Reflexology versus mulligan in management of diabetic frozen shoulder: A comparative study

Heba Abd Elghfar, Asmaa Abd Elmonem Ahmad Tolba, Hassan Husien Ahmad


Heba Abd Elghfar, Asmaa Abd Elmonem Ahmad Tolba, Hassan Husien Ahmad – Reflexology versus mulligan in management of diabetic frozen shoulder: A comparative study. Fizjoterapia Polska 2022; 22(2); 202-206

Abstract
Aim. To compare the effect of mulligan versus reflexology on frozen shoulder in diabetic patients.
Methods. Sixty diabetic patients (30 men and 30 women), suffering from frozen shoulder, participated in this study. They were divided into two equal groups. Mulligan group received Mulligan mobilization plus pendulum exercises for 6 weeks (n = 30, including 15 men & 15 women), while reflexology group received reflexology plus pendulum exercises for 6 weeks (n = 30, including 15 men & 15 women). The shoulder pain severity and range of motion (ROM) were assessed at the beginning and after the treatment program for both groups.
Results. Both groups showed a significant reduction in shoulder pain (p < 0.05), as well as significant improvements in shoulder ROM at flexion, extension, abduction, external rotation and internal rotation (p < 0.05) post-treatment compared to pre-treatment. Comparing both groups post-treatment revealed a non-significant difference in shoulder pain, while there were significant improvements in shoulder ROM at all directions (p < 0.05) in favour of Mulligan group.
Conclusions. Mulligan produces a significant improvement for patients with diabetic frozen shoulder more the reflexology.
Key words:
Mulligan, reflexology, diabetic frozen shoulder
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Influence of exoskeleton therapy on gait parameters in patients with cerebral palsy

Adam Trzyna, Anna Brachman, Tomasz Łosień, Grzegorz Sobota


Adam Trzyna, Anna Brachman, Tomasz Łosień, Grzegorz Sobota – Influence of exoskeleton therapy on gait parameters in patients with cerebral palsy. Fizjoterapia Polska 2022; 22(2); 194-201

Abstract
Objective. The study presents the results of research aimed at assessing the influence of exoskeleton therapy on the basic spatiotemporal and kinetic parameters of gait in patients with cerebral palsy (CP).
Material and methods. Seventeen patients with CP (II GMFCS) participated in the study. The training program lasted 8 weeks with a two-week break in the middle of the entire cycle (3 weeks – 2 weeks off – 3 weeks). The training session lasted 90 minutes. The patients trained wearing an exoskeleton (Ekso GT) under the supervision of a qualified physiotherapist. The gait analysis was performed on the Zebris FDM-TDL treadmill for the preferred and maximum tolerated velocity, before and after the entire training program.
Results. When walking at maximum tolerated velocity, participants improved velocity, step rate, step length, gait cycle length, and gait cycle time. Contact times have significantly changed for the forefoot, midfoot, and heel areas. The stance phase time for the left and right sides decreased significantly. The above-mentioned parameters for the preferred velocity did not change statistically significantly.
Conclusions. Positive changes were observed for conditions more difficult than the preferred gait. More research is needed in different configurations of intensity, volume and duration of the entire rehabilitation cycle to optimize the rehabilitation program and maximize outcomes.
Key words:
exoskeleton, cerebral palsy (CP), gait analysis, gait re-education
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Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer

Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma


Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma – Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer. A randomized clinical trial. Fizjoterapia Polska 2022; 22(2); 186-192

Abstract
Purpose of the study. To compare between the effectiveness of extracorporeal shock wave therapy (ESWT), photobiomodulation(PBMT) and patients receiving routine physical therapy(PT) on tissue viability, pain, and quality of life in older adults with diabetic foot ulcer.
Methods. Forty-five older adults with diabetic foot ulcer (age, 62-70 years) were enrolled into a randomized control trial with parallel group design, assigned into three equal groups; two study groups (ESWT group and PBMT group), and control group (CG). All the groups received the routine PT program, in addition, ESWT group received ESWT and PBMT group received LLLT. Tissue viability, pain, and quality of life (QoL) were assessed pre- and immediately post-treatment.
Results. Non-significant differences in the outcome measures between groups pre-treatment(P > 0.05). Regarding the post-treatment, the study groups showed significant improvements in the study outcome measures (P < 0.001), whereas the control group did not show significant changes (p ˃ 0.05).
Conclusion. ESWT and PBMT produced similar effects on tissue viability, pain, and QoL in older adults with DFU.
Key words:
diabetic foot ulcer, extracorporeal shock wave therapy, photobiomodulation, older adults
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Body composition and spasticity in children with bilateral cerebral palsy

Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa


Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa – Body composition and spasticity in children with bilateral cerebral palsy. Fizjoterapia Polska 2022; 22(2); 174-185

