Evaluation of lung parenchyma before and after new oral antiviral treatment in hepatitis C patients

Mohammed A. El Nadi, Mohamed W. Zakaria, Hamed A. Abd Allah, Aly M. Ghorab, Marwa M. Shaaban


Mohammed A. El Nadi, Mohamed W. Zakaria, Hamed A. Abd Allah, Aly M. Ghorab, Marwa M. Shaaban – Evaluation of lung parenchyma before and after new oral antiviral treatment in hepatitis C patients. Fizjoterapia Polska 2022; 22(3); 88-93

Abstract
Background. Hepatitis C infection is a major reason for long-standing liver disorder with direct-acting antivirals were allowed for its treatment. Few studies aimed to assess pulmonary complications of direct acting antiviral. Purpose. This trial was conducted to assess the lung parenchymal affection in hepatitis C patients before and after three months treatment with oral (Direct) antiviral drugs (Sofospovir, Daclatasvir and Ribavirin). Methods. the study was conducted on 30 outpatient patients, Kasr El-Aini & Nasser Institute Hospital, Cairo, from April 2016 to December 2017. Patients were randomly allocated into two equal groups using computerized randomization software: Group A (study group): 15 patients that received oral antiviral drugs (Sofospuvir, Daclatasvir and Ribavirin) plus multivitamins for 3 months and Group B (control group): 15 patients received multivitamins drugs only for 3 months. Serology for HCV, HRCT were measured to ensure inclusion of the patient. Pulmonary function testing, diffusing capacity (DLCO) and carbon monoxide and Viremia testing were conducted to show effect of treatment. Results. There was statistically significant increase in the FEV1, FVC, DLCO SB, FEV1/FVC, and DLCO/VA after 3 months treatment course in study group. While control group showed significant increase in FEV1/FVC and significant worse in DLCO/VA after 3 months. As regard comparison of pulmonary function variables as well as % of its changes between two groups, study group showed significant increase in DLCO/VA (post) after 3 months treatment course. Conclusion. Oral Antiviral treatment was associated with improvement in pulmonary function. However, larger multicenter reports are needed for more evaluation.

Key words:
Hepatitis C, Direct-acting antiviral, DLCO

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Fractures of the condylarprocess of the mandible – the use of comprehensive manual therapy in the reduction of postoperative complications

Szymon Tyszkiewicz, Dominik Szczeciński, Anna Lichnowska, Marta Tyndorf, Marcin Kozakiewicz


Szymon Tyszkiewicz, Dominik Szczeciński, Anna Lichnowska, Marta Tyndorf, Marcin Kozakiewicz – Fractures of the condylarprocess of the mandible – the use of comprehensive manual therapy in the reduction of postoperative complications. Fizjoterapia Polska 2022; 22(3); 80-87

Abstract
Condyloid process fractures are a serious injury to the temporomandibular joints, and the surgical supply of tissues intensifies the occurrence of certain disorders.
These Rehabilitation performed was proposed as a result of complications following surgical reconstruction of broken condyloid process of the mandible. The rate and amount of edema reduction were assessed. Changes in the movement of temporomandibular joints and complex movement of the cervical spine were measured. The rate and extent of reinnervation and the level of pain were controlled.
Mobility of joints and functional abilities of the surrounding systems have significantly improved. The function of the facial nerve has been restored to a small sensory-motor disorder.

Key words:
condyloid process, facial nerve, manual therapy, dental physiotherapy, postoperative disorders

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Analysis on stakeholders’ satisfaction levels of the quality of graduates of the sports science study program

Yudik Prasetyo, Sumaryanto, Ahmad Nasrulloh, Prijo Sudibjo, Martono, Susanto


Yudik Prasetyo, Sumaryanto, Ahmad Nasrulloh, Prijo Sudibjo, Martono, Susanto – Analysis on stakeholders’ satisfaction levels of the quality of graduates of the sports science study program. Fizjoterapia Polska 2022; 22(3); 66-79

Abstract
This study aims to determine stakeholders’ satisfaction with the quality of graduates of the Sports Science Study Program, Faculty of Sports Science, Yogyakarta State University. This study uses the Accidental Sampling method. The subjects in this study were stakeholders graduated from the Sports Science Study Program, Faculty of Sports Science, Yogyakarta State University. Data collection technique is by distributing questionnaires. The data were analyzed using the descriptive quantitative data analysis. The results of the study are in the form of elaboration of questionnaires from stakeholders graduated from the Sports Science Study Program, Faculty of Sports Science, Yogyakarta State University. Based on the results of data analysis, the conclusion obtained is that the satisfaction of stakeholders using graduates of the Sport Science Study Program, Faculty of Sports Science is satisfactory.

