Tag: Priyadharshini V

Comparing the effectiveness of Hoffman and Oketani techniques in managing inverted nipples for improved breastfeeding outcomes

Nithyadarshini Nadar, Senthilkumar S, Kamalakannan M, Hariharan J, Priyanga Seemathan, Priyadharshini V, Thiagarajan D

 

Nithyadarshini Nadar et al. – Comparing the effectiveness of Hoffman and Oketani techniques in managing inverted nipples for improved breastfeeding outcomes –  Fizjoterapia Polska 2025; 25(3); 150-155

DOI: https://doi.org/10.56984/8ZG7D196QEQ

Abstract
Background. Inverted nipples can hinder breastfeeding, leading to challenges such as poor latch, nipple pain, and reduced milk transfer, which may discourage mothers from continuing breastfeeding. Effective and non-invasive interventions are essential to support successful breastfeeding. This study compares the Hoffman and Oketani techniques for managing inverted nipples in postpartum mothers.
Methods. This experimental study included 90 pregnant women (32–36 weeks gestation) with clinically diagnosed inverted nipples at Saveetha Medical College and Hospital. Participants were randomly assigned to group A (Oketani technique, n = 45) or group B      (Hoffman exercise, n = 45). Interventions were administered twice daily for 30 minutes over six weeks. Outcome measures included the LATCH score for breastfeeding effectiveness, nipple length measured with a caliper, and nipple pain assessed using the visual analog scale (VAS). Data were collected before and after the intervention to evaluate improvements in breastfeeding outcomes.
Results. The Oketani technique significantly outperformed the Hoffman exercise, with higher post-intervention LATCH scores                 (8.57 ± 0.93 vs. 6.40 ± 0.50, p = 0.0001), greater nipple length increase (5.00 ± 1.05 vs. 4.21 ± 0.32, p = 0.0001), and greater reduction in VAS scores for nipple pain (3.49 ± 1.04 vs. 4.62 ± 0.91, p = 0.0001).
Conclusion. The Oketani technique is a superior intervention for addressing inverted nipples, offering significant benefits in reducing nipple pain, enhancing latch quality, and improving nipple length. Its non-invasive, simple, and cost-effective application makes it a valuable addition to antenatal and postpartum care programs aimed at promoting breastfeeding success.
Key words
breastfeeding, inverted nipple, hoffman technique, oketani technique, nipple pain, postpartum care
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Exploring the link between shoulder external rotation range and Y-Balance Test performance in young cricketers

Karthika Ramalingam, Kamalakannan M,Karthik Tamildasan, Hariharan J, Priyanga Seemathan, Priyadharshini V, Thiagarajan D, Delphin Kavya D

Karthika Ramalingam et al. – Exploring the link between shoulder external rotation range and Y-Balance Test performance in young cricketers –  Fizjoterapia Polska 2025; 25(2); 313-316

DOI: https://doi.org/10.56984/8ZG00E1LTAJ

Abstract
Aim. The aim of this study is to investigate the relationship between shoulder external rotation range of motion (ER ROM) and performance on the Y-Balance Test in young cricketers. Specifically, the study seeks to determine whether greater shoulder external rotation is associated with improved dynamic balance, which is crucial for cricket performance, particularly in movements like throwing and bowling. The research aims to provide insights that may help guide training and injury prevention strategies in young athletes.
Methods. A total of 50 cricketers were selected based on defined inclusion and exclusion criteria. The active ROM of shoulder external rotation on the dominant side was measured using a goniometer. Participants performed the three directional movements of the YBT using non-instrumented floor markings.
Findings. The study analyzed the relationship between Y-Balance Test (YBT) performance and shoulder external rotation range of motion (ROM) in young cricketers. The mean medial component of YBT was 80.42, with a weak positive correlation (r = 0.048, p = 0.82). The superolateral component had a mean of 59.18 and a weak negative correlation (r = −0.284, p = 0.16). The inferolateral component showed a moderate negative correlation (r = −0.365, p = 0.073) with a mean of 74.98. Shoulder external rotation ROM had a mean of 88.12, but no significant correlations were found.
Conclusion. Among the three YBT components, only the medial component demonstrates a positive correlation with shoulder external rotation on both the dominant and non-dominant sides. Conversely, the superolateral and inferolateral components exhibit a negative correlation.
Key words
shoulder external rotation, range of motion (ROM), goniometer, Y-Balance Test
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Effectiveness of neck extensor stretching and strengthening in cyclist neck syndrome: a randomized controlled study utilizing Kinovea and NPRS

Nirmal Khanna R, Kamalakannan M, Hariharan J, Priyanga Seemathan, Priyadharshini V, Thiagarajan D, Durga N, Delphin Kavya D

 

Nirmal Khanna R et al. – Effectiveness of neck extensor stretching and strengthening in cyclist neck syndrome: a randomized controlled study utilizing Kinovea and NPRS –  Fizjoterapia Polska 2025; 25(2); 238-244

