Tag: ćwiczenia

The application of console games – exergames in cardiac rehabilitation: a pilot study

Kamil Szcześniak, Iwona Sarna, Anna Mierzyńska, Rafał Dąbrowski, Edyta Smolis-Bąk

 

Kamil Szcześniak, Iwona Sarna, Anna Mierzyńska, Rafał Dąbrowski, Edyta Smolis-Bąk– The application of console games – exergames in cardiac rehabilitation: a pilot study. Fizjoterapia Polska 2023; 23(4); 182-191

DOI: https://doi.org/10.56984/8ZG20AR1N

Abstract
Introduction. Too many people avoid regular physical activity, and therefore various strategies are taken to increase their motivation. In recent years, exercising with the use of console games, i.e. exergames, has gained popularity.
Material & Methods. The study included patients referred for an early post-hospital inpatient rehabilitation. All subjects participated in endurance training on cycle ergometers and in fitness exercises (dynamic, stretching, coordination, balance) with elements of resistance training 5 times per week. In the test group, the rehabilitation program was complemented with training with ActivLife equipment. Training sessions took place every day, 5 times a week. They involved training program consisting of 7 exercises that develop motor abilities: coordination, strength and balance in the form of activities similar to traditional exercises – squats, lateral flexion, three-plane movements of the upper limbs and torso deflections in sagittal plane. Trainings lasted from 15 to 20 minutes.
Results. After rehabilitation significant improvement of exertion tolerance was observed in patients in both groups in the following tests: 6MWT [m] – test group: 369 vs 426, p < 0.05, control group: 341 vs 434, p < 0.001; test of strength of the muscles in the lower limbs [number of repetitions/30s] were: test group: 11.4 vs 13.6, p < 0.001, control group: 9.9 vs 13.1, p < 0.001 and in the Up&Go Test [s]: test group 7.8 vs 6.7, p < 0.01, control group 8.4 vs 7.3, p < 0.01.
Conclusions. Interactive console games are evaluated by cardiac patients as an attractive, safe, and useful method of exercising. Training with the use of the ActivLife equipment has proved to be as effective as traditional exercises.
Key words:
exergames, cardiac rehabilitation, cardiology, physiotherapy, exercise
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Effects of massage therapy and exercise therapy on recovery of shin splints injury in women’s long distance running athletes

Ahmad Ridwan, Suharjana, Ahmad Nasrulloh, Ali Satia Graha, Arika Umi Zar’in, Muhammad Nurul Akbar Adityatama, Mela Suhariyanti

 

Ahmad Ridwan, Suharjana, Ahmad Nasrulloh, Ali Satia Graha, Arika Umi Zar’in, Muhammad Nurul Akbar Adityatama, Mela Suhariyanti – Effects of massage therapy and exercise therapy on recovery of shin splints injury in women’s long distance running athletes. Fizjoterapia Polska 2023; 23(4); 122-127

DOI: https://doi.org/10.56984/8ZG20A590

Abstract
The high intensity of running athletes’ training to overtraining and athletes who are not optimal even forget to do stretching and cooling down causes shin splints injuries. This certainly interferes with the performance of athletes during training and competitions. This study aims to determine the effect of massage therapy and exercise therapy on the recovery of shin splint injuries in female long-distance runners in the master category. This type of research uses a quasi-experimental approach with a One-Control Group Pretest-Postest Design research design. The data collection technique used tests and measurements with a goniometer to measure the range of motion of the joints and a pain scale to determine the level of pain. The population in this study were female marathon athletes aged 42 years and over. The data analysis technique used the paired t-test after previously going through the normality test and homogeneity test. The results showed that there were significant differences in the treatment of massage therapy and exercise therapy, namely decreased pain and increased joint ROM with a value of p = 0.000 (p < 0.05).
Keywords
massage, exercise, shin splint injuries
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Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak, Zbigniew Śliwiński


Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak, Zbigniew Śliwiński – Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review. Fizjoterapia Polska 2023; 23(1); 188-202

