Effects of individualized exercise on body composition, lipid profile, mental health, and ovarian cysts in a young woman with polycystic ovarian syndrome – case study

Jeslin G N, Vasugi Suresh, Muthukumaran Jothilingam, Prathap Suganthirababu, Jeevarathinam Thirumalai, Sundareswaran R, Karthick K, Sanjana Venkataraman

Jeslin G N, Vasugi Suresh, Muthukumaran Jothilingam, Prathap Suganthirababu, Jeevarathinam Thirumalai et al. – Effects of individualized exercise on body composition, lipid profile, mental health, and ovarian cysts in a young woman with polycystic ovarian syndrome – case study –  Fizjoterapia Polska 2025; 25(3); 339-341

DOI: https://doi.org/10.56984/8ZG7D197ZP4

Abstract
Background. Polycystic ovarian syndrome (PCOS) is an endocrine disorder affecting women of reproductive age, characterized by hyperandrogenism, obesity, dyslipidemia, irregular menstrual cycles, and changes in ovarian morphology. Therefore, it is important to investigate whether an individualized exercise program influences body composition, lipid profile, mental health, and ovarian cysts.
Methods. An 18-year-old woman diagnosed with type 1 classic PCOS participated in a 9-week (1-week familiarization and 8-week intervention) individualized exercise program that included resistance training (3 days per week) and aerobic exercise (3 days per week). Outcome measures included BMI, waist-hip ratio, body fat percentage, lipid profile, Hospital Anxiety and Depression Scale, and ovarian size at baseline and post-intervention.
Results. There was a notable improvement in all measured outcomes: BMI decreased from 28.1 kg/m² to 24.6 kg/m²; waist-hip ratio reduced from 0.88 to 0.81; body fat percentage dropped from 34.1% to 29.1%; total cholesterol declined from 174 mg/dL to 152 mg/dL; triglycerides decreased from 167 mg/dL to 154 mg/dL; LDL decreased from 91 mg/dL to 82 mg/dL; HDL decreased from 67 mg/dL to 59 mg/dL. Anxiety and depression scores also improved. The left ovary size decreased from 2.75 × 1.58 cm to 2.1 × 1.2 cm, while the right ovary size decreased from 3.55 × 2.33 cm to 2.9 × 1.9 cm.
Conclusion. The results indicate that an individualized exercise program can effectively improve body composition, lipid profile, mental health, and ovarian morphology in young women with PCOS. However, further studies on a larger population are needed to confirm these findings.
Key words
polycystic ovarian syndrome, aerobic exercise, resistance training, body composition, dyslipidemia
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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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Improvement of dynamic balance in sedentary male adolescents after 8 weeks of Asian squat exercise

Sih Reka Prawidya, Damayanti Tinduh, Dewi Masrifah Ayub, Ratna Daryanti Soebadi, Mahmudah

 

Sih Reka Prawidya, Damayanti Tinduh, Dewi Masrifah Ayub, Ratna Daryanti Soebadi, Mahmudah – Improvement of dynamic balance in sedentary male adolescents after 8 weeks of Asian squat exercise –  Fizjoterapia Polska 2025; 25(2); 46-53

DOI: https://doi.org/10.56984/8ZG7D19MKQJ

Abstract
Introduction. This study analyzes changes in dynamic balance among sedentary male adolescents following 8 weeks of Asian squat exercise.
Methods. This study was designed as a single-blind, randomized controlled trial. A total of 24 sedentary male students were randomly assigned to either the treatment group (n = 12), which performed Asian squat exercises three times per week for eight weeks, or the control group (n = 12), which did not receive any intervention. The outcome was measured using the Four-Square Step Test (FSST) before and after the intervention.
Results. A significant improvement in FSST results was observed in the treatment group at week 4 (p = 0.004) and week 8 (p < 0.001) after the intervention. At the end of the eight weeks, the treatment group showed a statistically significant improvement compared to the control group (p = 0.005), with a large effect size (Cohen’s d = 1.29).
Conclusion. Eight weeks of Asian squat training is an effective and safe exercise to enhance dynamic balance in sedentary male adolescents.

