Tag: Kumaresan A

Effect of neurokinetic therapy on core muscle dysfunction among subjects with low back pain

Theepan Kumar, Kumaresan A, Surya Vishnuram

Theepan Kumar, Kumaresan A, Surya Vishnuram – Effect of neurokinetic therapy on core muscle dysfunction among subjects with low back pain –  Fizjoterapia Polska 2025; 25(4); 169-172

DOI: https://doi.org/10.56984/8ZGA431YVHR

Abstract
Objective. Core muscle dysfunction is commonly identified as a contributing factor to low back pain. This study examined the effects of Neurokinetic Therapy (NKT) on core muscle dysfunction in individuals with low back pain.
Methods. Sixty-six subjects aged 20–50 years with chronic nonspecific low back pain were randomized into two groups (NKT and control). The NKT group received treatment for eight weeks. Manual muscle testing was conducted during this period alongside the identification of dysfunctional movement patterns and biweekly neuromotor reprogramming sessions.
Results. The primary outcome, core muscle endurance, improved significantly in the NKT group. Plank endurance time increased from a mean of 45.2 seconds (SD 10.5) at baseline to 61.0 seconds (SD 12.4) post-intervention, while the control group showed a smaller improvement. Side-bridge endurance times also demonstrated a greater increase in the NKT group (30.4 seconds [SD 8.2] to 42.6 seconds [SD 9.3]) compared to the control group. The Wilcoxon test confirmed these improvements were statistically significant (p < 0.01).
Conclusion. The findings suggest that interventional techniques such as NKT should be incorporated into clinical practice for managing chronic low back pain, especially when core dysfunction is present.
Key words
Neurokinetic Therapy, core muscles, low back pain, muscle dysfunction
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Effectiveness of biopsychosocial approach for subacute neck pain among geriatrics

N.Sathiyaseelan, Shenbaga Sundaram Subramanian, Kumaresan A, Surya Vishnuram, K.C.Gayathri, Madhanraj Sekar, A.K.Keerthana

N.Sathiyaseelan et al. – Effectiveness of biopsychosocial approach for subacute neck pain among geriatrics –  Fizjoterapia Polska 2024; 24(4); 147-152

 

DOI: https://doi.org/10.56984/8ZG01A8N3P5

Abstract
Background: The geriatric Population faces common health challenges such as Frailty and neck Pain, which increases the risk for adverse ADL. It leads to a greater level of disability & Headache risk, lower physical functioning and reduced quality of life. A Biopsychosocial Approach centred on activities, emphasizing the enhancement of Biological factors, Psychological factors and Social functional performance to achieve the goals of the Biopsychosocial Approach. This involves intensifying exercise training by leveraging the environment, conducting thorough task analysis, providing feedback and consistently repeating training sessions. Objective: To determine the effects of the Biopsychosocial Approach on Subacute Neck Pain in the geriatric population, focusing on pain, neck-specific disability and work status. Methods: 64 samples were randomly allocated into two groups. The experimental group received the Biopsychosocial Approach, which integrated biological, psychological and social aspects activity-centred, emphasizing repeated training sessions over 8 weeks. The control group underwent Conservative Management 3 days/week for the same duration. Pre and post-test assessments were conducted using the PCS, NDI and AQoL-8D. Results: The significant improvements in the experimental group compared to the control group were demonstrated by the Wilcoxon Signed Rank Test and Mann-Whitney Rank scores (p < 0.001). Specifically, participants in the experimental group experienced reduced neck pain, enhanced neck function, and improved quality outcomes. The results suggest that the Biopsychosocial Approach effectively addressed the multifaceted nature of pain. Conclusion: The study provides compelling evidence supporting Biopsychosocial in reducing neck pain and improving overall quality of life among geriatric populations.
Keywords
biopsychosocial approach, cervical pain, posterior cervical pains, youngest old adults
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Effectiveness of joint mobilization on heel fat pad syndrome among obese patient in geriatric population

N.Sathiyaseelan, Shenbaga Sundaram Subramanian, Kumaresan A, Surya Vishnuram, K.C.Gayathri, Madhanraj Sekar, A.K.Keerthana

 

N.Sathiyaseelan et al. – Effectiveness of joint mobilization on heel fat pad syndrome among obese patient in geriatric population –  Fizjoterapia Polska 2024; 24(4); 71-76

DOI: https://doi.org/10.56984/8ZG01A8J6K2

Abstract
Objective. To determine the effect of joint mobilization on Heel Fat Pad Syndrome among obese geriatrics. Methods. The randomized controlled study was performed at the Saveetha Physiotherapy OPD, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India. 202 samples aged above 60 years were collected based on the criterion for inclusion and exclusion. Interventions. The experimental Group (101Subjects) was treated with Ultrasound and Joint Mobilization. The Control Group (101 Subjects) was treated with Ultrasound and conventional Exercises. The lifestyle and Balance Assessment used the Foot Function Index and Berg balance scale. A numeric Pain Rating Scale was used to measure Pain. Results. The Wilcoxon Signed Rank Test revealed a significant difference (p < 0.001) in the experimental Group between the pre-test and post-test values of NPRS, FFI, and BBS. Similarly, the Control Group showed a significant difference (p < 0.001) in the pre-test and post-test values of NPRS, FFI, and BBS. The comparison of post-test scores between the Experimental Group and the Control Group also showed a significant difference (p < 0.001), indicating significant improvements in the experimental group. As a result, the effects of Joint Mobilization on Heel Pad Syndrome minimize the symptoms of heel fat pad syndrome, Improve Foot Function and balance and reduce pain. Conclusion. The study provided evidence that ultrasound and joint mobilization used in this study show a significant reduction in pain and balance with non-specific heel pain.
Keywords
heel fat pad syndrome, joint mobilization, obese, geriatrics
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