Effect of physical exercises, yogic practices, and combined interventions on motivation and stress

Ponnarasi M, Vanithamani P

Ponnarasi M, Vanithamani P – Effect of physical exercises, yogic practices, and combined interventions on motivation and stress –  Fizjoterapia Polska 2025; 25(4); 231-236

DOI: https://doi.org/10.56984/8ZGA431WOWJ

Abstract
This study aims to examine the effects of physical exercises, yogic practices, and their combined interventions on key psychological parameters: motivation and stress. Data were collected using a pre-test and post-test experimental design involving four groups: physical exercise group (PEG), yogic practice group (YPG), combined physical exercise and yogic practice group (PECYPG), and control group (CG). Analysis of covariance indicated significantly greater improvements in motivation and significant reductions in stress in all experimental groups, with the most notable effects observed in the combined intervention group. These findings emphasize the value of incorporating physical exercises and yogic practices into holistic wellness programs to enhance psychological well-being.
Key words
combined interventions, motivation, stress, psychological well-being, holistic interventions, experimental design, mental health
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The impact of structured postnatal exercise program on salivary cortisol levels in postpartum women following caesarean section

Dasarapu Indrani, Shenbaga Sundaram Subramanian, Prathap Suganthirababu, Dubba NagaRaju, Surya Vishnuram, Jagatheesan Alagesan, Purna Chandra Shekhar, Rahul Shaik, K.Himabindu, Kiran Velukuri

Dasarapu Indrani, Shenbaga Sundaram Subramanian, Prathap Suganthirababu, Dubba NagaRaju, Surya Vishnuram, Jagatheesan Alagesan et al. – The impact of structured postnatal exercise program on salivary cortisol levels in postpartum women following caesarean section –  Fizjoterapia Polska 2025; 25(3); 423-427

DOI: https://doi.org/10.56984/8ZG7D19P4A8

Abstract
Background. Elevated cortisol levels contribute to maternal stress and delayed recovery in the postpartum period, particularly following lower segment caesarean section (LSCS), which poses unique physiological and psychological challenges.
Objective. To evaluate the impact of a 12-week structured postnatal exercise program on salivary cortisol levels in postpartum women following LSCS.
Methods. Sixty postpartum women who had undergone LSCS were randomly assigned to either an experimental group (n = 30) or a control group (n = 30). The experimental group received a physiotherapist-guided postnatal exercise program, progressing from breathing and mobility exercises to core stability training. Salivary cortisol levels were measured pre- and post-intervention. Secondary outcomes included core strength, exhaustion, and mental health.
Results. Post-intervention salivary cortisol levels were significantly lower in the experimental group than in the control group (mean difference: 5.2607 nmol/L; 95% CI: 3.9917–6.5296; p < 0.0001), with the experimental group demonstrating significant improvements in secondary outcomes.
Conclusion. A structured postnatal exercise program effectively reduces salivary cortisol levels and enhances recovery after LSCS. These findings support the incorporation of physiotherapy-led exercise into routine postpartum care to reduce stress and improve maternal health outcomes.
Keywords
cortisol levels, postpartum, caesarean section, postnatal exercise, stress
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Relationship between carpal tunnel syndrome with stress and sleep among IT professionals

Vanitha Jayaraj, M. Ahamed Ajeem, Priyanka Jeyaraj, Varshini Muniyandi, Daniel A, Prathap Suganthirababu

 

Vanitha Jayaraj, M. Ahamed Ajeem, Priyanka Jeyaraj, Varshini Muniyandi, Daniel A, Prathap Suganthirababu – Relationship between carpal tunnel syndrome with stress and sleep among IT professionals –  Fizjoterapia Polska 2025; 25(3); 33-36

