Comparison of the effectiveness of certain physical therapy treatments in shoulder pain in patients with degenerative lesions

Magdalena Staniek, Marek Kiljański, Joanna Kałuża-Pawłowska, Patryk Kiljański

M. Staniek, M. Kiljański, J. Kałuża-Pawłowska, P. Kiljański – Comparison of the effectiveness of certain physical therapy treatments in shoulder pain in patients with degenerative lesions. Fizjoterapia Polska 2018; 18(4); 6-13

Abstract

Objective. The objective of this study was to assess the effectiveness of laser therapy in shoulder pain in patients with degenerative lesions. The assessment applied to impact of the respective treatments on such parameters as: pain scale, subjective evaluation of health condition, degree of functionality expressed using measurements of the range of movements of the shoulder joint (flexion, extension, abduction) and of the muscle strength based on Lovett scale before and after treatment.
Materials and methods. The research was conducted on a group of 50 patients aged 60-85, with homogenous diagnosis of: degenerative joint disease. The research was conducted in the County Center of Medical Services in Kielce. All patients were divided into two groups of 25 people. The first one included 17 women and 8 men, while the second one – 15 women and 10 men. The first group underwent three physical therapy treatments, i.e.: ultrasound, magnetotherapy, cryotherapy, while the second one was additionally subject to laser therapy.
Results. The results demonstrated that the applied physical therapy treatments in both groups significantly affected the progression of the parameters examined. A larger difference in improvement of the subjective evaluation of the health condition was recorded in the group of patients that did not undergo laser therapy. The results patients from the other group were better in terms of reduction in pain calculated in the VAS scale and of improvement of the range of movements during abduction and extension. The remaining examined parameters, such as: range of flexion and muscle strength, improved to the same degree in both groups. The only statistically relevant difference was in improvement of the range of abduction among the patients who additionally underwent laser therapy.
Conclusions. The examination conducted proved effectiveness of such physical therapy treatments as: cryotherapy, ultrasounds, magnetotherapy, performed with and without laser therapy, applied in pains of the shoulder area in patients with degenerative lesions. The therapy using a medical laser proved more effective.

Key words:

degenerative joint disease, shoulder, shoulder girdle, medical laser, laser therapy

Pobierz/Download/下載/Cкачиваете Pobierz artykuł w j. angielskim/Available only English version/下載英文版

Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention

Włodzisław Kuliński

W. Kuliński – Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention. Fizjoterapia Polska 2018; 18(3); 6-10

Abstract
Introduction. The first cases of the disease known as acquired immune deficiency syndrome (AIDS) were described in 1981. According to the WHO, more than 35 million people worldwide have been diagnosed with HIV since then. The number of HIV-infected individuals in Poland is estimated at 35 000. The disease is associated with changes involving, among others, the central and peripheral nervous system and the musculoskeletal system. Patients are referred for physical treatment due to lower limb paresis, disturbed sphincter function and coordination as well as acute articular pain.
Material and methods. The paper presents physical treatment and rehabilitation conducted in HIV-infected patients with these problems. The principles of preventing HIV infection in the staff of the Division performing the procedures are also described together with HIV infection prophylaxis.
Conclusion. The principles of prevention and timely preventive measures may help the staff avoid HIV infection.

Key words:
HIV/AIDS infection, physiotherapy, principles of prevention

 

Pobierz/Download/下載/Cкачиваете Pobierz artykuł w j. angielskim/Available only English version/下載英文版