Low back pain – summary of the 2017 Expert Meeting

Mateusz Wojciech Romanowski, Anna Kostiukow, Łukasz Kubaszewski, Wojciech Romanowski, Marian Majchrzycki, Ernest Wiśniewski, Włodzimierz Samborski

M. W. Romanowski, A. Kostiukow, Ł. Kubaszewski, W. Romanowski, M. Majchrzycki, E. Wiśniewski, W. Samborski – Low back pain – summary of the 2017 Expert Meeting. Fizjoterapia Polska 2019; 19(1); 108-122

Abstract
Low back pain (LBP) is one of the main causes of health problems in developed countries. LBP can lead to a high degree of disability and sometimes involve high costs of treatment. The causes of LBP can be classified into the basic three groups: non-specific pain, pain potentially related to radiculopathy or spinal stenosis, pain potentially related to another specific cause. Treatment of low back pain should be directed to the cause of the disorder, and mainly includes non-invasive treatment, physiotherapy, pharmacotherapy, education. Invasive treatment of LBP includes pharmacological blockade, surgery.

Key words:
lower back pain, low back pain, non-specific lower back pain

 

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The main factors determining the occurrence of developmental dysplasia of the hip in infants based on the analysis of medical history of newborns staying in the neonatal ward of the Szpital Wojewódzki in Tychy in 2017

Magdalena Kiecoń, Jarosław Madowicz, Paulina Głowacka, Renata Szczepaniak

M. Kiecoń, J. Madowicz, P. Głowacka, R. Szczepaniak – The main factors determining the occurrence of developmental dysplasia of the hip in infants based on the analysis of medical history of newborns staying in the neonatal ward of the Szpital Wojewódzki in Tychy in 2017. Fizjoterapia Polska 2019; 19(1); 98-107

Abstract

Aim. To investigate the frequency of occurrence of Developmental Dysplasia of the Hip in newborns and to distinguish the main factors causing its occurrence.
Material and methods. The research included medical documentation in the form of the medical history of 1591 patients in the neonatological ward of the Provincial Specialist Hospital of Megrez Sp. z o.o. in Tychy.
Results. The incidence of DDH was higher among girls than among boys, and predominantly in the right joints. The study did not detect any significant relationship between the occurrence of DDH and the type of delivery, week of pregnancy, multiplicity of pregnancy and birth weight of newborns. However, a statistically significant relationship was detected between the occurrence of physiologically immature joints and the birth weight of newborns.
Conclusions. 1. The frequency of occurrence of DDH among newborns staying in the neonatal ward of the Provincial Hospital in Tychy in 2017 was 2.7% and was lower than the literature gives. 2. The occurrence of DDH was more frequent among girls than among boys. 3. DDH occurred more frequently in a statistically significant way in the right joint. 4. A significant relationship was found between the occurrence of type IIa variations according to the Graf scale and the birth weight of the newborn. 5. There were no significant relationships between the occurrence of DDH and the type of delivery, week of pregnancy, multiplicity of pregnancy and birth weight of newborns.

Key words:
DDH, developmental hip dysplasia, pediatrics, newborns, hip joint

 

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Assessment of the influence of comprehensive spa therapy with therapeutic radon waters on hemoglobin levels: preliminary study

Jadwiga Kuciel-Lewandowska, Łukasz B. Lewandowski, Agata Trafalska, Wojciech Laber, Krzysztof Szarejko, Joanna Kuć, Krzysztof Aleksandrowicz

J. Kuciel-Lewandowska, Ł. B. Lewandowski, A. Trafalska, W. Laber, K. Szarejko, J. Kuć, K. Aleksandrowicz – Assessment of the influence of comprehensive spa therapy with therapeutic radon waters on hemoglobin levels: preliminary study. Fizjoterapia Polska 2019; 19(1); 86-96