DOI: https://doi.org/10.56984/8ZG7D19RSPU

Abstract
Aim. This study investigated the relationship between stress, sleep disturbances, and carpal tunnel syndrome (CTS) among IT professionals, assessing whether stress and poor sleep quality exacerbate CTS symptoms.
Methods. A cross-sectional observational study was conducted on 26 IT professionals (aged 25–50) clinically diagnosed with CTS, with confirmation through electrophysiological testing (NCS) and special tests. Participants were assessed using three standardized tools: the Boston Carpal Tunnel Questionnaire (BCTQ) for symptom severity and functional impairment, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the Perceived Stress Scale (PSS) for stress levels. Pearson’s correlation coefficient was used to analyze relationships among CTS severity, stress, and sleep quality, with statistical significance assessed through p-values. Multivariate regression analysis was used to evaluate the combined influence of multiple factors.
Results. Significant correlations were found between CTS symptoms, stress levels, and sleep disturbances (p < 0.05). Participants with higher BCTQ scores reported greater stress, suggesting stress worsens pain perception. Poor sleep quality, indicated by higher PSQI scores, was prevalent, with difficulties falling asleep and non-restorative sleep linked to increased symptom severity. Stress and poor sleep were interrelated, forming a cycle that intensified CTS symptoms.
Conclusion. Stress and sleep disturbances significantly impact CTS severity in IT professionals. Addressing these factors through stress management, ergonomic modifications, and sleep hygiene education is crucial for improving quality of life and treatment outcomes. Integrating physiotherapy and workplace wellness initiatives can help reduce CTS severity and associated comorbidities. Managing stress and improving sleep should be prioritized alongside traditional CTS treatments for holistic care.
Key words
carpal tunnel syndrome, IT professionals, stress, sleep, quality of life
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Stress level among Jouf University students: a comparison between medical and non-medical colleges

Shatha Basheer Aldababseh, Nevin Adel Amer, Amera Bekhatroh Rashed, Ayat Masoud Omar, Samah E. Masry, Doaa Ebrahim, Doaa Fawzi El-boudy, Alyaa Wahied Elseadi, Wafaa Mostafa El. Kotb, Walaa Ahmed Eissa, Eman Ali Fadol

Shatha Basheer Aldababseh et al. – Stress level among Jouf University students: a comparison between medical and non-medical colleges –  Fizjoterapia Polska 2025; 25(1); 242-246

DOI: https://doi.org/10.56984/8ZG007DEK1C

Abstract
Purpose. This study aimed to compare stress levels among Jouf University students from medical and non-medical colleges.
Methods. A cross-sectional study design was used to conduct this study on 120 students of both genders from two colleges: the College of Applied Medical Sciences and the College of Arts and Sciences. The researcher randomly selected the College of Applied Medical Sciences as an example of a clinical academic study and the College of Arts and Sciences as an example of a theoretical study.
The inclusion criteria were male and female students who were free from any psychological or physical disorders, voluntarily agreed to participate in the study, and regularly followed their academic study plan from both colleges at Jouf University, Qurrayat Branch. The selected colleges enabled researchers to achieve the study aim by comparing stress levels between students from two different academic disciplines: clinical and theoretical.
Results. Among the 120 participants, the number of male students was higher than that of female students. Most participants were living with their families. The majority of students in the first study group (College of Applied Medical Sciences) exhibited high stress levels compared to about half of the students in the second study group (College of Arts and Sciences).
Based on stress level values, it was found that stress was not linked to any sociodemographic factors. However, its level was high among students living with their families and those with a medium financial status.
Conclusion. The findings showed a difference in stress levels between students from the College of Applied Medical Sciences and the College of Arts and Sciences. There was also a relationship between students’ stress levels and their demographic variables.
Keywords
stress, university students, applied medical sciences, arts and sciences
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Changes in body balance due to exposure to trauma – multi-center studies

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Anna Walińska, Kinga Gonta, Elżbieta Szkiler, Milena Kraft, Alina Kirpichnikova, Karolina Trąbska, Anna Parus, Tomasz Kupc, Malwina Waleryn-Sagun, Anna Szadkowska, Rafał Mosur, Kamila Mosur, Damian Szyguła, Nicola Książek, Małgorzata Barszczewska, Patrycja Janta, Aneta Mandrosa, Joanna Jarosławska, Klaudia Smolińska, Marta Szewczyk, Agnieszka Byszewska, Anna Morzyńska, Marzena Tuszkowska, Barbara Wrocławska-Tuszkowska, Marek Gapiński, Tomasz Kowalik, Karolina Adamska, Katarzyna Pawliwiec, Jan Głodowski, Konrad Kijak, Małgorzata Kowacka, Danuta Lietz-Kijak

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Danuta Lietz-Kijak et al – Changes in body balance due to exposure to trauma – multi-center studies. Fizjoterapia Polska 2023; 23(5); 313-326

