Tag: Kotteeswaran K

Exploring the impact of active release technique combined with strengthening exercises on shoulder function and scapular position in upper cross syndrome

Sridivyadharshini S R, Kotteeswaran K, Kamalakannan M, Bharathi Krishnan K, Bharathi Ravichandran

Sridivyadharshini S R, Kotteeswaran K, Kamalakannan M, Bharathi Krishnan K, Bharathi Ravichandran – Exploring the impact of active release technique combined with strengthening exercises on shoulder function and scapular position in upper cross syndrome –  Fizjoterapia Polska 2025; 25(3); 249-254

DOI: https://doi.org/10.56984/8ZG7D191MJQ

Abstract
The purpose of this study was to evaluate the effect of the active release technique combined with strengthening exercises using the SPADI to improve shoulder function and a vernier caliper to measure scapular position in upper cross syndrome. In this experimental study at SMCH, 70 participants aged 30 to 50 were selected based on inclusion and exclusion criteria. Written informed consent was obtained from all subjects prior to the commencement of the study. The experimental protocol and procedures were explained to all subjects before obtaining their consent. These 70 participants were allocated into two groups using convenient sampling: the ART with strengthening group and the conventional group. Both groups received a 30-minute exercise program. The study employed standard outcome measures including the SPADI score to evaluate shoulder function and a vernier caliper to assess scapular position. The pre-test and post-test values were analysed. The results suggest that the ART with strengthening group showed significant improvement when compared with the conventional group, with p < 0.0001, indicating superior changes in scapular position and shoulder function. The active release technique group demonstrated better outcomes. According to this study, the ART with strengthening group achieved better results than the conventional group. ART with strengthening is more effective in improving shoulder function and scapular position among subjects with upper cross syndrome.
Key words
active release technique, strengthening exercises, upper cross syndrome, shoulder function, scapular position
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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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Effect of theraband strengthening exercise and sandbag strengthening exercise on pain and function in osteoarthritis knee subjects

Bharathi Krishnan S, Kotteeswaran K, Sri Divyadharshini S.R, Raziya Mehar S

 

Bharathi Krishnan S, Kotteeswaran K, Sri Divyadharshini S.R, Raziya Mehar S – Effect of theraband strengthening exercise and sandbag strengthening exercise on pain and function in osteoarthritis knee subjects –  Fizjoterapia Polska 2025; 25(3); 62-69

DOI: https://doi.org/10.56984/8ZG7D19PEB5

Abstract
Background & aim. Knee osteoarthritis (OA) is a degenerative joint disease marked by cartilage breakdown, causing pain, stiffness, swelling, and reduced motion. Common in older adults, it can impair quality of life and make daily tasks like walking, standing, and stair climbing challenging. Management focuses on relieving pain, enhancing joint function, and preventing further degeneration.
Methods. In a Saveetha Hospital study, thirty patients between the ages of 45 and 60 were randomized into two groups, A and B, each with fifteen members. Once the participants gave their consent, the Knee Injury and Osteoarthritis Outcome Score (KOOS) scale was used to assess their knee osteoarthritis (OA) symptoms. Group B received workouts using sandbags for strengthening, whereas group A received exercises using therabands. For eight weeks, each group received one session per day, four days a week. Participants completed two sets of ten repetitions each, separated by ten seconds of rest, during each session. The KOOS scores from the pre- and post-test were noted and statistically analyzed.
Result. Post-test KOOS scale mean values for group A: pain-41.85, symptoms-41.19, ADL-46.57, SRF-37.00, QOL-37.00. Group B: pain-56.56, symptoms-46.90, ADL-51.67, SRF-48.33, QOL-48.33. The resulting p-value was < 0.001, indicating a significant impact of sandbag strengthening on knee osteoarthritis.
Conclusion. The study shows that sandbag strengthening exercise for osteoarthritis of the knee in older adults is more effective than the theraband strengthening technique.
Key words
arthritis, exercise therapy, osteoarthritis, sandbag strengthening exercise, theraband strengthening
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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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Effectiveness of lumbopelvic hip-core stabilisation exercises versus conventional strengthening exercises on electromyographic analysis of vastus medialis oblique activation in knee osteoarthritis

Nevatha S, Kotteeswaran K, Kamalakannan M, Priyadarshini Babu Rajendra Prasad, Hariharan J, Josyula Snigdha

 

Nevatha S, Kotteeswaran K, Kamalakannan M, Priyadarshini Babu Rajendra Prasad, Hariharan J, Josyula Snigdha – Effectiveness of lumbopelvic hip-core stabilisation exercises versus conventional strengthening exercises on electromyographic analysis of vastus medialis oblique activation in knee osteoarthritis –  Fizjoterapia Polska 2025; 25(2); 23-27

DOI: https://doi.org/10.56984/8ZG7D19CE52

Abstract
Introduction. Knee osteoarthritis (OA) is a common and debilitating condition, particularly affecting the medial compartment of the tibiofemoral joint, leading to pain, stiffness, and functional limitations. Exercise therapy, including muscle strengthening, is a primary conservative treatment for managing OA symptoms. The vastus medialis oblique (VMO) plays a crucial role in patellar stability, and its dysfunction is frequently associated with knee OA, contributing to altered joint mechanics and increased pain. Lumbopelvic hip-core exercises focus on improving control of trunk and pelvic movements, which may influence lower limb alignment and reduce knee joint load. Conventional quadriceps strengthening exercises primarily target the knee extensors, with an emphasis on enhancing VMO function.
Aim. The aim of the study was to determine which exercise approach is more effective in enhancing VMO activation, improving knee stability, and optimizing rehabilitation outcomes.
Materials and methods. Based on inclusion and exclusion criteria, 104 individuals diagnosed with knee osteoarthritis were recruited from Saveetha Hospital. Each group completed five exercise sessions per week over a four-week period. Electromyographic (EMG) analysis was used to assess muscle activation patterns and determine which intervention more effectively enhanced VMO activation.
Results. The post-test mean value for the experimental group was 60.29, while the control group had a mean of 48.15 (p < 0.0001). This indicated a statistically significant difference between the experimental and conventional exercise groups.
Conclusion. This study concludes that lumbopelvic hip-core stabilisation exercises are more effective than conventional quadriceps strengthening exercises in enhancing VMO activation, improving knee stability, and supporting rehabilitation in individuals with knee osteoarthritis.

Key words
knee osteoarthritis, vastus medialis oblique, lumbopelvic hip-core stabilisation, conventional strengthening, surface EMG

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