Tag: Neha Lakshmanan

Pelvic congestion syndrome management: a comparative study of targeted physiotherapy interventions

Ramya.S, Jeslin.G. N, Harini PS, Pooja.S, Neha Lakshmanan, Mythri Jain, Vaheedha S, Simran Sharma

Ramya.S, Jeslin.G. N, Harini PS, Pooja.S, Neha Lakshmanan, Mythri Jain et al. – Pelvic congestion syndrome management: a comparative study of targeted physiotherapy interventions –  Fizjoterapia Polska 2025; 25(3); 412-415

DOI: https://doi.org/10.56984/8ZG7D19GXVH

Abstract
Introduction. Pelvic congestion syndrome (PCS) is a chronic condition causing pelvic pain due to venous insufficiency. Although medical treatments exist, there is limited research supporting the role of physiotherapy.
Aim of the study. To compare the effectiveness of two physiotherapy protocols in managing PCS symptoms, focusing on pain relief, pelvic floor muscle strength, and pelvic blood flow.
Materials and methods. A randomized controlled trial was conducted with 56 women diagnosed with PCS at Saveetha Hospital, SIMATS, India. Participants were randomly assigned to the MLP group (n = 28; received lymphatic drainage, myofascial manipulation, and pelvic floor exercises) or the MP group (n = 28; received myofascial manipulation and pelvic floor exercises). Interventions were applied three times per week for eight weeks. Outcomes included pain (visual analogue scale), muscle strength (electromyography), and blood flow (transabdominal ultrasonography), assessed at baseline and post-intervention.
Results. The MLP group showed significant improvement in pain (VAS: 6.7 ± 1.11 to 3.8 ± 1.5), muscle strength (EMG: 10.2 ± 3.5 to 17.7 ± 3.17), and blood flow (USG: 8.5±1.2 to 4.7±1.5) (p < 0.05). The MP group also demonstrated improvements, although less pronounced, across all outcomes.
Conclusion. The combination of lymphatic drainage, myofascial manipulation, and pelvic floor exercises is more effective than myofascial manipulation and pelvic floor exercises alone in reducing pain, increasing pelvic floor muscle strength, and improving pelvic blood flow in women with PCS.
Keywords
venous insufficiency, pelvic diaphragm, electromyography feedback, blood flow
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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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