Author: Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme

Adjunctive effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury

Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme


Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme – Adjunctive effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury. Fizjoterapia Polska 2022; 22(4); 122-127

DOI: https://doi.org/10.56984/8ZG1A6ZsV

Abstract
Purpose. This study was conducted to examine the effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury.
Methods. From April 2021 to June 2022, sixty male patients who suffered from second degree lower limb thermal burn injury and Total body surface area (TBSA) from 25% to 35% participated in this study. Their ages ranged from (20-40) years. They were randomly assigned in two groups, a study group composed of 30 patients who received (PEMF) over thigh area before strengthening exercise for quadriceps muscle and a control group composed of 30 patients who received strengthening exercise for quadriceps muscle. Patients of both groups received traditional physical therapy program.. Evaluation tool was isokinetic dynamometer to measure the quadriceps muscle peak torque before the treatment and after 8 weeks of treatment for both groups.
Results. There was no significant difference between both group (study and control) in mean values of quadriceps peak torque pre-treatment (P > 0.05). There was a significant increase in the mean values of quadriceps peak torque after 8 weeks of treatment in both groups (p < 0.05) while there was a significant difference in post treatment mean values of quadriceps peak torque in the study group when compared with control group (p < 0.05).
Conclusion. Pulsed electromagnetic field therapy is an effective modality that can be used for improving muscle strength and performance in patients with lower limb burn when applied prior to strengthening exercise.

Keywords
pulsed electromagnetic field therapy, strengthening exercise, quadriceps peak torque, lower limb burn

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The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°

Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa


Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa – The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°. Fizjoterapia Polska 2022; 22(4); 112-121

DOI: https://doi.org/10.56984/8ZG1A6z2j

Abstract
Introduction. As a result of subjective functional assessment, disturbances in the symmetry of body weight distribution on the support plane are commonly observed in children and adolescents with idiopathic scoliosis. The objective of this study was to identify the relationship between the direction of the primary curvature and the body weight distribution on the ground in children with idiopathic scoliosis.
Method. Two groups (the study group and the control group) of children aged 7–11 were included in the study. The study group consisted of 96 children rehabilitated due to scoliosis in rehabilitation centres. The control group included children of the corresponding age, height and weight in comparison to the study group. The main element of the study involved measurements of the percentage body weight distribution on the support plane between the “convex” and “concave” side of the body while maintaining a standing position on both legs.
Results. Based on the value of the symmetry index and the direction of the primary curvature, the following subgroups were distinguished among the children with scoliosis: children with symmetrical body weight distribution on the support plane (21%); children with asymmetric body weight distribution on the support plane overloading the convex side (51%) and children overloading the concave side (28%).
Conclusion. The occurrence of symmetry disorders in the body weight distribution on the support plane in children with idiopathic scoliosis requires taking these features into account in the early stage of rehabilitation of these children.

Key words:
scoliosis, compensating postural patterns, distribution of body mass on the surface

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Effect of lumbar repositioning feedback training on pain and joint position sense in participants with chronic mechanical low back pain

Mai Hassan Ahmed Desouki, Alaa Eldin Balbaa, Mohamed Samir Gobba, Ahmed M. El Melhat, Mohammed S. Abdelsalam


Mai Hassan Ahmed Desouki, Alaa Eldin Balbaa, Mohamed Samir Gobba, Ahmed M. El Melhat, Mohammed S. Abdelsalam – Effect of lumbar repositioning feedback training on pain and joint position sense in participants with chronic mechanical low back pain. Fizjoterapia Polska 2022; 22(4); 106-111

DOI: https://doi.org/10.56984/8ZG1A6Np0

Abstract
Objective. The aim of this study was to investigate the effect of lumbar repositioning feedback training (LRFT) on pain and joint position sense (JPS) in patients with chronic mechanical low back pain (CMLBP). Materials and Methods. Twenty-four patients, from both genders, suffering from CMLBP were assigned randomly into 2 equal groups. The lumbar repositioning feedback training (LRFT) group who received lumbar repositioning feedback training and conventional proprioception exercises on Swiss ball, and control group who received conventional proprioception exercises on Swiss ball only. Pain was assessed using visual analogue scale (VAS), and joint position sense was assessed using absolute repositioning error (ARE). All patients received treatment twice per week for 6 weeks. Assessments were carried out pre and post experimentally. Results. Pre- post treatment evaluations comparisons showed improvement of pain and joint position sense post- treatment compared to pre-treatment within both groups. However, pre-treatment between groups comparisons were non-significant, with significant post- treatment improvements of pain and joint position sense in favor of LRFT compared to control group. Conclusion. Patients in LRFT group showed significant pain reduction and improvement in joint position sense in patients with CMLBP than did patients in control group. Thus, LRFT might be a suggested component of treatment programs in managing patients with CMLBP.

Keywords
lumbar repositioning feedback training, chronic mechanical low back pain

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Physiotherapist – a medical profession of public trust. Do the rules for preparing physiotherapeutic documentation contradict this…?

Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik


Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik – Fizjoterapeuta – zawód medyczny zaufania publicznego. Czy zasady sporządzania dokumentacji fizjoterapeutycznej temu przeczą…?. Fizjoterapia Polska 2022; 22(4); 102-105

DOI: https://doi.org/10.56984/8ZG1A66RB

Abstract
The Act on the profession of physiotherapist constitutes the profession of physiotherapist as a medical profession of public trust, the authors subject to legal analysis whether, in accordance with this Act, other legal acts properly qualify the above competences granted under the Act.

Key words:
act on the profession of physiotherapist, medical profession of public trust, medical documentation, medical law in physiotherapy

Article only in Polish language

Factors affecting physiotherapy clinical education: Perceptions of students and clinical educator

Senthilnathan Ramakrishnan, Kalyana Chakravarthy Bairapareddy


Senthilnathan Ramakrishnan, Kalyana Chakravarthy Bairapareddy – Factors affecting physiotherapy clinical education: Perceptions of students and clinical educator. Fizjoterapia Polska 2022; 22(4); 92-100

DOI: https://doi.org/10.56984/8ZG1A6z0J

Abstract
Introduction. Clinical education is the cornerstone of physiotherapy education. Clinical educators play a pivotal role in shaping students’ attitude towards their future role as physiotherapist. But the implementation of physiotherapy clinical education varies significantly between institutions. Research has shown several factors influencing the clinical education.
Aim. To explore the factors affecting physiotherapy clinical education.
Methods. This research used mixed-methods approach and recruited participants through purposive and convenience sampling. Data was collected through a survey using questionnaire and face-to-face interviews. Thirty-four physiotherapy students completed a questionnaire after attending 12 weeks of clinical placements. Twenty-six clinical educators and 9 students participated in the interview. Descriptive statistics including frequency percentage, median and percentiles were used for quantitative data analysis. Thematic analysis method was used for qualitative data analysis.
Results. Quantitative study found greater student satisfaction in clinical education. But the qualitative study identified several factors affecting clinical education in the context of this study. These factors include student interest, learning style, culture, and ability to cope with challenges. In addition, clinical educator workload, teaching strategies, curriculum knowledge, academic-clinical partnership, peer learning, placement model and expectations were the other factors that influenced physiotherapy clinical education.
Conclusions. The findings of this study are useful to physiotherapy clinical educators, students, and faculty. It provides insight into various factors affecting physiotherapy clinical education. Furthermore, it recommends evidence-based strategies to neutralize those factors influencing clinical education.

Keywords
clinical placements, clinical education, physiotherapy

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Within the National Health Fund (NFZ) or privately? Use of health services provided by physiotherapists

Józefa Dąbek, Oskar Sierka, Joanna Frąckiewicz, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Halina Kulik


Józefa Dąbek, Oskar Sierka, Joanna Frąckiewicz, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Halina Kulik – Within the National Health Fund (NFZ) or privately? Use of health services provided by physiotherapists. Fizjoterapia Polska 2022; 22(4); 80-91

DOI: https://doi.org/10.56984/8ZG1A6xlA

Abstract
Aim of the study. The profession of a physiotherapist is still at the stage of shaping and strengthening its position, both in the group of medical professions and in social awareness. The study aimed to assess the scope of use and satisfaction with physiotherapy services provided as part of public and private health care.
Matherials and methods. The study covered a total of 606 people (100%). The vast majority were women (506; 83.5%). The research tool was an original questionnaire made available via a Google form. The survey consisted of 35 questions, 5 of which concerned some socio-demographic characteristics.
Results. Most of the respondents used commercial services financed from their own budget (258; 78.2%). The most frequently indicated criterion for selecting a public institution was the distance from the place of residence (97; 16,1%), and a private one – the opinion of friends (159; 26,24%). The largest number of respondents using physiotherapeutic services would choose commercial services if they had to be used again (224; 67.9%).
Conclusions. More than half of the surveyed people used the services provided by a physiotherapist, moreover vast majority of respondents used commercial services, financed from their resources. Criteria for selecting public and private institutions were varied and the assessed satisfaction with commercial physiotherapeutic services was higher than public.

Key words:
physiotherapy, public health care, private health care, use, satisfaction

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Core stability exercise versus movement control exercise in chronic mechanical low back pain – A systematic review

Ahmed Elhamy Koshek, Salwa Fadl, Nagy Ahmed Zaki Sabet, Hamed El-Khozamy


Ahmed Elhamy Koshek, Salwa Fadl, Nagy Ahmed Zaki Sabet, Hamed El-Khozamy – Core stability exercise versus movement control exercise in chronic mechanical low back pain – A systematic review. Fizjoterapia Polska 2022; 22(4); 74-78