Key words:
satisfaction, Stakeholder, users of graduates

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Complete decongestive therapy versus compression bandaging alone in advanced secondary lymphedema

Ahmed M. Abdelrauf, Amal Mohamed Abd El Baky, Ahmed Salah El-Khodary, Hamed M Kadry, Eman Mohamed Othman


Ahmed M. Abdelrauf, Amal Mohamed Abd El Baky, Ahmed Salah El-Khodary, Hamed M Kadry, Eman Mohamed Othman – Complete decongestive therapy versus compression bandaging alone in advanced secondary lymphedema. Fizjoterapia Polska 2022; 22(3); 60-64

DOI: https://doi.org/10.56984/8ZG14224g

Abstract
Background. Secondary lymphedema results from a known insult to the lymphatic system. Worldwide, secondary lymphedema is more common than primary lymphedema. Compression therapy is the mainstay of management for all stages of lymphedema.
Purpose. To compare between the effectiveness of compression bandaging (CB) alone to the international standard treatment of (CDT) in patients with advanced secondary lymphedema.
Methods. Sixty patients of both genders with lower limb secondary lymphedema (stage II and III) aged from 40 to 55 years old, with body mass index (BMI) less than 35 and duration of illness ranged from 3-9 years were included in the study. They were randomly assigned into two groups of equal numbers. Group A: Thirty patients received CDT (Manual lymph drainage, CB, exercises, and skin care). Group B: Thirty patients received MCB using short stretch bandages alone. The treatment sessions consisted of twelve sessions, three times per week for a total duration of four weeks. The assessment of limb volume was done using water displacement method and truncated cone volumetric measurements (pre-treatment and after 12 sessions (post-treatment)).
Results. Within both groups, there was a significant reduction in water displacement volumetric measurements pre vs. post treatment in groups (A& B) p-value = 0.0001, p-value = 0.0001 respectively. As well, there was a significant reduction in truncated cone lower extremity volumetric measurements between pre and post treatment in groups (A & B) p-value = 0.0001, p-value = 0.028 respectively. However, there were no significant differences in the mean values of water displacement volumetric measurements and truncated cone mean volumetric values between both groups (p = 0.835, p = 0.397) respectively.
Conclusion. Compression bandaging alone is as effective as complete decongestive therapy in advanced secondary lymphedema.

Keywords
advanced secondary lymphedema, complete decongestive therapy, compression bandaging

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3D printed orthosis supporting rehabilitation of children with nervous system disorders

Agnieszka Ciukszo, Mateusz Curyło, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski


Agnieszka Ciukszo, Mateusz Curyło, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski – 3D printed orthosis supporting rehabilitation of children with nervous system disorders. Fizjoterapia Polska 2022; 22(3); 52-58

DOI: https://doi.org/10.56984/8ZG1427jJ

Abstract
The main task of orthoses in neurological diseases is stabilization, correction and improvement of gait function. Orthoses actively support the work of muscles by proper alignment of individual body segments in relation to each other to facilitate the performance of the planned function. During upright standing, the task of the orthosis is to keep the upper ankle in a fixed, intermediate position, usually at an angle of 90°. This increases the base of support provided by the feet flat on the ground. Stabilization in the joints gives a chance to maintain the correct length of the muscles, and thus protects against contractures. Individual orthoses are used during upright standing and to improve the gait function with dedicated footwear. The brace widens the contour of the foot, so the footwear for orthoses is usually wider than the standard one, but it cannot be longer than the brace. One of the leading guidelines in gait analysis used in children with gait disorders are the criteria adopted by the Rancho Los Amigos Hospital. Despite the complexity of the problems with gait that patients report to a physiotherapist, a simple strategy should be adopted when it comes to securing with the orthosis. The role of orthopedic equipment is to support muscle failure by obtaining a stable stance phase.