DOI: https://doi.org/10.56984/8ZG20Bb3T

Abstract
Aim. The purpose of the study was to assess the impact of a traumatic event experienced by the subject on postural balance and biomechanical parameters of gait.
Research methodology. The study involved 31 people (n = 100%), including 22 women (nk% = 70.97%), 9 men (nm% = 29.03), aged 29-60. People with diseases and dysfunctions affecting body balance and gait pattern were excluded from the study.
Balance and gait tests were performed using pedobarography (pedobarograph mod. EPS R2, Biomech Studio v2 software). The balance test was performed while standing, for 20 seconds, with sampling every 1 ms (millisecond) – the number of samples during one test is 20,000. The balance and gait assessment tests were performed twice. Test I included testing in neutral conditions, Test II included testing in conditions in which the subject was exposed
to a traumatic event he or she had experienced in the past (so-called exposure to “experienced trauma”).
Results. The obtained results of studies on the impact of exposure to experienced trauma on body balance while standing showed significant differences in body fluctuations in the most important parameters of stabilometric assessment.
The obtained results of research on the impact of exposure to trauma on the subject’s gait showed no significant differences between the test in neutral conditions and the test during exposure.
Conclusions. (1) Exposure to the trauma experienced by the subject significantly affects the body’s balance in a standing position. (2) The research showed no influence of exposure to the experienced trauma on the subject’s gait in the area of the time of contact of the feet with the ground and on the values of maximum and average pressure; The area of the plane where the feet are placed on the ground changes significantly before and after exposure to the trauma experienced by the subject. (3) In research on the impact of trauma on body posture, detailed results of studies on the range of COP fluctuations in each plane should be taken into account – the study showed that the analysis of only average results may significantly indicate an incorrect result in the assessment of body balance.

Keywords
stress, trauma, PTSD, body balance, gait, stabilometry, pedobarography

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Work related musculoskeletal disorders in school teachers: risk factors, prevalence, and association with health-related quality of life in Emirate of Sharjah, United Arab Emirates

Alyazia Obaid Hassan Khudoum Almarashda, Kalyana Chakravarthy Bairapareddy, Meeyoung Kim

Inas Gita Amalia, Suharjana, Ahmad Nasrulloh, Enggista Hendriko Delano, Abiyyu Amajida
– Work related musculoskeletal disorders in school teachers: risk factors, prevalence, and association with health-related quality of life in Emirate of Sharjah, United Arab Emirates.
Fizjoterapia Polska 2023; 23(5); 217-226

DOI: https://doi.org/10.56984/8ZG20A65A

Abstract
Introduction. This study aimed to determine the prevalence of work-related musculoskeletal pain (MSP) and correlations between associated risk factors, physical activity levels, stress, and quality of life among schoolteachers in Sharjah, United Arab Emirates.
Materials and methods. A cross-sectional study using SPSS version 23.0 for the statistical analysis, was conducted using the Shapiro–Wilk test, independent t-test and one-way ANOVA test to compare the quality of life scores and stress level scores based on variables.
Results. In total, 342 teachers working in private and public schools were recruited. Our results showed a high prevalence of MSP among teachers. The most reported areas were the lower back, shoulder, and neck, followed by the upper back. The suggested causes are long hours spent on devices, as the average hours spent on devices range from 6 to 9 hours, heavy load of teaching from 16 to 30 classes per week, old age in most participants (35 years and above), and low physical activity. Moreover, quality of life is low among teachers with known chronic medical conditions and teachers working in private schools. Stress was moderate when all variables were tested.
Conclusion. Work-related MSP are highly prevalent among schoolteachers in the UAE. A high prevalence is associated with older age, longer teaching hours, higher teaching load, poor quality of life, and moderate stress.