DOI: https://doi.org/10.56984/8ZG1A6XT7

Abstract
Purpose. The aim of this study was to compare the efficacy of two types of therapeutic exercise: core stability exercises and movement control exercises in pain and function.
Methods. Thirty-five patients were diagnosed and referred to physiotherapy as CMLBP, their age ranged from 25–40 years old, patients divided randomly into two groups and assessed for their current level of pain using a visual analog scale (VAS) and for disability using Oswestry disability index (ODI) before and after the study. Both groups received a well-documented fully supervised exercise program as group I movement control exercise, and group II received core stability exercises. Results. Showed significant effect of both exercise approaches on reducing pain level and restoring function. Although the group I exercises showed to be more effective in reducing pain than group II, their difference regarding improving function was non-significant. Conclusion. Conservative forms of treatment (therapeutic exercises) still prove it is a successful, cost-effective treatment of choice in patients with chronic mechanical low back pain. Movement control exercises are superior in reducing pain to core stability exercises.

Keywords
chronic mechanical low back pain, therapeutic exercises, functional training exercises, core stability exercises, movement control exercises

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Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review

Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk


Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk – Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review. Fizjoterapia Polska 2022; 22(4); 56-73

DOI: https://doi.org/10.56984/8ZG1A6k5q

Abstract
Objectives. The aim of this study was to provide an overview of the scientific evidence base on the use of ultrasonography in physiotherapy and rehabilitation of the shoulder.
Methods. The PubMed / Medline database was reviewed using the following keywords: shoulder ultrasonography AND rehabilitation; shoulder ultrasound imaging AND physiotherapy; shoulder ultrasound imaging AND rehabilitation; Rehabilitative Ultrasound Imaging AND Shoulder. Only full-text, open-access studies in English published before 15 May 2022 were included in the analysis.
Results. 51 articles (out of 748 identified) were included in the analysis. Of all the studies, 3 studies were randomized, 5 were not randomized, the rest were cross-sectional or case studies. The most common study group were patients with hemiplegia (in 13 out of 51 reviewed works). 12 papers out of 51 concerned orthopedic conditions of the shoulder with varying diagnoses. Ultrasound imaging was used mainly to assess echogenicity and measure structures of the shoulder.
Conclusion. There are many studies demonstrating the utility of ultrasound in various aspects of the physiotherapist’s practice, including but not limited to diagnostic purposes, assessment of treatment effectiveness, monitoring treatment progress, and referring the patient to another specialist.

Key words:
ultrasonography, ultrasound, imaging, ultrasonography, rehabilitation, physical therapy, physiotherapy, diagnosis, shoulder, pain, treatment

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Effect of progressive resistance training on post prostatectomy stress urinary incontinence: A randomized controlled study

Zakaria Mowafy Emam Mowafy, Fouad Abd Elshaheed Fouad, Samy Ramzy Shehata, Aml Hamdy Abd El Salam, Khadra Mohamed Ali


Zakaria Mowafy Emam Mowafy, Fouad Abd Elshaheed Fouad, Samy Ramzy Shehata, Aml Hamdy Abd El Salam, Khadra Mohamed Ali – Effect of progressive resistance training on post prostatectomy stress urinary incontinence: A randomized controlled study. Fizjoterapia Polska 2022; 22(4); 48-55

DOI: https://doi.org/10.56984/8ZG1A6IT9

Abstract
Purpose. The aim of this study was to investigate the effectiveness of progressive resistance training on post prostatectomy stress urinary incontinence. Materials and Methods. Sixty male patients who complaint from post prostatectomy stress urinary incontinence were participated in this study, their ages were ranged from 40 to 75 years and they were randomly assigned into two equal groups. Group (A) (Study group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received progressive resistance training in addition to interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Group (B) (Control group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Pre- and post-treatment assessment using DANTIC UD 5000/5500 Urodynamic investigation system & Severity index scale were done for all patients. Results. The obtained results of the present study indicated significant difference of all measured variables when comparing between pre and post- treatment values of the groups (A and B) and revealed significant difference when comparing between post- treatment values of the groups (A and B) in favor of group (A). Conclusion. Progressive resistance training had an effect on reducing post prostatectomy stress urinary incontinence and there was significant difference when comparing between post-treatment values of the groups (A and B) in favor of group (A).

Keywords
progressive resistance training, post prostatectomy, stress urinary incontinence

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Ethical and psychological issues of oncological physiotherapy

Damian Durlak


Damian Durlak – Kwestie etyczne i psychologiczne fizjoterapii onkologicznej. Fizjoterapia Polska 2022; 22(4); 44-46

DOI: https://doi.org/10.56984/8ZG1A6Sbq

Abstract
Every year, canceris diagnosed in an increasing number of patients. Any diagnosis that confirms cancer causes enormous stress and trauma to the patient. Poor mental state may result in a lack of willingness to cooperate with a physiotherapist, and, as a result, hinder the overall treatment process. Physiotherapists should pay special attention to the principles of ethics in the profession and the possibilities of psychological support of patients during therapy. Reducing stress in patients and gaining their trust might help them recover faster.

Key words:
physiotherapy, oncology, ethics, psychological support

Artice only in Polish language

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