DOI: https://doi.org/10.56984/8ZG00E1150

Abstract
Introduction. The condition known as cyclist neck syndrome, characterized by fatigue and the inability of the neck muscles to support the head, often results from prolonged cycling in an improper position. This repetitive strain on the neck extensor muscles commonly leads to reduced range of motion, pain, and impaired performance.
Aim of the study. To assess the effectiveness of neck extensor stretching and strengthening exercises in reducing symptoms of cyclist neck syndrome, improving range of motion, and enhancing overall neck function.
Materials and methods. A total of 50 participants diagnosed with cyclist neck syndrome were randomly selected. Inclusion criteria included individuals aged 20–50 years, cycling at least five times per week, and covering a minimum of 75 km per ride. Exclusion criteria encompassed a history of neck surgery, traumatic neck pain, spinal instability, rheumatological conditions, and recent neck interventions. Participants were divided into two groups of 25: Group A received conventional treatment plus neck extensor stretching and resistance training; Group B received only conventional treatment. Pre-treatment data were collected using the Numerical Pain Rating Scale (NPRS) and cervical range of motion (ROM) for flexion and extension, assessed with Kinovea software. The intervention lasted 4 weeks, with 4 sets per session, 15 repetitions per set, conducted 3 times per week.
Results. Post-treatment mean NPRS score for Group A was 2.16, compared to 5.2 for Group B. Group A showed improved post-treatment cervical ROM in flexion (67.04) and extension (53.4), whereas Group B showed 46 and 47.4, respectively. These results indicate that Group A achieved greater reductions in pain and better functional outcomes.
Conclusion. The findings support that incorporating neck extensor stretching and resistance training significantly improves symptoms and neck function in individuals with cyclist neck syndrome.
Key words
neck syndrome, extensor stretches, resistance training, range of motion
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Effectiveness of lower limb antigravity muscle strengthening in recreational footballers. A comparative study

Kaviyarasan P, Sarvan kumar J, Kamalakannan M, Hariharan J, Priyadarshini Babu, Priyanga Seemathan, Priyadharshini V, Thiagarajan D

Kaviyarasan P et al. – Effectiveness of lower limb antigravity muscle strengthening in recreational footballers. A comparative study –  Fizjoterapia Polska 2025; 25(1); 439-447

DOI: https://doi.org/10.56984/8ZG007D9BZJ

Abstract
Introduction. The study investigates the effectiveness of lower limb antigravity muscle strengthening exercises versus conventional exercises among recreational football players. Enhancing endurance and agility is critical for performance in football, making it essential to identify optimal training methods.
Aim of the study. To evaluate and compare the effects of lower limb antigravity muscle strengthening and conventional exercise on endurance and agility in recreational football players.
Materials and methods. This experimental study involved 56 recreational football players selected from Saveetha University using convenient sampling. Participants were randomized into two groups:
1. Lower limb antigravity muscle strengthening group. Engaged in targeted exercises (lunges with dumbbells, reverse Nordic curls, dumbbell squat thrusts, agility T-drills, and single-leg box jumps) for 5 days a week over 6 weeks.
2. Conventional exercise group. Performed traditional exercises (squats, lunges, calf raises, step-ups, and crunches) under the same schedule.
Each group underwent a 5-minute warm-up and cool-down. Outcome measures included the 30 Seconds Endurance Jump Test and the Agility T Test, which were assessed post-intervention.
Results. The results indicated that the conventional group’s post-test mean endurance was 38.71, while the antigravity muscle strengthening group achieved 42.68. For agility, the conventional group scored 11.8282, compared to 10.64957 for the antigravity group. Both interventions showed significant improvements with p-values less than 0.0001.
Conclusion. Both training methods led to positive enhancements in endurance and agility, with the lower limb antigravity muscle strengthening group demonstrating superior results. This suggests that integrating both training styles may optimize performance for recreational football players.
Key words
lower limb antigravity muscle strengthening, endurance, conventional exercise, agility
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Enhancing recovery: the impact of foam roller-assisted stabilization exercises on low back pain — a comparative analysis with conventional therapies

Revanth M, Kamalakannan M, Hariharan J, Priyadharshini V, Dinesh S, Priyanga Seemathan, Praveenkumar R

 

Revanth M et al. – Enhancing recovery: the impact of foam roller-assisted stabilization exercises on low back pain — a comparative analysis with conventional therapies –  Fizjoterapia Polska 2025; 25(1); 369-375

DOI: https://doi.org/10.56984/8ZG007DLGP0

Abstract
Background. Low back pain (LBP) is one of the most prevalent musculoskeletal conditions affecting individuals worldwide, often resulting in significant disability and reduced quality of life. As the leading cause of years lost to disability globally, the burden of LBP continues to rise alongside an aging and expanding population. Regular exercise plays a pivotal role in alleviating LBP by enhancing spinal muscle strength, improving flexibility, and optimizing posture. Interferential therapy (IFT), a transcutaneous electrical stimulation modality utilizing medium-frequency currents, is a well-established intervention for musculoskeletal disorders. This study evaluates the effectiveness of stabilization exercises using a foam roller in comparison to conventional exercise in individuals with LBP.
Methods. A total of 82 participants meeting the inclusion and exclusion criteria were randomized into two groups: a stabilization exercise group (n = 41) and a conventional exercise group (n = 41). Both groups received IFT alongside their respective exercise protocols. Each intervention session lasted 30 minutes and was administered five times per week for three weeks.
Results. Post-intervention assessments using the Modified Oswestry Disability Index (MODQ) revealed a mean score of 18.8 in the stabilization exercise group compared to 22.93 in the conventional exercise group, with a statistically significant p-value of < 0.0001. These findings demonstrate a superior reduction in pain and disability in the stabilization exercise group.
Conclusion. Stabilization exercises incorporating a foam roller provide enhanced therapeutic benefits for individuals with LBP compared to conventional exercises. The foam roller introduces an unstable surface, challenging participants and promoting greater core activation and postural control.
Key words
foam roller, low back pain, stabilization exercise, interferential therapy (IFT), Modified Oswestry Disability Index (MODQ)
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