Keywords
adolescent, postural balance, resistance training, student, sedentary

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Impact of resistance training on salivary interleukin-6 and c-reactive protein – A scoping review

Kilani Kusuma, Hari Hara Subramanyan P.V, Mahesh Kumar P.G, Kamalakannan.M, Shenbaga Sundaram Subramanian, Abdel Razzaq Al Hadidi, Riziq Allah Mustafa Gaowgzeh, Ahmed Fekry Salman

 

Kilani Kusuma et al. – Impact of resistance training on salivary interleukin-6 and c-reactive protein – A scoping review –  Fizjoterapia Polska 2024; 24(4); 20-24

DOI: https://doi.org/10.56984/8ZG01A8A9K8

Abstract
This review examines the impact of resistance training on salivary interleukin-6 (IL-6) and C-reactive protein (CRP). These biomarkers are essential indicators of inflammation and immune response. The study employed a systematic literature review method following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. 20 articles published so far were included in the literature review, sourced from various databases: PubMed, Google Scholar, ERIC, EBSCO, Embase, Medline, Global Health, and Scopus. Keywords including MESH terms “resistance training,” “salivary IL-6,” “salivary CRP,” and “inflammation.” The inclusion criteria were fixed to studies that involved human participants, measured salivary IL-6 and CRP, and incorporated resistance-training protocols. Studies were excluded if they focused on other forms of exercise or used invasive measurement techniques and were not randomized control traits or quasi-experimental trials. The study population in these articles includes a diverse range of patients, such as the general population, adults, elderly adults, individuals with type 2 diabetes, COVID-19 patients with and without diabetes, patients with systemic inflammation and cardiovascular disease, overweight and obese individuals, and men with varying levels of physical fitness. By focusing on salivary measurements, this review emphasizes non-invasive methods for monitoring the physiological effects of resistance training. This review highlights the potential of resistance training to modulate inflammation as measured by salivary biomarkers. It underscores the importance of considering various factors when designing training programs and interpreting their physiological impacts. The variability in findings suggests that the relationship between resistance training and salivary IL-6 and CRP is complex. The reductions in these markers observed in some studies may be attributed to the anti-inflammatory effects of regular exercise. The final remarks from an intense review of the literature have shown resistance training has the potential to influence salivary IL-6 and CRP levels, reflecting changes in systemic inflammatory and immune responses. However, the impact varies based on training protocols and individual differences. Resistance training and biomarkers have practical applications in physiotherapy, such as developing tailored treatment programs, making progressive load adjustments, selecting appropriate exercise modalities, and providing patient feedback and monitoring. Additionally, more focused studies could investigate the underlying mechanisms behind observed outcomes, and new technologies such as advanced imaging and biomarkers could be incorporated to gain deeper insights. Research could also explore the impact of combining resistance training with other therapeutic modalities or investigate the role of individualized treatments in enhancing patient outcomes.
Keywords
resistance training, interleukin-6, C-reactive protein
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Impact of aerobic versus resistive training on functional capacity in acute myeloid leukemia survivors: a comparative study

Mahmoud Saber Aref, Azza Abdelaziz Abd-Elhady, Raffat Mohammed Abd-Elfattah, Heba Ahmed Ali Abdeen

Mahmoud Saber Aref, Azza Abdelaziz Abd-Elhady, Raffat Mohammed Abd-Elfattah, Heba Ahmed Ali Abdeen – Impact of aerobic versus resistive training on functional capacity in acute myeloid leukemia survivors: a comparative study. Fizjoterapia Polska 2021; 21(5); 38-43

DOI: https://doi.org/10.56984/8ZG20986F

Abstract
Background. Cancer-related fatigue is a persistent symptom in acute myeloid leukemia survivors, with associated decreased functional capacity, which further deteriorates their quality of life. The current study aimed to compare between the impact of aerobic training and resistive training on functional capacity in acute myeloid leukemia (AML) survivors. Fifty nine patients with AML from both sexes aged between 35 and 45 years,were selected from hematology department in (BLINDED FOR PEER REVIEW), where the study was conducted. Patients were randomly assigned into two groups; Group (A) underwent aerobic training in the form of cycling within 50-60% of maximum heart rate. Group (B) underwent resistive training conducted in the form of a series of exercises using free weights, and dumbbells. Sessions were carried out three times per week, for a total of eight weeks period. Six minute walk test (6MWT), 10 repetitions maximum test (10 RM). Ventilatory functions test, fatigue severity assessment (FAS) and quality of life (QoL) scales were measured in both groups before and after the study period. Results. Significant improvement in 6MWT, maximum oxygen consumption (VO2 max) and vital capacity in group (A), significant improvement in fatigue and QoL in both groups and significant improvement in 10 RM test in group (B). Conclusion. Both aerobic and resistive training significantly improved functional capacity in acute myeloid leukemia survivors with a more significant improvement due to aerobic training.
Key words:
acute myeloid leukemia, aerobic training, resistive training, functional capacity, quality of life
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