DOI: https://doi.org/10.56984/8ZG07B914

Abstract
Myofascial pain syndrome (MPS) is one of the most common ailments associated with the human musculoskeletal system, characterised by the presence of the so-called trigger points (TrP – trigger point; MTrPs – myofascial trigger points). The International Association for the Study of Pain indicates that MPS may affect approximately one-third of people with chronic musculoskeletal pain, and that there is a lack of appropriate classification which can be attributed to a misunderstanding and/or misinterpretation of the pathophysiology. Given the diverse causes of pain syndromes in myofascial structures, it is vital to properly select and integrate therapeutic methods. The scientific literature indicates that treatment programmes should include a variety of manual therapy methods and rehabilitation exercises. Trigger point therapies, such as dry needling or dry cupping, are also widely used. At the heart of the success of rehabilitation programmes, in the opinion of the authors of this publication, is their multimodality, i.e. selection of therapeutic methods based on the cause of the pain, providing for measurable, reproducible diagnostic methods in therapy.
Aim of the study. The aim of this study is to analyse and infer conclusions on multimodal myofascial pain therapy programmes.
Material and methods. Given the complex research problem set as the aim, the study was carried out through a literature review in terms of two criteria:
Criterion I (C I): analysis of the literature on the etiology and pathogenesis of myofascial pain (i.e. causes and triggers, symptoms, social and environmental factors determining the onset of MPS), diagnostic procedures (initial diagnosis and ongoing monitoring of treatment outcomes), and therapeutic methods used in the course of MPS.
Criterion II (C II): a literature study of research publications addressing multimodal programmes for myofascial pain therapy, with their qualitative evaluation using the modified PEDro scale, and empirical testing of hypotheses based on the literature study and the analysis made in Part I.
Data sources: PubMed, SCOPUS, Science Direct, MEDLINE, PEDro, Cochrane, Embase, Web of Science Core Collection, Google Scholar electronic databases were searched systematically, restricting the languages to English and German only.
Results. The analysis of the literature showed that the causes, symptoms and associations of myofascial pain have been described in detail. There are also numerous reports on a variety of therapeutic methods, together with a precisely described methodology for their implementation. It is not uncommon to recommend combining methods into multimodal programmes, which unfortunately does not mean that there are many such programmes or that studies on MPS are consistent. The literature study on multimodal treatment programmes for MPS revealed that there is no correlation between its pathogenesis and a purposeful selection of specific therapeutic methods. In a small number of cases, a complex etiopathogenesis led to the formation of multidisciplinary teams. This may be associated with the absence of strict recommendations on the diagnostic methods applicable to the assessment of MPS.
Conclusions. 1. Multimodal programmes for the treatment of musculoskeletal pain, notably MPS and MTrPs, should include a detailed and comprehensive diagnosis (structural, biochemical, psycho-emotional) which should serve as the basis for the formation of interdisciplinary rehabilitation teams. 2. Musculoskeletal diagnosis, in addition to radiological assessment, should include measurable techniques of postural and functional assessment (such as pedobarography, wearable sensors, assisted anthropometry, i.e. photogrammetry, videogrammetry, etc.), aimed primarily at the ongoing assessment of posture. 3. The choice of therapeutic methods and patient education should be based on the causes of the patient’s pain, taking into account systemic diseases, postural defects, lifestyle and psycho-emotional state. 4. Scientific research in multimodal treatment programmes should be carried out in randomised groups, with due attention to the methodologies of diagnostic and therapeutic procedures and group selection.
Keywords
chronic pain, myofascial pain, manual therapy, exercise, multimodal programmes
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Physical activity and risk factors in subjects with overactive bladder

Aneta Dąbek


Aneta Dąbek – Physical activity and risk factors in subjects with overactive bladder. Fizjoterapia Polska 2022; 22(5); 32-39

DOI: https://doi.org/10.56984/8ZG20AIT9

Abstract

The aim of the study was to assess physical activity in subjects with overactive bladder OAB. The additional aim was to assess the relationships between physical activity and OAB risk factors.
Material and methods. We studied a total of 109 subjects (101 women and 8 men). The mean age was 33.30 years (SD = 11.15). The study was conducted with the use of a comprehensive online questionnaire. The research tools were: our proprietary questionnaire and the following questionnaires: OABSS, PSS-10, IPAQ-SF. The study population consisted of 51 subjects with OAB who scored ≥ 2 points for Q3-urgency and ≥ 3 points for the total score in the OABSS questionnaire. The clinical control group consisted of 58 healthy subjects.
Results. Physical activity in the study population was significantly lower (p = 0.039, t = 2.09) than in the clinical control group. Moreover, there was correlation between physical activity and hip size (r = -0.31, p < 0.05) In the clinical control group there was correlation between physical activity and stress (r = 0.36, p < 0.001) and between physical activity and WHR (r = 0.26, p < 0.05).
Conclusions. 1. Subjects with overactive bladder reduced their physical activity. 2. The poorest physical activity was found in patients with large hip size. 3. In subjects with overactive bladder, stress, age, BMI, waist size and intensity of condition were not related to physical activity. 4. Physical activity may be one of the efficient form of treatment for people with OAB.

