Tag: B Sathya Prabha

基于家庭的远程普拉提对孕妇骨盆带疼痛和腰骨盆稳定性的影响

Akilandeeswari. S., B. Sathya Prabha, Ponmathi P.

Akilandeeswari. S., B. Sathya Prabha, Ponmathi P. – Effect of home based tele pilates on pelvic girdle pain and lumbo pelvic stability among pregnant women – A randomized controlled trial –  Fizjoterapia Polska 2024; 24(4); 364-370

DOI: https://doi.org/10.56984/8ZG01A8L8M1

摘要
引言：骨盆带疼痛是孕期常见的肌肉骨骼问题之一，主要由激素波动和支撑腰骨盆稳定性的肌肉生物力学改变引起。普拉提方法结合身心训练，侧重核心力量，能够缓解骨盆疼痛。近年来，远程康复已成为临床实践中的流行解决方案之一。
目的：探讨基于家庭的远程普拉提（HTPE）对孕妇骨盆带疼痛和腰骨盆稳定性的影响。
材料与方法：本随机对照试验于2023年1月至6月在钦奈的Sri Ramachandra医院进行。筛选了孕周在20-30周、存在骨盆带疼痛的孕妇，并随机分为普拉提组（n=19）和对照组（n=19）。普拉提组每周三次进行为期八周的练习，对照组则进行标准产前锻炼和教育。研究结果使用了视觉模拟量表（VAS）评估疼痛水平、骨盆带问卷（PGQ）评估功能障碍，以及压力生物反馈评估腰骨盆稳定性。采用曼-惠特尼检验、威尔科克森符号秩检验及t检验分析疼痛评分、骨盆带问卷和腰骨盆稳定性。
结果：基线参数相似且具有可比性（p < 0.05）。组间分析显示，实验组在疼痛和功能障碍方面有显著改善，差异具有统计学意义（p ≤ 0.001）。两组在组内分析中腰骨盆稳定性显著改善（p < 0.001）。
结论：基于家庭的远程普拉提（HTPE）可作为一种有效且安全的方法，用于减少孕妇骨盆带疼痛并提高腰骨盆稳定性。

关键词：产前, 骨盆痛, 腰骨盆痛, 家庭普拉提, 核心稳定性训练

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通过远程改良普拉提对围绝经期女性更年期症状和盆底肌肉功能障碍的影响：随机对照试验

T. Kavya, B. Sathya Prabha, P. Ponmathi

T. Kavya, B. Sathya Prabha, P. Ponmathi – Ineffect of tele-based modified pilates on menopausal symptoms and pelvic floor muscle dysfunction in premenopausal women. A randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 367-373

DOI: https://doi.org/10.56984/8ZG5608C3D

摘要

背景

更年期是由卵巢卵泡功能减退引起的月经永久停止。在此期间，女性可能会经历潮热、出汗、睡眠问题、心脏不适、眩晕、疲劳、头痛、频繁排尿、盆底肌肉（PFM）无力、肌肉和关节疼痛、情绪不稳定、抑郁。锻炼和其他体育活动可以帮助缓解围绝经期女性的更年期症状（MPS）并改善PFM功能。其中，普拉提是一种安全的技术，可以提高身体和心理表现。

目的

探讨远程改良普拉提对围绝经期女性更年期症状和盆底肌肉功能障碍的影响。

方法

使用更年期评分量表（MRS）和盆底困扰量表（PFDI）筛查女性的更年期症状和盆底困扰。根据纳入和排除标准，将受试者随机分配到两组：A组-对照组（CG）和B组-实验组（EG）。对两组受试者进行MRS和PFDI评估，并测量腹横肌（TrA）和PFM力量。对照组受试者进行了为期8周的有氧运动——步行。实验组受试者进行了为期8周的TMPE小组训练，每次40分钟。两组受试者在第一次和8周后的最后一次训练中进行了评估。

结果

TMPE组在减少MPS和盆底困扰方面显示出显著改善。TMPE组在PFM和TrA肌肉力量方面的改善优于对照组。

结论

普拉提组在改善MPS和减少盆底困扰症状方面表现出显著效果，同时还提高了PFM和TrA肌肉力量。

关键词

更年期，更年期症状（MPS），盆底肌肉（PFM）功能障碍，远程改良普拉提运动（TMPE），体育活动（PA）

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Development and validation of an e-health module – PregEx to support antenatal exercise and education

Janani C., B. Sathya Prabha


Janani C., B. Sathya Prabha – Development and validation of an e-health module – PregEx to support antenatal exercise and education. Fizjoterapia Polska 2023; 23(2); 122-127

DOI: https://doi.org/10.56984/8ZG0DF31B

Abstract

Background. Pregnancy, childbirth, and motherhood are major life phases in a woman’s life. During these phases, not only do women experience physiological changes but they are also adjusting to their new roles and responsibilities as mothers. The World Health Organization has declared that the benefits of e-health should be considered among the fundamental components of any strategy and most important programs for the collection of pregnancy healthcare information. Hence this study aimed to develop an e-health module to support antenatal exercise and education for pregnant women.

