravindh B, Karthick K

Jeniffer A, N Senthil Kumar, Jeslin G N, Ramya S, Pooja S, Surya V et al. – Effect of low-level laser therapy on sitting tolerance and activities of daily living in individuals with coccydynia –  Fizjoterapia Polska 2025; 25(3); 428-431

DOI: https://doi.org/10.56984/8ZG7D19O1M3

Abstract
Introduction. Coccydynia is defined as pain developing in the coccyx region. The condition is three times more common among women and people with obesity. Common treatments include corticosteroid injections, manual therapy, and physical modalities. However, there is limited research on the effectiveness of physical therapy interventions, particularly low-level laser therapy, in managing coccydynia.
Aim of the study. To determine the effectiveness of low-level laser therapy in improving sitting duration and daily activity participation among patients with coccydynia.
Materials and methods. This study was conducted in a private hospital in Chennai with 30 participants selected from an initial pool of 50 using random sampling. Participants were randomly assigned to two groups: the LLLT group (n = 15) received low-level laser therapy (LLLT), and the US group (n = 15) received ultrasound therapy (US). Both groups also received pelvic bridging exercises over a 2-week intervention period. Outcome measures included the Dallas Pain Questionnaire (DPQ) and the pain-free sitting duration (PFSD) scale.
Results. Both groups showed significant improvement in DPQ and PFSD scores (p < 0.0001). The LLLT group showed a reduction in DPQ scores from 71.60 to 39.40 and an increase in PFSD from 7.30 to 11.10. The US group showed a greater reduction in DPQ scores from 68.60 to 27.30 and a larger improvement in PFSD from 7.20 to 15.60. These findings indicate that while both therapies were effective, ultrasound therapy achieved a more pronounced reduction in pain and better functional outcomes than low-level laser therapy.
Conclusion. Both LLLT and ultrasound therapy effectively reduced pain and improved sitting tolerance in individuals with coccydynia. However, ultrasound therapy demonstrated superior clinical outcomes, making it a more effective conservative treatment option in this population.
Keywords
coccydynia, pelvic floor, exercise therapy, laser therapy, therapeutic ultrasound, coccyx
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Effects of individualized exercise on body composition, lipid profile, mental health, and ovarian cysts in a young woman with polycystic ovarian syndrome – case study

Jeslin G N, Vasugi Suresh, Muthukumaran Jothilingam, Prathap Suganthirababu, Jeevarathinam Thirumalai, Sundareswaran R, Karthick K, Sanjana Venkataraman

Jeslin G N, Vasugi Suresh, Muthukumaran Jothilingam, Prathap Suganthirababu, Jeevarathinam Thirumalai et al. – Effects of individualized exercise on body composition, lipid profile, mental health, and ovarian cysts in a young woman with polycystic ovarian syndrome – case study –  Fizjoterapia Polska 2025; 25(3); 339-341

DOI: https://doi.org/10.56984/8ZG7D197ZP4

Abstract
Background. Polycystic ovarian syndrome (PCOS) is an endocrine disorder affecting women of reproductive age, characterized by hyperandrogenism, obesity, dyslipidemia, irregular menstrual cycles, and changes in ovarian morphology. Therefore, it is important to investigate whether an individualized exercise program influences body composition, lipid profile, mental health, and ovarian cysts.
Methods. An 18-year-old woman diagnosed with type 1 classic PCOS participated in a 9-week (1-week familiarization and 8-week intervention) individualized exercise program that included resistance training (3 days per week) and aerobic exercise (3 days per week). Outcome measures included BMI, waist-hip ratio, body fat percentage, lipid profile, Hospital Anxiety and Depression Scale, and ovarian size at baseline and post-intervention.
Results. There was a notable improvement in all measured outcomes: BMI decreased from 28.1 kg/m² to 24.6 kg/m²; waist-hip ratio reduced from 0.88 to 0.81; body fat percentage dropped from 34.1% to 29.1%; total cholesterol declined from 174 mg/dL to 152 mg/dL; triglycerides decreased from 167 mg/dL to 154 mg/dL; LDL decreased from 91 mg/dL to 82 mg/dL; HDL decreased from 67 mg/dL to 59 mg/dL. Anxiety and depression scores also improved. The left ovary size decreased from 2.75 × 1.58 cm to 2.1 × 1.2 cm, while the right ovary size decreased from 3.55 × 2.33 cm to 2.9 × 1.9 cm.
Conclusion. The results indicate that an individualized exercise program can effectively improve body composition, lipid profile, mental health, and ovarian morphology in young women with PCOS. However, further studies on a larger population are needed to confirm these findings.
Key words
polycystic ovarian syndrome, aerobic exercise, resistance training, body composition, dyslipidemia
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Effect of spinal mobility exercises on functional mobility using AI technology powered software on lumbothorax of young adults with sway back posture