Abstract
Objective. The objective of this study was to identify the correlation between body composition of children with cerebral palsy and the degree of spasticity in the muscles of the lower limbs.
Material and methods. The study included a group of 59 independently walking children aged 8 to 16 with spastic diplegia. The control group included 59 children without central movement disorders – students at Primary School No. 25 in Sosnowiec. The research included: 1) assessment of body composition and its components using the TANITA MC-780 S MA scale; 2) assessment of the degree of spasticity according to the modified Ashworth scale; 3) calculations of BMI indices in accordance with the recommendations of the World Health Organization (WHO) and BMI OLAF developed by the Children’s Memorial Health Institute in Warsaw.
Results. The most severe spasticity, both in the right and left lower limbs, was observed in the extensors of the ankle joint. In turn, the mildest spasticity was observed in the group of flexors of the knee joint of the right and left lower limbs. The greater the degree of spasticity in the muscles of the lower limbs, the greater the deficit in fat-free mass and muscle mass in the lower limbs.
Conclusions. Children with CP have deficits in terms of muscle mass. The deficit of muscle tissue depends on the degree of spasticity of the proximal muscle groups of the lower limbs.
Key words:
body composition, spasticity, cerebral palsy
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Correlation among quality of life and physical activity toward body age, hydration and fat percentage

Yudik Prasetyo, Sumaryanto, Ahmad Nasrulloh, Krisnanda Dwi Apriyanto, Rizki Mulyawan, Susanto, Gunathevan, Frederick


Yudik Prasetyo, Sumaryanto, Ahmad Nasrulloh, Krisnanda Dwi Apriyanto, Rizki Mulyawan, Susanto, Gunathevan, Frederick – Correlation among quality of life and physical activity toward body age, hydration and fat percentage. Fizjoterapia Polska 2022; 22(2); 168-173

Abstract
Introduction. Having good healthy habits and making physical activity a lifestyle is everyone’s dream. Along with improving the quality of life and physical activity, it is expected to affect a person’s body age, hydration level, and fat percentage. Methods. This research is an analytic observational study conducted with a cross sectional approach. Observational analytical research is done by observing, without any action from the researcher. The research subjects were 35 students. Students with cardiovascular and respiratory disorders, who were on an exercise program, and had a history of fractures in the past 3 months or deformities of the arms, were excluded from this study. Students who were 18-21 years old, had a BMI below 30, and did not smoke or drink alcohol were involved in this study. Results. Significant correlation with p-value<0.01 in causality relationship between body age and hydration with Pearson value −0.751, body age and fat percentage 0.773, and Pearson value hydration and fat percentage −0.990. In addition, a significant correlation between quality of life and hydration has a Pearson value of −0.338. Quality of life and physical activity are not related and have a p-value of 0.39. Conclusion. The relationship between body age and hydration, and hydration with fat percentage has a very significant positive relationship. However, quality of life has no correlation with physical activity.
Key words:
quality of life, physical activity, body mass
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Kinematic disorders of the scapula in a group of women after mastectomy – a systematic review

Maciej Śliwiński, Paulina Ostrowska, Rita Hansdorfer-Korzon


Maciej Śliwiński, Paulina Ostrowska, Rita Hansdorfer-Korzon – Kinematic disorders of the scapula in a group of women after mastectomy – a systematic review. Fizjoterapia Polska 2022; 22(2); 150-167

Abstract
Background. Breast cancer is the most common neoplastic disease in the group of women. In terms of negative consequences of oncological treatment, disorders of the kinematics of the shoulder complex and coexisting disorders of motor control are also distinguished. Aim of the study. The aim of the study is to systematize information on motor disorders in terms of scapula kinematics in the area of the shoulder complex during upper limb elevation movements in the group of women after mastectomy. Methods. The systematic review is based on the search results of Science Direct, Ebsco, and PubMed. The systematic review was performed on the basis of PRISMA guidelines. Results. The analysis of the works showed the existence of disorders in the kinematics of the scapula in the group of women after mastectomy. In this group of patients, the scope of upwards rotation of the scapula during the elevation of the upper limb, its lowering, and functional movements was limited. Conclusions: The analysed articles indicate the existence of disorders of the scapula kinematics in the group of women after mastectomy. The obtained results indicate the necessity of implementing routine evaluation and motor re-education in the field of scapula kinematics disorders in the process of comprehensive rehabilitation in this group of patients.
Key words:
mastectomy, motor control, breast cancer
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Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women

Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy


Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy – Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women. Fizjoterapia Polska 2022; 22(2); 144-149