Aim. To develop and validate an e-health module to support antenatal exercise and education.

Methodology. The development of an e-health module was prepared using the structured antenatal exercise protocol. Face and content validation was done by expert opinion and feedback on the application was obtained. Feedback from the usability evaluation was used to revise the app. The application was named as PregEx. The developed application (PregEx) was validated among fifty antenatal mothers. They were instructed to follow up on antenatal exercises and education and were on follow-up for 2 weeks. Then the feedback on the mobile application was collected from the mothers using a mobile application rating scale (MARS).

Results. The overall quality mean scores of the MARS scale was 4.08 ± 0.39. The ratings of MARS app specific responses had shown about 80% were on awareness creating, 90% were knowledge oriented, 71% of the mothers found this app as a help-seeking and satisfaction and about 67% felt it improves the mothers on behavior change.

Conclusion. The mobile app (Preg Ex) was user-friendly and feasible for antenatal mothers to understand easily and practice antenatal exercise and education.

 

Keywords: mHealth app, mobile application, educational applications, pregnant women, Pregnancy exercises and antenatal care

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The relationship of anthropometric measurement, physical activity, psychosocial aspects and endometriosis

Shyamrani.Y, B.Sathya Prabha


Shyamrani.Y, B.Sathya Prabha – The relationship of anthropometric measurement, physical activity, psychosocial aspects and endometriosis. Fizjoterapia Polska 2022; 22(2); 50-53

DOI: https://doi.org/10.56984/8ZG0DEHN3

Abstract
Aim. To find out the association between the anthropometric measurement, the physical activity, psychosocial level and endometriosis. Materials and Methods. Thirty women diagnosed as endometriosis and 30 age matched non endometriosis women were recruited. Anthropometric measurement – Body Mass Index (BMI) and Waist hip ratio (WHR) was measured. International Physical Activity Questionnaire (IPAQ) and Beck Depression Inventory scale (BDI) were used to measure the physical activity level and the psychosocial level respectively. Results. There was a significant difference in BMI between the groups. The odds ratio and relative risk analysis of endometriosis showed that there is an association between increased BMI, WHR, BDI and the risk of endometriosis (p < 0.05). Conclusion. Increased Body mass index, Waist Hip Ratio and Beck depression score (BMI > 30, WHR > 0.85 and BDI > 16) are associated with increased risk of endometriosis.
Key words:
endometriosis, body mass index, physical activity, waist hip ratio, depression
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Wpływ ćwiczeń ciążowych i edukacji na dolegliwości mięśniowo-szkieletowe związane z ciążą

B Sathya Prabha, Jaya Vijayaraghavan, N.Venkatesh, R.Sivakumar

B Sathya Prabha, Jaya Vijayaraghavan, N.Venkatesh, R.Sivakumar – Effect of pregnancy exercises and education on pregnancy related musculoskeletal discomforts. Fizjoterapia Polska 2021; 21(3); 114-119

DOI: https://doi.org/10.56984/8ZG141900

Abstract
Aim. Women experience significant physiological and anatomical adaptations during pregnancy to meet the maternal and foetal demands. Biomechanical and hormonal factors, ligament laxity, posture and weight gain may put lot of stress on musculoskeletal system which may in turn induce various musculoskeletal symptoms in pregnancy. Most of the women believe that physical activity during pregnancy is harmful to maternal and foetal health, which results reduction in their routine physical activity. Physical inactivity during gestational period leads to various maternal discomforts and complications. The purpose of this study is to evaluate the effect of structured antenatal exercise programme and education on pregnancy related musculoskeletal discomforts.
Material and Methods. Total of 186 mothers were recruited for the study. 94 Participants were selected as the study group samples and 92 were chosen as the control group .The study group received structured antenatal classes  and education in addition to routine antenatal care whereas  the control group received routine antenatal care and exercises. Antenatal classes were conducted as individualised therapy for the interventional group along with routine antenatal care from 20th week of gestation.  The primary outcome measure was pregnancy induced musculoskeletal dysfunction scale (PMDS scale). PMDS scale was assessed at 20, 24 and   32 weeks.
Results and Discussion. There was a significant difference in the values of low back pain, symphysis pubic pain, knee pain, pelvic girdle pain and edema at 32 weeks (p value p< 0.05). Exercise during pregnancy increased the β endorphin levels and decrease the perception of pain and pregnancy induced musculoskeletal symptoms.
Conclusion. The antenatal   exercise programme and education were found to be effective in reducing pregnancy induced musculoskeletal dysfunction. Hence we suggest the pregnancy exercise and education programme in routine antenatal care to improve maternal quality of life.
Key words:
Pregnancy, musculoskeletal discomforts, pregnancy exercises, antenatal education and pregnancy discomfort
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