Keywords
musculoskeletal pain, stress, quality of life, teachers

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Prevelence of temporomandibular joint dysfunctions (TMDs) and depressive symptoms and feelings of stress in physiotherapy students with type D personality

Magdalena Gębska, Sylwia Mielcarska, Bartosz Dalewski, Łukasz Pałka, Katarzyna Weber-Nowakowska, Łukasz Kołodziej

Magdalena Gębska, Sylwia Mielcarska, Bartosz Dalewski, Łukasz Pałka, Katarzyna Weber-Nowakowska, Łukasz Kołodziej – Prevelence of temporomandibular joint dysfunctions (TMDs) and depressive symptoms and feelings of stress in physiotherapy students with type D personality. Fizjoterapia Polska 2023; 23(5); 145-156

DOI: https://doi.org/10.56984/8ZG20BZsV

Abstract
Background. Recent scientific reports in dentistry and psychology tend to emphasize the role of various personality traits in temporomandibular joint dysfunction (TMD) multimodal etiology. Since type D personality is a new construct, there has not been much research published regarding this subject. It encompasses both the tendency to experience negative emotions and the tendency to refrain from expressing them. The impact of this combined effect on the increase in stress intensity and the development of somatic and psychiatric illnesses is clearly highlighted. The data presented in the scientific report complement previous insights during ongoing research on Type D personality in people with TMD predisposing factors.
Aim. The aim of this article was to assess the influence of type D personality and its two dimensions on the prevalence of symptoms located in TMJ and adjacent tissues, predisposing factors, depression, and levels of perceived stress.
Material and methods. The study was conducted on a group of 240 physiotherapy students. The study group (G1) comprised of 120 students with DS. 14 type D personality. The control group (G2) consisted of the same number of people without Type D personality. Data obtained included symptoms of TMJ symptoms, and predisposing factors according to original questionnaire form developed for the study; PSS10 stress severity questionnaire and the Beck Depression Inventory (BDI) were also used.
Results. In the study group, TMD symptoms significantly positively correlate with type D personality (with NE a stronger correlation than with SI), PSS10 and BDI, and negatively correlate with age. Students with type D personality had significantly more frequent and higher TMD symptoms than those without stress personality (p = 0.000). The exception was the symptom of increased muscle tension which showed no statistical difference (p = 0.222). People with Type D personality are more than 6 times more likely to clench their teeth (OR = 6.76) and 3 times more likely to have TMJ acoustic symptoms (OR = 3.35) and teeth grinding (OR = 3.27). In the study group, as the level of perceived stress and degree of depression increased, the number of TMJ and preauricular area complaints reported were also on the rise. In the group of students with type D personality, depression was significantly more frequent than in the group without stress personality (p = 0.000).
Conclusion. Students with Type D personality risk experiencing more TMJ and preauricular area issues, while coping with more stress and depressed mood.

Key words:
D personality, stress, depression, temporomandibular joint dysfunction, students

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Collaboration of specialists in the rehabilitation of spine pathology

Oleg Panchenko, Zbigniew Śliwiński, Anastasiia Kabantseva, Nataliia Tsapro

O. Panchenko, Z. Śliwiński, A. Kabantseva, N. Tsapro – Collaboration of specialists in the rehabilitation of spine pathology. Fizjoterapia Polska 2021; 21(4); 96-102

Abstract
To study the influence of the negative psychological state of children and adolescents living on the territory of hostilities, on the formation and course of spinal pathology. The sample consisted of 1467 people aged 5–18-year-old, whose parents had no complaints of the child’s spinal pathology, i.e. “relatively healthy children in respect of spinal pathology.” The growth of pathology of the spine during periods of intensive growth of the child was confirmed: in the 5–7-year-old age group for 3.49% of children, in the 8-10-year-old age group for 13.78%, in the 10-14-year-old age group for 17.89%, in the 15–17-year-old age group for 25.15% respectively. An increase in the prevalence of scoliosis in the Donetsk oblast (excluding the temporarily occupied territories) at the level of 28.26 cases per 1,000 schoolchildren, which is more than in other regions of Ukraine. The similarity of the pathogenesis of scoliosis, stress, and hypercalciuria was determined, which explains the data obtained by us on the prevalence of scoliosis in the ATO area, actually 95.89 cases per 1000 children, and 251.53 cases per 1000 adolescents aged 15-18-year-old. The manifestations of autonomic disturbances (rs = 0.34, p ≤ 0.01), sleep disturbances (rs = 0.43, p ≤ 0.01), anxiety (rs = 0.43, p ≤ 0.01) is increased among children with significant fear of war. There is a need to consider scoliosis as a stressor, and therefore children with scoliosis should get psychological rehabilitation and expert advice.
Key words:
scoliosis, stress, hypercalciuria, children, adolescents, rehabilitation
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The role of physiotherapy in the treatment, prevention, and rehabilitation of chronic bronchitis