Abstract
Introduction. Balneotherapy is a complex therapeutic treatment. Radon treatment is a widely used procedure in musculoskeletal disorders. Clinical evaluation proves this form of therapy to be very beneficial for health. The evaluation of metabolic changes resulting from the influence of balneo treatments with radon waters is difficult to interpret and gives rise to many controversies.
Aim. The aim here was to evaluate changes in the hemoglobin level in patients undergoing complex spa treatment, and the effect of low doses of ionizing radiation from radon waters.
Materials and methods. The study group was comprised of patients undergoing complex spa treatment with radon water, peloid therapy, exercise therapy and kinezytherapyduring a twenty-one day rehabilitation stay. Hemoglobin levels were measured prior to therapy and after eighteen days of treatment. Research was comprised of n = 35 patients (24 female and 11 male) suffering from peripheral and spinal joint pain caused by degenerative disease or disc herniation. Age ranged from 47 – 63 years, and the mean age was 56.5. The control group consisted of fifteen subjects (9 male and 6 female) between the ages of 50 and 62 and the mean age of 54.2. Both groups were subject to the same inclusion and exclusion criteria and test procedures.
Results. There were no statistically significant changes between the research and control group in regard to hemoglobin levels. The results were not statistically significant when compared between the two study groups.
Conclusions. 1. The comprehensive spa treatment with peloid therapy, exercise therapy, kinezytherapy and low doses of ionizing radiation from radon waters did not affect the concentration of hemoglobin. 2. Future research should investigate a larger population and separate the elements of spa therapy.

Key words:
DDH, developmental hip dysplasia, pediatrics, newborns, hip joint

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The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications

Jacek Polechoński, Jolanta Rojczyk-Chmarek, Kajetan Słomka

J. Polechoński, J. Rojczyk-Chmarek, K. Słomka – The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications. Fizjoterapia Polska 2019; 19(1); 76-85

Abstract
Aim. The paper introduces a self-designed manipulandum built to assess the parameters of motion at the metacarpophalangeal joint of the index finger. The reliability of movement precision measurements is presented; potential diagnostic applications have been discussed.
Material and methods. The study group comprised 43 young men. Movement precision was evaluated with a self-designed manipulandum. The task was to repeatedly touch the target using an isolated movement. Two parameters were assessed, ie., time and distance to target. Measurement reliability was estimated with intraclass correlation analysis.
Results. 25 to 30 movement repetitions were required to achieve reliable measurements. The findings also reveal that movement repetition might result in movement learning.
Conclusions. provided a large number of repetitions are performed, the manipulandum enables reliable assessment of movement precision. Repetition does not pose a problem since a single trial only lasts for1-1.5 s; furthermore, movement at the metacarpophalangeal joint does not cause fatigue. The conditions of movement tasks should be modified to minimize the effect of movement learning. We believe the device under test might be applied to early diagnosis of rheumatic or neurological disease leading to functional compromise of the hand.

Key words:
manipulandum, movement precision, rheumatoid arthritis, fine motor skills

 

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Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study

Meshanti Kumarasamy, Narasimman Swaminathan, Marek Kiljański, Zbigniew Śliwiński

M.Kumarasamy, N. Swaminathan, M. Kiljański, Z. Śliwiński – Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study. Fizjoterapia Polska 2019; 19(1); 70-74

