Tag: P. Senthil

Evaluation of stretch shortening cycle and conventional exercise for lateral epicondylitis: A pilot study

S.M Divya Mary, Jibi Pau, Hema V. H., P. Senthil

S.M Divya Mary, Jibi Pau, Hema V. H., P. Senthil – Evaluation of stretch shortening cycle and conventional exercise for lateral epicondylitis: A pilot study –  Fizjoterapia Polska 2024; 24(5); 99-105

DOI: https://doi.org/10.56984/8ZG020CQA5B

Abstract Introduction. Lateral epicondylitis, or tennis elbow, is a common musculoskeletal condition caused by repetitive strain on the elbow joint, often affecting individuals engaged in repetitive wrist and forearm motions. It leads to inflammation and microtears in the extensor tendons, resulting in pain, impaired grip strength, and difficulties in daily activities. Management typically involves conservative treatments, with therapeutic exercises playing a crucial role. Recent methods, such as stretch shortening cycle (SSC) exercises, utilize elastic energy to enhance rehabilitation outcomes. Aim. This study compares the effectiveness of SSC exercises and traditional exercise protocols in improving grip strength and functional outcomes in patients with unilateral lateral epicondylitis. It also assesses the interventions’ impact on activities of daily living using the Patient-Rated Tennis Elbow Evaluation (PRTEE) and a patient-specific functional scale. Methods. Conducted at the ACS Medical College and Hospital, the study involved 24 participants aged 45–65 years with unilateral lateral epicondylitis. Participants were randomly assigned to Group A (SSC exercises) or Group B (traditional exercises). Group A performed SSC exercises combining eccentric and immediate concentric phases, while Group B engaged in conventional strengthening and stretching exercises. Both groups completed a 12-week program. Assessments included grip strength (dynamometer), PRTEE scores, and a functional scale. Statistical analysis compared pre- and post-intervention results. Results. Both groups showed significant improvements in grip strength and functional outcomes, with SSC exercises yielding superior results. PRTEE scores revealed reduced pain and improved functionality, with statistically significant differences favoring SSC exercises (p < 0.05). The effect size for grip strength was small (Cohen’s d = 0.062), and the number needed to treat (NNT) was 17, suggesting modest clinical benefits. Conclusion. SSC exercises are more effective than traditional protocols in improving grip strength and functional performance in lateral epicondylitis, supporting their use in rehabilitation strategies.
Key words lateral epicondylitis, activities of daily living, stretch short cycle, traditional exercise, elbow exercises
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Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study

G. Balaji, P. Senthil

G. Balaji, P. Senthil – Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study –  Fizjoterapia Polska 2024; 24(2); 42-49

DOI: https://doi.org/10.56984/8ZG56084SH

Abstract
Introduction: Post radical mastectomy patients will have physical problems like reduced shoulder movements and upperlimb muscles strength. The performance and overall function of upper limb and Quality of Life (QOL) will reduce followed by these muscle’s reduced activity. The aim of present study is To find the effects of manual lymphatic drainage with low resistance training of upper limb on shoulder function and QOL of post mastectomy patients. Generally, upper limb muscles like Trapezius, serratus anterior, pectoralis s group. 1 subject from experimental group withdrawal from study. The treatment duration is 12 weeks based on cancer Rehabilitation principle. Outcome measures are taken Lymph ICF(for QOL), anatomical circumferential measurements(for Lymphedema). Patients selected based on the inclusion and exclusion criteria. Experimental group Patients receiving upper limb low resistance training and manual lymphatic drainage techniques and controll group Patients receiving only manual lymphatic drainage techniques. Both group of patients are advised to wear upper limb elastic stockings for 8 hours per day. Result: All Outcome measures taken in baseline(pre) and end of 12 weeks(post) in both groups. Data was analysed by using paired ’t’ test. Results analysed based on pre and post test values. Conclusion:The study has designed a structured low resistance upperlimb exercise program for post radical mastectomy patients in improving shoulder function and QOL.
Keywords
Breast cancer Rehabilitation, Post radical mastectomy, QOL, Low resistance training, Lymphedema, Shoulder function
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Effectiveness of moderate to vigorous physical activity among stroke risk predicted population. A pilot study

N. Shazia Neelam, H.Manjunatha, P. Senthil, Saina Swathi,P. Antony Leo Aseer, K.C. Gayathri

N. Shazia Neelam, H.Manjunatha, P. Senthil, Saina Swathi,P. Antony Leo Aseer, K.C. Gayathri – Effectiveness of moderate to vigorous physical activity among stroke risk predicted population. A pilot study –  Fizjoterapia Polska 2024; 24(1); 105-113

