Mechanical low back pain is the main common reason for referral to physiotherapy clinic, and a chief reason for people complains, and both men and women are equally reported to be affected by this condition. It is found that core stabilization exercises have got significant improvement when compared to conventional back care exercises in improving the function and in relieving pain. To see the effectiveness of core muscles activation over conventional exercises along with Interferential Therapy (IFT) in each group for the reduction of pain and to increase the range of motion and improve the disability in subjects with mechanical low back pain. This is an experimental study where pre and post design were used with 40 subjects with mechanical low back pain were taken considering the selection criteria and divided into two groups. 20 subjects in Group-A received Core muscles activation exercises and IFT with pre and post test analysis and 20 subjects in Group-B received Conventional exercises and IFT with pre and post test analysis. Visual Analogue Scale (VAS) for pain intensity, Revised Oswestry Disability Index (R-ODI) for the disability improvement and Goniometry for range of motion. Statistical analysis was done by using paired 't' tests which showed significant improvement in reducing pain, improving the quality of life and increasing the ROM in Group-A as compared to Group-B but as p > 0.05 so it was non significant. It is concluded that subjects in Group-A who received Core muscles activation exercises are more effective as compared to Group-B who received Conventional exercises and it is found that IFT with core activation exercises is very effective in reducing pain, increasing the ROM and improving the disability.
Smartphone has become an integral part of our lives, they generally have a small screen because of which it is more likely to induce a slouched posture creating a line of sight mostly below eye level, formulating an improper posture when used for a prolonged period of time, for example, forward head posture (FHP) leading to neck pain. The purpose of the study is to compare the effectiveness of Deep neck flexor strengthening exercises with that of McKenzie neck extension exercises on smartphone users suffering from neck pain. It is a comparative experimental study. This study included (N=40) subjects with neck pain within the age group of 25-45 years. They arerandomly assigned into 2 groups (Group A and B). Group A had 20 (N=20) subjects who are treated with Deep neck flexor strengthening exercises, Group B had 20 (N=20) who are treated with McKenzie neck extension exercises. The subjects were given intervention 5 days a week for 6 weeks. For within-group analysis Paired sample t-test was used and to analyze between-group variables Independent sample t-test was done. Between DNF and McK groups no significant difference was found in NDI(p<1.18 ) and SFMPQ(p <1.17) while all outcome measures showed a significant difference in both DNF and McK groups(p=0.00)within the groups The results indicated that although both the treatment techniques, DNF and McK are effective in alleviating the neck pain in Smartphone users in terms of decreasing pain intensity and increasing functional ability as there was a significant difference within the two groups, but there was no significant difference between the DNF and McK group in decreasing pain intensity, increasing functional ability
Adhesive Capsulitis, also known as frozen shoulder, is a severe condition of the shoulder characterized by pain, severe stiffness and restriction of movements in the shoulder joint. We aim to evaluate the effect of Gong's Mobilization with conventional therapy versus the Myofascial release technique with conventional treatment in subjects with Adhesive capsulitis; Objectives that were assessed are Shoulder pain, disability and range of motion. Thirty subjects completed the study. The subjects were randomly assigned into two groups. Group A Received Gong's Mobilization with conventional therapy, and Group B received Myofascial Release technique with traditional treatment. Both groups received ten intervention sessions (5 sessions/week) in 2 weeks. Outcome Parameters: Pain intensity was measured by Visual Analogue Scale (VAS), ROM of the shoulder by universal goniometer & functional disability by shoulder pain and disability index (SPADI). These parameters were measured pre-intervention and after ten sessions of intervention. Analysis using paired t-test and independent-test found no statistically significant difference (p<0.05) between Gong's mobilization with the conventional therapy group and Myofascial release technique with the traditional group of therapy on improving pain, ROM and decreasing the functional deficit. Gong's mobilization with conventional therapy and Myofascial release with the standard treatment technique with conventional therapy is equally effective in improving pain and ROM and decreasing the functional deficit.
Stroke which is also known as cerebrovascular accident (CVA) is a leading cause of impairment and disability in the world. There are many factors that affect the functional independence in post stroke people in which gait impairment plays a significant role. The purpose of stroke rehabilitation is to help patients to achieve as high level of functional independence as possible within their particular impairments. It is found that Task oriented activity has been shown to be an effective intervention to improve mobility. However, little is known about the impact of this intervention on the walking speed. The objective of study is to determine the combined effects of task oriented activity with conventional physiotherapy over conventional physiotherapy alone on walking speed in subjects with sub-acute stroke. This was a comparative study where pre and post design were used. Thirty (30) subjects with sub-acute stroke were taken considering the selection criteria; where Experimental group (Group-A) received task oriented activities and conventional physiotherapy and Control group (Group-B) received Conventional physiotherapy with 15 subjects in each group. Six minutes walk test (MWT) was used to assess the walking endurance and Functional ambulation categories (FAC) was used to evaluate the level of dependency of subjects in performing functional activities. Statistical analysis was done by using paired ‘t’ tests which showed significant improvement as the mean value of Group A (experimental group) mean 6MWT increase from -0.517 to -17.582, mean FAC increase from -1.288 to -3.055 but when intergroup analysis was done, its result was significant only in 6MWT were P= 0.046. task oriented activity after stroke could significantly improve walking endurance but not much significant on the level of dependency of the subject in performing functional activities.
Core stabilization exercise has become a well-known trend in fitness. The diaphragm, which is a component of core stability, plays a role in respiration and stabilizing the trunk by controlling intra-abdominal pressure. Abdominal exercises, such as sit-ups and leg lifts, are used to enhance the strength of the core muscles. Correct breathing (especially as it involves the respiratory muscles) is vital to abdominal training because respiratory muscles are directly involved during common core stability exercises. This is an experimental study where pre and post design is used. This study was done on a healthy population; a total number of 30 subjects were taken according to the inclusion criteria. 15 subjects in Group-A received five core stabilization exercises combined with diaphragmatic breathing with pre and post-test analysis and 15 subjects in Group-B received resting breathing and diaphragmatic breathing with pre and post-test analysis. 6-Minute Walk Test (6MWT), Forced Expiratory Volume in 1 second (FEV1), Forced Vital Capacity (FVC) and Peak Expiratory Flow (PEF) were measured. Based on the inter-group analysis, Group-A (Experimental Group) showed greater improvement p < 0.05 than Group-B (Control Group) in post-test on 6MWT as well as FEV1, FVC, PEF. All the interventions have brought about some improvement (p<0.05) in each group post-treatment based on the mean score but its significance varies. The significance of this study is that it showed the relationship between the core muscles and respiratory functions. So, this study can be concluded that the exercise protocol of core stability exercise with diaphragmatic breathing could improve respiratory functions significantly as compared to resting breathing and diaphragmatic breathing exercise alone.
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