Key words:
3D printing, 3D orthoses, CP (cerebral palsy), spina bifida, SMA, gait analysis

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Impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold in patients with lower back myofascial pain syndrome: A randomized clinical trial

Ghada Mohamed Rashad Koura, Saud Mashi Alrawaili, Amr Moustafa Yehia Mohammed, Sara Awad Gharama Alasmri, Raghad Mudawi Yahya Asiri, Ahmed Mohamed Fathi Elshiwi


Ghada Mohamed Rashad Koura, Saud Mashi Alrawaili, Amr Moustafa Yehia Mohammed, Sara Awad Gharama Alasmri, Raghad Mudawi Yahya Asiri, Ahmed Mohamed Fathi Elshiwi – Impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold in patients with lower back myofascial pain syndrome: A randomized clinical trial. Fizjoterapia Polska 2022; 22(3); 44-50

Abstract
Background. Chronic lower back pain contributes to the global disability burden, and continues to be a factor in the number of years spent disabled; Myofascial pain syndrome (MPS) is an inflammatory condition that may cause chronic localized pain and stiffness. Repetitive movements and incorrect posturing habits contribute to MPS advancement by formation of trigger points (TrPs) on the muscles.
Purpose. To investigate the impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold (PPT) in patients with lower back MPS.
Methods. A randomized clinical trial. Thirty patients suffering from lower back MPS with the presence of TrPs on iliocostalis lumborum, quadratus lumborum, piriformis, and gluteus medius muscles were divided into two equal groups. Group (A) received acupuncture dry needle over TrPs followed by stretching exercise for 2 weeks (n = 15), and group (B) received progressive pressure technique over the same TrPs followed by stretching exercise for 2 weeks (n = 15). Pain severity and PPT at the TrPs were evaluated before and after treatment.
Results. There were statistically significant improvements in pain severity and PPT at the TrPs of the four muscles within both groups (p < 0.05), except the PPT at iliocostalis lumborum that showed a non-significant difference within group (A) (p > 0.05). Comparing both groups pre- and post-treatment showed statistically non-significant differences in all outcome measures (p > 0.05).
Conclusion. Both acupuncture dry needle and progressive pressure technique were effective in reducing pain severity and increasing PPT in patients with lower back MPS.

Keywords
acupuncture dry needle, progressive pressure technique, pain severity, pressure pain threshold, myofascial pain syndrome

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Effect of pulsed electromagnetic field on renal function in paracetamol-induced toxicity rat model

Mai M. Aboelhamd, Samir Algazzar, Samah Elattar, Amira Draz, Nesreen M. Elnahas


Mai M. Aboelhamd, Samir Algazzar, Samah Elattar, Amira Draz, Nesreen M. Elnahas – Effect of pulsed electromagnetic field on renal function in paracetamol-induced toxicity rat model. Fizjoterapia Polska 2022; 22(3); 38-43

Abstract
Purpose of the study. To evaluate the efficacy of extremely low frequency pulsed electromagnetic field (ELF-PEMF) on renal function following paracetamol induced toxicity rat model by improving renal function test (serum urea and creatinine level).
Methods. 22 rats of 10 ± 2 months old received a single dose of paracetamol (PC) (2 g/kg) Paramol® (500 mg/tablet) and subdivided into two groups randomly. Group A (control group): received only PC dose and group B (PEMF group): were exposed to ELF-PEMF at four frequencies (1, 10, 20, and 40 Hz) in three series, the transition period of each pulse train is 4 min, followed by 1 min of rest, each series is performed for 20 min, for a total of 60 min/daily applications for 4 weeks. Assessment was done by measuring renal function test (serum urea and creatinine level), first after the induction of PC toxicity, then after 4 weeks at the end of the experiment.
Results. This trial revealed a significant improvement in renal function in the PEMF group after the exposure to ELF-PEMF by showing a significant decline in both creatinine level (p = 0.001) and serum urea (p = 0.003). A significant reduction in both creatinine and serum urea at post treatment in compare to pre-treatment (P-value = 0.0001)
Conclusion. By evaluating the efficacy of ELF-PEMF in kidney toxicity rat model inducted by a toxic dose of paracetamol, we observed an obvious improvement in kidney function in the PEMF group.