S. Jesvin Bose, N Senthil Kumar, Jeslin G N, Pooja S, Sundareswaran R, Karthick K, Neha Lakshmanan

S. Jesvin Bose, N Senthil Kumar, Jeslin G N, Pooja S, Sundareswaran R, Karthick K et al. – Effect of spinal mobility exercises on functional mobility using AI technology powered software on lumbothorax of young adults with sway back posture –  Fizjoterapia Polska 2025; 25(3); 298-301

DOI: https://doi.org/10.56984/8ZG7D19FU69

Abstract
Introduction. Sway back posture is the most common deviation of sagittal alignment, characterized by multiple compensatory changes that may be caused by various factors and can affect activities of daily living. The aim of the study was to ascertain the efficacy of spinal mobility exercises in subjects with sway back posture.
Materials and methods. This quasi-experimental study involved 30 subjects aged 18 to 25 of both genders with at least 10 degrees of anterior pelvic tilt. Postural analysis was conducted pre- and post-training using APECS (AI Posture Evaluation and Correction System) after 8 weeks of spinal mobility exercises.
Results. Paired t-test analysis showed a statistically significant improvement in the ASIS angle (t = 9.23, p < 0.001, d = 1.83), a post-intervention reduction in the PSIS angle (t = 10.12, p < 0.001, d = 2.00), and pelvic tilt (t = 11.45, p < 0.001, d = 2.25). The results show statistically significant reductions in all postural analysis variables measured using AI software.
Conclusion. Spinal mobility exercises improve functional movement and are an effective treatment for sway back posture. This study presents positive preliminary results for spinal mobility exercises, but full validation is necessary in future research.
Keywords
technology, spine, posture, lumbosacral region, good health and well-being
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Effects of EMG Biofeedback and active exercises with Integrated neuromuscular inhibition technique on students with Trapezius myalgia

Ranjani Shree.K, Jagatheesan Alagesan, Jeslin.G. N, Shenbaga Sundaram Subramanian, Karthick.K, Neha Lakshmanan, Praveen Kumar.R, Pavithra.S

Ranjani Shree.K et al. – Effects of EMG Biofeedback and active exercises with Integrated neuromuscular inhibition technique on students with Trapezius myalgia –  Fizjoterapia Polska 2025; 25(2); 370-373

DOI: https://doi.org/10.56984/8ZG00E1O8LL

Abstract
Aim. Trapezius myalgia is a common musculoskeletal condition characterized by pain and trigger points. Electromyography biofeedback (EMG) can improve muscle activation, while active exercise significantly reduces pain and stiffness. This study aimed to examine the effect of EMG biofeedback exercise training and active exercise, along with integrated neuromuscular inhibition technique (INIT), in individuals with trapezius myalgia. Material and methods. This double-blind study included seventy participants with trapezius myalgia, randomly assigned to two groups after informed consent. Both groups received 10 minutes of INIT. The EMG biofeedback group (n=35) performed exercises with electrodes on the upper trapezius, while the active exercise group (n=35) performed exercises without electrodes. Both interventions lasted 15 sessions over 3 weeks. Results. After the intervention, the EMG biofeedback group showed a decrease in Neck Disability Index (NDI) scores to 12.71 ± 1.67, whereas the active exercise group had no significant reduction (24.17 ± 3.13). Post-test pressure algometer scores were higher in the EMG biofeedback group (136.05 ± 5.35) compared to the active exercise group (119.68 ± 3.01). Statistical analysis revealed significant t-values of 19.057 (p < 0.0001) for NDI and 15.752 (p < 0.0001) for pressure algometer scores, indicating the efficacy of EMG biofeedback in reducing neck pain and enhancing pressure sensitivity. Conclusions. The study demonstrates that EMG biofeedback is more effective than active exercise in reducing pain and improving functional ability in individuals with trapezius myalgia.
Key words
trapezius myalgia, emg biofeedback, integrated neuromuscular inhibition technique, active exercise, neck disability index
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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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