Iwona Serwin, Joanna Kałuża-Pawłowska, Marek Kiljański

I. Serwin, J. Kałuża-Pawłowska, M. Kiljański – The impact of myofascial manipulation on gout remission duration. FP 2017; 17(3); 38-50

Abstract

Purpose. The purpose of this study was to demonstrate the impact of myofascial manipulation on the frequency of gout attacks in patients undergoing conservative treatment for joint lesions.
Materials and methods. The study included 30 gout patients, who were suffering from restricted joint mobility and pain symptoms in the foot and the big toe, and who experienced recurrent gout attacks 3-4 times a year on average. The participants were randomly distributed into two groups: the experimental group and the control group. All of the participants underwent a 10-day physical therapy regimen in form of low-frequency magnetic field therapy and therapeutic ultrasound. The experimental group was additionally treated with myofascial manipulation of the lower extremity.
Results. Analysis of results has revealed that myofascial manipulation of the lower extremity used in the experimental group has improved the functional mobility of gout patients with lesions of foot joints.
Conclusion. Study participants, whose physical therapy regimen included myofascial manipulation (apart from the magnetic field therapy and therapeutic ultrasound), showed improved gait quality, increased tissue elasticity, decreased frequency of gout attacks, and prolonged remission duration from 3-4 months to 10-12 months.

Key words:
Gout, myofascial manipulation, prolonged remission duration

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