Abstract
This study examined the extent of compliance towards HEP among subjects undergoing physiotherapy sessions in selected clinical settings. The findings of this study would provide insights on the perceived enablers and barriers that influence compliance towards prescribed home exercises.
Methodology. This qualitative inquiry study interviewed twenty subjects – 12 males and 8 females under physiotherapy care at various outpatient musculoskeletal rehabilitation at selected private hospitals and physiotherapy clinics located in the states of Kuala Lumpur and Negeri Sembilan of Malaysia. Subjects’ responses on the perceived opinions and experiences with prescribed home exercises were audio recorded through a semi-structured interview. The responses obtained were analysed further using keyword coding and content analysis.
Results and Analysis. Self-motivation, determination and commitments are the best-explored enablers for active involvement. Barriers that significantly lead to disengagement in home exercises among the participants of this study includes lack of time, work commitments, personal characteristics, disease nature or injury status and ineffective exercise prescriptions.
Conclusion. Content analysis of the recorded responses revealed that the predictors of compliance to home exercises is multifactorial. This study provides a baseline data for understanding the perceived enablers and barriers towards participation in home exercises; these findings will aid the health care professionals in implementing the measures to maximize compliance level among patients undergoing physiotherapy.
Highlights
• Compliance to home exercises are affected by various factors
• Lack of time, work commitments and injury status affect the home exercise compliance
• Self-motivation is the most important enabler for the compliance to HEP
• Nature of the disease affects compliance to HEP

Key words:
home exercise program, physiotherapy, musculoskeletal rehabilitation

 

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Characteristics of lateralization in children aged 5-7 years

Sylwia Potępa, Aleksandra Czaplińska, Alicja Salwach, Lawia Szkoda, Andrzej Szopa, Małgorzata Domagalska-Szopa

S.Potępa, A. Czaplińska, A. Salwach, L. Szkoda, A. Szopa, M. Domagalska-Szopa – Characteristics of lateralization in children aged 5-7 years. Fizjoterapia Polska 2019; 19(1); 60-68

Abstract
Autism spectrum disorder (ASD) represents an extensive class of symptoms manifested as deficiencies in such fields as communication, social development and stereotypical behavioural patterns. Autism symptoms appear in social interactions issues, mood disorders, somatosensory disorders, concentration problems. The conversion disorders are frequently diagnosed in autistic children. Maintaining the standing balance is an immensely important skill in the child’s development, which consists in controlling the centre of gravity over the support plane. Appropriate balance is necessary for successful performance of numerous daily actions. Retarded development of balance impedes the future motor development and affects the opportunity of the children’s involvement in interactions with peers.
The purpose of this paper was an impartial evaluation of balance skills in children with autism spectrum disorder.
Material and methods. 30 children 5-7 year-old with ASD, including 22 boys and 8 girls. Methods: The Scoring Form for Fullerton Advanced Balance (FAB) Scale test was used for evaluation of the balance.
Results. The lowest results were obtained in the tandem walk and stand on one leg test. The test results varied in specific age groups, however, the differences were not significant. Substantial differences were displayed in tandem gait test for specific age groups.
Conclusions. In children with ASD disorders in balance skills occur.

Key words:
lateralization, functional asymmetry, side dominance

 

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The influence of static splayfoot on body posture within knee joints and spine in children

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

Abstract
Aim of work. The aim of this work was to assess body postures of primary school pupils and to assess the influence of static splayfoot on bad posture within lower limbs and spine.
Material and Methods. Research sample included 306 grade four pupils attending primary schools in Kluczbork municipal district. The research test were conducted at the turn of 2017 and 2018. The results gathered in the test were subjected to statistical analysis to determine correlations between particular body posture deformities. Correlation analysis was used to determine correlations between the assessed variables.
Results. The analysis of posture fault occurrence in the research population showed variables of statistical significance for spine curvatures, flat foot and cross knees. Additionally, knee joints flexion contracture was reported in one child.
Conclusions.
1. Bad body posture within lower limbs and spine are common among grade four pupils.
2. There is a strong correlation between splayfoot and deformities within knees and spine.