Volodymyr Mizin

Volodymyr Mizin – The role of physiotherapy in the treatment, prevention, and rehabilitation of chronic bronchitis. Fizjoterapia Polska 2001; 1(3); 237-242

Abstract

Background. Within the framework of the Global Initiative for Chronic Obstructive Disease there has been considerable scientific discussion and a search for original, modem approaches to the treatment of chronic bronchitis. The success of these endeavors is conditional upon the precise definition of the goals and the application of the appropriate means to achieve them. A review of the literature shows no reports on the potential of physiotherapeutic methods of treatment in this area. The goal of our research was to evaluate the use of electrostimulation of the torso and dalargin electrophoresis to relieve respiratory distress in patients with chronic bronchitis. Materials and methods. The research on the impact of these procedures on the cardiopulmonary system and immune system involved 67 patients. Respiration, hemodynamics, T- and B-lymphocyte content, and immunoglobulin E levels were tested. A biomechanical model was used to simulate the strength of the erython and the respiratory and cardiac muscles, as well as general physical capacity, minute blood volume, and deviation of these parameters from the optimal values. Simulation and calculation of the coefficients consumption by the cardiopulmonary system and the organism was using a synergetic model of aerobic metabolism. Results. Correlation, regression, and factor analyses show that the effects of electrostimulation and dalargin electrophoresis make a major contribution to the realization of numerous treatment goals, including the relief of respiratory distress. The tested factors increase the fuctional capacity of the cardiopulmonary system to supply the organism with oxygen, improve the equilibrium of the vegetative nervous system and the balance of B- and T-lymphocytes, increase the level of T-lymphocytes and lower the level of IgE. The results of factor analysis suggest that lowering the level of IgE decreases the virulence of inflammatory processes. An increases was observed in oxygen consumption and reserve capacity, and an increase – of particular importance – in the integral coefficient of oxygen metabolism in the organism. Conclusions. The tested procedures of electrostimulation of the torso and dalargin electrophoresis produce effects that are beneficial in achieving many strategic and tactical goals in the treatment and rehabilitation of patients with chronic bronchitis, especially reducing the activity of IgE as a risk factor, countering the effects of respiratory insufficiency, inhibiting inflammatory reactions, and improving the status of the immune system, respiratory functions, and hemodynamics. These procedures bring about improvement in the vegetative nervous system, the metabolic systems, and oxygen consumption. These effects make it possible a comprehensive program to reduce respiratory distress in patients with chronic bronchitis.

Key words:
chronic bronchitis, Stress, physiotherapy, electrostimulation, Electrophoresis, dalargin
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Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient

Agata Gajos, Marek Kiljański

A. Gajos, M. Kiljański – Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient. Fizjoterapia Polska 2018; 18(4); 38-49

Abstract
The objective of this study is comparison of the impacts of classic massage and Lomi Lomi Nui massage in treating stress-induced mental and physical tiredness. Another objective is to compare the impact of massage on body hydration and on the level of extracellular water.
Materials and methods. The study covered 30 persons aged 25 – 65.
The patients were divided into 2 groups. Group I included 15 people (7 women and 8 men) who underwent a classic massage. Group II included 15 people (7 women and 8 men) who underwent a Lomi Lomi massage.
Before the massage, the body mass and height were measured in both groups, and then the patients underwent bioelectrical impedance analysis for the purpose of measuring body hydration and the level of extracellular water.
After the massage, impedance was measured again for the purpose of determining the difference in results after the massage. The patients were then asked to fill in a questionnaire including a question about the effectiveness of massages in decreasing mental and physical tiredness and about the impressions during and right after the massage.
Results. Both massages are effective in alleviating the symptoms of stress-induced mental and physical tiredness. The results were not statistically relevant.
The classic massage resulted in reduction in pain and muscle stiff muscles, while the Lomi Lomi massage affected the emotional aspects – the patients were relaxed, the harmony between spirit
and body was recovered, which was statistically relevant. The results of bioelectrical impedance analysis indicate that the massages affected body hydration
and the level of extracellular water. The comparison of arithmetic means of results indicated that the classic massage demonstrated a greater relationship than the Lomi Lomi massage, which was statistically relevant.

Key words:
Stress, medical massage, bioelectrical impedance

 

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