Tag: Ramya S

Effect of low-level laser therapy on sitting tolerance and activities of daily living in individuals with coccydynia

Jeniffer A, N Senthil Kumar, Jeslin G N, Ramya S, Pooja S, Surya V, Aravindh B, Karthick K

Jeniffer A, N Senthil Kumar, Jeslin G N, Ramya S, Pooja S, Surya V et al. – Effect of low-level laser therapy on sitting tolerance and activities of daily living in individuals with coccydynia –  Fizjoterapia Polska 2025; 25(3); 428-431

DOI: https://doi.org/10.56984/8ZG7D19O1M3

Abstract
Introduction. Coccydynia is defined as pain developing in the coccyx region. The condition is three times more common among women and people with obesity. Common treatments include corticosteroid injections, manual therapy, and physical modalities. However, there is limited research on the effectiveness of physical therapy interventions, particularly low-level laser therapy, in managing coccydynia.
Aim of the study. To determine the effectiveness of low-level laser therapy in improving sitting duration and daily activity participation among patients with coccydynia.
Materials and methods. This study was conducted in a private hospital in Chennai with 30 participants selected from an initial pool of 50 using random sampling. Participants were randomly assigned to two groups: the LLLT group (n = 15) received low-level laser therapy (LLLT), and the US group (n = 15) received ultrasound therapy (US). Both groups also received pelvic bridging exercises over a 2-week intervention period. Outcome measures included the Dallas Pain Questionnaire (DPQ) and the pain-free sitting duration (PFSD) scale.
Results. Both groups showed significant improvement in DPQ and PFSD scores (p < 0.0001). The LLLT group showed a reduction in DPQ scores from 71.60 to 39.40 and an increase in PFSD from 7.30 to 11.10. The US group showed a greater reduction in DPQ scores from 68.60 to 27.30 and a larger improvement in PFSD from 7.20 to 15.60. These findings indicate that while both therapies were effective, ultrasound therapy achieved a more pronounced reduction in pain and better functional outcomes than low-level laser therapy.
Conclusion. Both LLLT and ultrasound therapy effectively reduced pain and improved sitting tolerance in individuals with coccydynia. However, ultrasound therapy demonstrated superior clinical outcomes, making it a more effective conservative treatment option in this population.
Keywords
coccydynia, pelvic floor, exercise therapy, laser therapy, therapeutic ultrasound, coccyx
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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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Effectiveness of low-level laser therapy with Buerger Allen exercise versus LIPUS with Buerger Allen exercise for diabetic foot ulcer

Srivatsan M, Tamil Ponni S, Shenbaga Sundaram Subramanian, Surya Vishnuram, Ramya S, Hazliza Razali, Inayat Fatima, Fadwa Alhalaiqa

Srivatsan M et al. – Effectiveness of low-level laser therapy with Buerger Allen exercise versus LIPUS with Buerger Allen exercise for diabetic foot ulcer –  Fizjoterapia Polska 2024; 24(5); 174-178

DOI: https://doi.org/10.56984/8ZG020CB7JK

Abstract
Background: Diabetic foot ulcers (DFUs) are a severe diabetes complication with a burden similar to cancer. Risk factors include peripheral neuropathy, arterial disease, foot abnormalities, and socioeconomic and geographical influences. Low-Level Laser Therapy (LLLT) relieves pain, promotes tissue repair, and aids wound healing. Ultrasound therapy enhances circulation and tissue healing through sound waves. Buerger-Allen Exercises (BAE) improve lower extremity perfusion, aiding wound healing and reducing neuropathy symptoms. Purpose: This pilot study compared the effectiveness of LLLT with BAE versus Low-Intensity Pulsed Ultrasound Therapy (LIPUS) with BAE in managing DFUs. Methods: 40 patients were assigned to two groups (20 each). Group A received LLLT for 10 minutes, while Group B received LIPUS for 10 minutes. Both groups performed BAE for 10 minutes on alternate days, 3 days a week for 12 weeks. Outcomes were assessed using the Visual Analog Scale (VAS), Bates-Jensen Wound Assessment Tool (BWAT), and Diabetic Foot Ulcer Scale (DFS). Results: Both groups showed significant improvements (P ≤ 0.05), but LLLT with BAE was superior in pain reduction, wound healing, and quality of life. Conclusion: LLLT with Buerger-Allen exercises is a more effective treatment for DFUs than LIPUS.
Key words
diabetic foot ulcer, Laser therapy, Ultrasound therapy, Buerger-Allen exercise
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Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players

Tamil Ponni S, Srivatsan M, Shenbaga Sundaram Subramanian, Surya Vishnuram, Ramya S, Mohammed Atallah F Almutairi, Riziq Allah Mustafa Gaowgzeh, Naseem Alyahyawi, Fadwa Alhalaiqa

Tamil Ponni S et al. – Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players –  Fizjoterapia Polska 2024; 24(5); 114-118

DOI: https://doi.org/10.56984/8ZG020CD2WT

Abstract Background. Shin splints result from repetitive stress on the shin bone, causing strain in the muscles and connective tissues of the lower leg. Among athletes, females (55.3%) experience shin splints more frequently than males (44.7%). Dynamic cupping combines negative pressure, massage movements, and joint motions, while instrument-assisted soft tissue mobilization (IASTM) involves repeated strokes to stimulate muscles, tendons, and fascia. Eccentric exercises enhance muscle activation through lengthening. Purpose. This study aimed to compare the effectiveness of dynamic cupping therapy with eccentric exercise and IASTM with eccentric exercise in managing shin splints among football players. Method. Forty football players were divided into two groups: Group A (dynamic cupping + eccentric exercise) and Group B (IASTM + eccentric exercise). Pain (VAS), medial tibial stress syndrome (MTSS) questionnaire, and range of motion (ROM) were assessed weekly to evaluate outcomes. Results. Dynamic cupping therapy with eccentric training showed significant improvements in pain reduction and ROM compared to IASTM with eccentric training. Conclusion. Dynamic cupping therapy combined with eccentric exercise was more effective than IASTM with eccentric exercise in treating shin splints in football players.
Key words shin splint, cupping therapy, soft tissue mobilization, eccentric exercises, soccer players, range of motion
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