Key words:
Splayfoot, body posture, children, health

 

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The effects of Whole body vibration energy on bone mineral density in post-menopausal women: A systematic Review

Mohannad Hawamdeh, Zaid Modhi Mansour, Saad Al-Nassan, Ziad Hawamdeh, MohammadEtoom, FarisAlshammari, Abdul-Majeed R. Almalty, Shaden Albustanji

M. Hawamdeh, Z. Modhi Mansour, S. Al-Nassan, Z. Hawamdeh, M. Etoom, F. Alshammari, Abdul-Majeed R. Almalty, S. Albustanji – The effects of Whole body vibration energy on bone mineral density in post-menopausal women: A systematic Review. Fizjoterapia Polska 2019; 19(1); 46-50

Abstract
Aging increases the incidence of bone fractures due to the loss of bone mass especially with postmenopausal women Purpose. The aim of this systematic review is to re-evaluate the clinical trials done on the efficacy of WBV treatment of osteoporosis in postmenopausal women.
Approach. Data search and studies selection: The following databases Pub-Med, Medline, Science Direct and Google Scholar have been searched. The searches were conducted using the following key words: “Whole Body Vibration (WBV)”, “Osteoporosis,” “Post-Menopausal Woman,” “Bone Mineral Density (BMD).” Data Extraction: we extracted sample size, age, Study design, outcomes at baseline, whole body vibration details and the main findings.
Results. some studies showed that WBV increased bone mineral density, most studies showed that it hasn’t significantly increases bone mineral density in post-menopausal women.
Conclusion. we concluded that there is no consensus on the effects of WBV technique on bone mineral density.

Key words:
Osteoporosis, Aging, Fracture, Osteopenia

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Evaluation of balance in 5-7-year-old children with autism spectrum disorder

Alicja Salwach, Aleksandra Czaplińska, Sylwia Potępa, Małgorzata Domagalska-Szopa, Andrzej Szopa

A. Salwach, A. Czaplińska, S. Potępa, M. Domagalska-Szopa, A. Szopa – Evaluation of balance in 5-7-year-old children with autism spectrum disorder. Fizjoterapia Polska 2019; 19(1); 38-44

Abstract
Autism spectrum disorder (ASD) represents an extensive class of symptoms manifested as deficiencies in such fields as communication, social development and stereotypical behavioural patterns. Autism symptoms appear in social interactions issues, mood disorders, somatosensory disorders, concentration problems. The conversion disorders are frequently diagnosed in autistic children. Maintaining the standing balance is an immensely important skill in the child’s development, which consists in controlling the centre of gravity over the support plane. Appropriate balance is necessary for successful performance of numerous daily actions. Retarded development of balance impedes the future motor development and affects the opportunity of the children’s involvement in interactions with peers.
The purpose of this paper was an impartial evaluation of balance skills in children with autism spectrum disorder.
Material and methods. 30 children 5-7 year-old with ASD, including 22 boys and 8 girls. Methods: The Scoring Form for Fullerton Advanced Balance (FAB) Scale test was used for evaluation of the balance.
Results. The lowest results were obtained in the tandem walk and stand on one leg test. The test results varied in specific age groups, however, the differences were not significant. Substantial differences were displayed in tandem gait test for specific age groups.
Conclusions. In children with ASD disorders in balance skills occur.

Key words:
autism, balance, postural control

 

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Judo as an alternative rehabilitation method in multiple sclerosis

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

Abstract
Objective. To evaluate the efectiveness of training judo as a part of a physiotheraphy programme in MS patients
Materials and methodology. 4 female RR-MS patients, aged between 32 and 49, have taken part in a 8-week programme. Their condition was evaluated twice – before and after the therapy. Two surveys have been carried out: one prepared by the authors of the study and Multiple Sclerosis Impact Scale (MSIS-29). In order to evaluate the functional state the following methods have been used: Functional Reach Test, 10 m TW (Time Walking) test and the Lovett test (for the following muscles: rectus femoris, biceps femoris, rectus abdominis, deltoideus).
Results. After the therapy the most persisting ailments decresed considerably. The functional tests showed better results and the patients had a better phycological disposition.
Conclusions. Judo training improved both functional and psychogical condition of the patients in the rehabilitation group. The programme proved to be an alternative form of physiotherapy for MS patients.

Key words:
multiple sclerosis, physiotherapy, judo, physical activity

 

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