Keywords
Pulsed electromagnetic field, renal function, paracetamol

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Labour law for physiotherapists in Poland

Damian Durlak


Damian Durlak – Prawo pracy dla fizjoterapeutów w Polsce. Fizjoterapia Polska 2022; 22(3); 30-36

DOI: https://doi.org/10.56984/8ZG1428mY

Abstract
Every employee is responsible for their basic knowledge of labour law. Getting acquainted with relevant laws and regulations may save an unaware employee from being sued by the employer or provide grounds for pursuing their claims when the employer violates the employee’s interest. This is particularly important in the case of medical professionals. Physiotherapists, as employees of one of the medical professions, are covered by different regulations regarding, for example, working hours or remuneration for work outside working hours. The prevailing COVID-19 pandemic additionally contributed to the introduction of new regulations that would change the way medical employees perform work. The objective of this study is to present the most important information about labour law from the point of view of a physiotherapist.

Key words:
physiotherapy, labour law, COVID-19, medical professions

Article only in Polish language

Physical activity of people representing various age groups, with particular emphasis on the inhabitants of Poland and Slovakia

Sabina Lizis, Gabriela Škrečková


Sabina Lizis, Gabriela Škrečková – Physical activity of people representing various age groups, with particular emphasis on the inhabitants of Poland and Slovakia. Fizjoterapia Polska 2022; 22(3); 24-28

Abstract
The development of civilization and technical progress on the one hand provides many amenities, and on the other hand limits the natural need for movement. Awareness of the importance of physical activity in human life can be a factor in preventing sedenteric lifestyle. The paper reviews literature on physical activity and the frequency with which it is undertaken by people representing different age groups, with particular emphasis on the inhabitants of Poland and Slovakia. A review of scientific publications indicates that physical activity is one of the most important factors conditioning health, so you should take care of it at every stage of life. It is worth remembering the need to individually adjust the type and intensity of physical activity so that it is safe and gives the most health benefits. Physical activity undertaken from an early age and the positive experiences related to it, shape the habits that favor maintaining a healthy lifestyle in the later stages of life. There is a need to take actions aimed at popularizing physical activity as one of the elements of a healthy lifestyle.

Key words:
recreation, psychophysical health, health education

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Effect of low level laser versus electrical stimulation on facial nerve regeneration in patients with Bell’s palsy: a randomized controlled trial

Ahmed Mohammed Fouad Shoman, Ashraf Hassan Saleh, Ahmed Mohamed Abdelhalim, Ahmed Nazmy Kassab


Ahmed Mohammed Fouad Shoman, Ashraf Hassan Saleh, Ahmed Mohamed Abdelhalim, Ahmed Nazmy Kassab – Effect of low level laser versus electrical stimulation on facial nerve regeneration in patients with Bell’s palsy: a randomized controlled trial. Fizjoterapia Polska 2022; 22(3); 16-23

Abstract
Purpose. This study was done to compare between the effect of low level laser and electrical stimulation on Bell’s palsy. Methods. A randomized controlled trial was done on 45 patients of both genders with Bell’s palsy; their ages ranged from 18–45 years. Patients were randomly divided into three equal groups. All groups (A, B & C) have received medical treatment. In addition, group (A) (Low level laser therapy), was treated with low level laser therapy, two sessions/ week for 6 weeks, while group (B) (ES group) was treated with electrical stimulation for the same time and group (C) (control) followed the traditional treatment, which consisted of massage and facial exercises. The primary outcome for the study was the degree of facial nerve regeneration assessed by facial nerve electromyographic sharp wave presence, while the secondary outcomes were facial motor function, assessed by House-Brackmann scale and the quality of life, measured by facial disability index. The outcomes were evaluated pre and after 6 weeks of the interventions. Results. There was a statistically significant difference (P = 0.0001) between the three groups regarding facial disability index score and House-Brackmann score in favor of laser group. Conclusion. Low level laser treatment is more effective than electrical stimulation and traditional treatment in achieving functional recovery in Bell’s palsy patients.

Key words:
facial palsy, low level laser therapy, electrical stimulation therapy

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