DOI: https://doi.org/10.56984/8ZG2EF80LR

Abstract
Background. The increasing prevalence of stroke, particularly among younger populations in countries like India, necessitates effective preventive strategies. Modifiable risk factors such as hypertension, diabetes, and smoking contribute significantly to stroke incidence. This study focuses on the implementation of a 12-week moderate to vigorous physical activity (MVPA) program to address these risk factors and reduce stroke incidence.
Methodology. The study involved a structured MVPA intervention among individuals at risk of stroke, emphasizing consistent adherence to the protocol. Key outcomes, including systolic blood pressure, fasting blood glucose, and total cholesterol levels, were monitored. Cardiovascular fitness improvements were assessed using the Cooper’s Run Test. The study also examined the feasibility and acceptability of the MVPA intervention through participant adherence rates.
Results. The MVPA group exhibited significant reductions in systolic blood pressure, fasting blood glucose, and total cholesterol levels compared to the control group. These findings underscore the efficacy of MVPA in managing major stroke risk factors. Additionally, participants demonstrated enhanced cardiovascular endurance, highlighting the program’s positive impact on overall cardiovascular health. High adherence rates in the MVPA group indicated the feasibility of implementing structured exercise protocols for individuals at risk of stroke.
Conclusion. This pilot study demonstrates the effectiveness of a 12-week MVPA program in reducing key stroke risk factors and improving cardiovascular fitness among individuals at risk of stroke. The findings emphasize the importance of structured exercise interventions in stroke prevention efforts. While promising, further research with larger sample sizes and longer durations is necessary to establish the sustained benefits and feasibility of such interventions. Implementing tailored MVPA programs holds significant potential for mitigating stroke risk, offering valuable insights for global stroke prevention strategies.
Keywords
stroke, MVPA, risk factors of stroke, physical activity
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Classification of Stroke Riskometer AppTM into low, moderate and high stroke risk range

N. Shazia Neelam, P. Senthil, S. Saina Swathi, S.Subramanian, A. Mohamed Nainar, L. Haribabu, E. Vijayabharathi


N. Shazia Neelam, P. Senthil, S. Saina Swathi, S.Subramanian, A. Mohamed Nainar, L. Haribabu, E. Vijayabharathi – Classification of Stroke Riskometer AppTM into low, moderate and high stroke risk range. Fizjoterapia Polska 2022; 22(4); 22-26

DOI: https://doi.org/10.56984/8ZG1A624g

Abstract
Background. Stroke is one of the leading of the causes of disability and according to the global burden of disease (GBD) study in 2010 it is the second leading cause of death worldwide. Developing countries reported 85% global burden of stroke enduring 80 percent of death due to hemorrhagic strokes. Stroke-related hospitalization rate in India is 46 per 100,000 persons. However Stroke Riskometer App can be used to significantly improve stroke and Non- Communicable disease prevention, since it operates on latest expansions in risk allocution/communication, International guidelines on stroke and Cardio-Vascular Disease prevention. However, the app does not classify the risk individuals into low, moderate and high categories which will not create any impact over the high risk individual, therefore it calls for the need to classify the tool into low, moderate and high risk ranges. Aim. To classify the Stroke Riskometer App into low, moderate and high stroke risk ranges among adult and elderly population. Methods. Participants were 250 samples selected from Chettinad Academy of Research and Education and S.A. Poly Clinic, Chennai, for over a_period of 6 months (April 2021-September 2021) and the Stroke Riskometer questionnaire along with Framingham Stroke Profile was filled, risk percentage from both the tools were recorded using the App for each individual. Results. Frequency analysis and Chi-square tests were performed, classifying the range into < 5% as low, 6-10% as moderate and > 10% as high risk in Stroke Riskometer tool. In Chi-square test it showed n = 104 as low risk, n = 11 as moderate risk,n = 14 as high risk in both FRS and Stroke Riskometer respectively. The chi-square value is 24.224 and the significant p value is < 0.0001showing that the value is performing well with FRS score. Conclusion. Though the App was classified into ranges it need to be continually developed and validated with larger sample size, heterogenous population and robust ethnic groups.

Keywords
stroke risk factors, stroke, stroke risk scores, ischemic stroke, non-communicable

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Prevalence of attention deficit hyperactivity disorder in south Indian university students: A cross-sectional study

S. Swathi, S.R. Swathi, Hasira Bhanu, Shazia Neelam, P. Senthil


S. Swathi, S.R. Swathi, Hasira Bhanu, Shazia Neelam, P. Senthil – Prevalence of attention deficit hyperactivity disorder in south Indian university students: A cross-sectional study. Fizjoterapia Polska 2022; 22(3); 180-182

Abstract
Background and Objective. Most of the earlier studies explored the prevalence of attention-deficit/hyperactivity disorder (ADHD) among university students with self-report measures. The aim of the present study was to find the prevalence of ADHD among south Indian university students.
Methods. This is a Cross sectional study conducted In different universities in south India. The Adult ADHD Symptoms Self-Report (ASRS) was filled out by 419 university students. A two-step procedure was done by using the ASRS 6 item screener, an 18-item scale. The sum of the 18 dichotomized items is computed only for those subjects who scored higher than 3 on the 6-item screener, and those who received a total score of higher than 10 are considered as likely to have ADHD. Data analysis was done using descriptive and analytical statistics in SPSS software.
Results. The self-reported ADHD prevalence rate among university students was 7%. The prevalence of ADHD was greater in females than males.
Conclusion. ADHD Prevalence is common among university students. To know the actual prevalence rate of ADHD structured interviews, clinical evaluations are needed.

Key words:
prevalence, attention-deficit/hyperactivity disorder, university students, adult ADHD self-report scale

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