Abstract
Background. Menopause and aging affect the health of obese women, provoking accumulation of visceral adipose tissue (VAT) and inflammation. Obesity leads to major health problems, which increase the risk of debilitating diseases that lead to death. Thus, loss of weight and VAT are primary goals of treatment through modifications of dietary habits and exercise. Purpose of the study. This study was conducted to determine which is more effective on interleukin- 6 (IL-6) levels for obese post-menopausal women, whole body vibration training (WBVT) or high intensity interval training (HIIT). Subjects and methods. 45 post-menopausal obese women diagnosed with higher level of IL-6, their body mass index (BMI) > 30 kg/m2 and waist/hip ratio (W/H ratio) > 0.8 participated at this study. Women were divided randomly into 3 equal groups in numbers; Group (A) followed low caloric diet (1200 Cal), Group (B) received WBVT and Group (C) received HIIT. Both groups (B & C) followed the same low caloric diet as group (A). Evaluation was done before and after 3 months of treatment, through measuring weight, BMI, waist as well as hip circumferences, W/H ratio and IL-6 levels. Results. The three groups revealed statistically significant improvements (P < 0.05) in all parameters after treatment compared to baseline. Also, there were statistically differences between the 3 groups after treatment, with the group (B) more favorable than groups (A & C). Conclusion. WBVT is more effective than HIIT on reducing inflammation via reducing IL-6 level in obese post-menopausal women.
Key words:
obesity, menopause, whole body vibration exercise, high intensity interval training, interleukin-6
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Life quality of patients with idiopathic scoliosis treated with Chenêau Brace

Tomasz Urbański, Mateusz Curyło, Karina Rożek, Dariusz Lusina, Katarzyna Placek, Jan W. Raczkowski


Tomasz Urbański, Mateusz Curyło, Karina Rożek, Dariusz Lusina, Katarzyna Placek, Jan W. Raczkowski – Life quality of patients with idiopathic scoliosis treated with Chenêau Brace. Fizjoterapia Polska 2022; 22(2); 136-143

Abstract
Objective. The main objective of this study was to determine the effect of wearing a Chêneau brace on the quality of life of patients with idiopathic scoliosis.
Methodology. The study used a short questionnaire that consisted of 12 questions – 4 questions about demographics and 8 questions about quality of life. The investigated aspects of life included difficulty in performing daily activities, feelings of embarrassment, sleep discomfort, irritability, and patients’ perceived benefits of this treatment procedure. Questionnaires were filled during follow-up visits. The study was conducted on a group of 30 patients aged 9–16 years treated for at least 6 months. Among the respondents there were 22 females and 8 males.
Results. Despite the small study group, the results of the statistical analysis confirmed the hypothesis that the brace significantly affects the quality of life of patients and has a greater impact on the quality of life of the female gender due to the disruption of aesthetics and the associated sense of shame. An association was observed between the sense of shame related to wearing a brace and the desire to “hide” the brace under clothing, as well as the perception of the benefits of wearing a brace and a lower sense of shame.
Conclusion. In the processes of rehabilitation and treatment of the patient with idiopathic scoliosis, a holistic approach that considers not only activities related directly to physiology, but also to patients’ well-being and quality of life is important.
Key words:
idiopathic scoliosis, Chêneau brace, quality of life
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Cervical stabilization exercises on forward head posture and cervical myofascial pain syndrome: A randomized controlled trial

Sarah A. Monir, Wadida H. Elsayed, Ashraf N. Moharram


Sarah A. Monir, Wadida H. Elsayed, Ashraf N. Moharram – Cervical stabilization exercises on forward head posture and cervical myofascial pain syndrome: A randomized controlled trial. Fizjoterapia Polska 2022; 22(2); 130-135

Abstract
Purpose of the study. The aim of this study was to investigate the effect of cervical stabilization exercises on Forward head posture and cervical myofascial pain syndrome.
Methods. fifty participants with Cranio-vertebral angle (CVA) less than 50° and cervical myofascial pain syndrome (age from 20-35 years), from both genders were included in this study and randomly assigned into two groups: control group A received postural correction exercises while study group B received cervical stabilization exercise and postural correction exercise, three sessions per week for four weeks. Cranio-vertebral angle (CVA), pressure pain threshold (PPT) of the upper fibers of trapezius both sides were measured pre-treatment and post treatment.
Results. within-group analysis showed that there was a significant increase of CVA and PPT right and left sides post treatment at groups A, and B as (p < 0.05). In-between-group analysis showed no significant change in pre values of all variables as (P > 0.05) while post-treatment there was a significant increase in post values of all variables in both groups, also there was significant difference of the mean values of the “post treatment” test between both groups with (p < 0.05) and this significant difference in favour to group B.
Conclusion. cervical stabilization exercises are considered to be an effective method for FHP correction and thus improving cervical myofascial pain syndrome.
Key words:
cervical stabilization exercises, forward head posture, myofascial pain syndrome
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