Keywords:
exercises, urinary bladder, strong urge to urinate

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Effect of Life Style Modification on Premenopausal Uterine Fibroids: A randomized controlled trial

Hala M Hanfy, Mohamed A. Awad, Abd El-Hamid Abd El-Maksod Abd El-Aaty, Hoda H El dahesh

Hala M Hanfy, Mohamed A. Awad, Abd El-Hamid Abd El-Maksod Abd El-Aaty, Hoda H El dahesh – Effect of Life Style Modification on Premenopausal Uterine Fibroids: A randomized controlled trial. Fizjoterapia Polska 2021; 21(4); 18-24

Abstract
Purpose. This study was designed to investigate the effect of life style modification on premenopausal uterine fibroids. Materials and methods. Forty pre-menopausal women diagnosed as uterine fibroids shared in this study. They were selected randomly from the Out-patient clinic of gynecology department in Damanhour Medical National Institute in Damanhour. Their ages were ranged from 36-47 years old. Their body mass index (BMI) didn’t exceed 35 kg/m2. They were diagnosed as subserosal and intramural uterine fibroids. Pregnant women, patients with malignant disease, cardiac pacemakers, myomectomy, psychological problems, postmenopausal patients or hormonal replacement therapy are excluded from study. The design of study was pre-test post-test experimental design. They were divided into two equal groups: Group A (Control group) consisted of 20 patients who received moderate restricted Mediterranean diet for six months. Group B (Study group) consisted of 20 patients who treated by lifestyle intervention program in the form of moderate restricted Mediterranean diet and aerobic exercises (5 times /week) for six months. Each patient in both groups was asked to take 3-4 teabag of Lipton green tea per day. Body mass index (BMI) was assessed by using standard weight-height scale, waist circumference (WC) was assessed by tape measurement; severity of symptoms was assessed by symptoms severity scale questionnaire (SSS) for all patients in both groups A and B before and after treatment. Serum Estradiol (E2), total cholesterol (TC) and triglyceride (TG) were assessed for all patients in both groups A and B before and after treatment. Results. pretreatment, there was no statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity subscale (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG). While post treatment, there was statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity subscale (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG) (more decrease in group B). Conclusion. Life style modification through aerobic exercise and Mediterranean diet is effective in reducing severity of symptoms and improve quality of life in premenopausal uterine fibroids patients.
Key words:
Life style, Premenopausal, Uterine fibroid, Exercise
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Feedback in postural retraining

Janusz Nowotny

Janusz Nowotny – Feedback in postural retraining. Fizjoterapia Polska 2001; 1(1); 51-58

Abstract
Background. So-called corrective exercises are usually the primary treatment for children and youths with various disorders of body posture. The active correction of incorrect body posture is sometimes impossible because the child cannot feel its body positioning in space. For this reason exercises are often unsuccessful.Results. One can make good these shortages by using exercises supported by biofeedback. The basics of treatment supported by biofeedback are presented in the article. Various kinds of corrective exercises based on biofeedback are presented. Special devises for these exercises are also described.

Key words:
correction of postural defects, Exercise, substitute feedback

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The application of high-tone therapy in spinal pain syndromes

Aneta Hak, Kazimierz Arabski, Grzegorz Gałuszka, Renata Gałuszka, Paweł Ochwanowski, Małgorzata Kronenberger, Marcin Oryniak

Aneta Hak, Kazimierz Arabski, Grzegorz Gałuszka, Renata Gałuszka, Paweł Ochwanowski, Małgorzata Kronenberger, Marcin Oryniak – The application of high-tone therapy in spinal pain syndromes. Fizjoterapia Polska 2004; 4(3); 259-264

Abstract

Background. The tasks of rehabilitation for the elderly include improving the efficiency of the cardiovascular and respiratory systems, the musculo-skeletal system (increasing the range of joint movement and muscle strength), and the nervous system and kinesthetic analyzer (using exercises to improve equilibrium and coordination). In order to realize these assumptions, combined methods of medical rehabilitation should be used, including kinesitherapy and high-tone therapy, using alternating electromagnetic fields (medium-frequency current in the high-tone range, ca. 4 – 12 kHz. The purpose of the present study was to evaluate the effectiveness of kinesitherapy combined with high-tone therapy in patients with spinal pain syndrome. Material and methods. The experimental group consisted of 31 patients (group A) 50-85 years of age. The control group (B) included 31 patients in the same age range. Kinesitherapy was applied in Group A for 16 weeks, twice a week, along with high-tone therapy. Group B received only a program of kinesitherapy, identical to Group A. Results. After treatment was completed, we found increased range of movement in the lumbar and thoracic spine in Group A, measured by plurimeter. The comfort index and dynamic equilibrium were significantly higher. The control group achieved lower values. Conclusions. The favorable effects of high-tone therapy as a supplement to kinesitherapy, associated with stimulation of tissue regeneration processes and improved cell metabolism. The results we obtained justify further research on the effectiveness of a rehabilitation program based on combined procedures in persons with spinal pain syndrome, in order to improve their quality of life.

Key words:
Back Pain, elektrotherapy, exercises
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Physical exercises to ameliorate the sequelae of osteoporosis

Agnieszka Nawrat, Ewa Zmudzka-Wilczek

Agnieszka Nawrat, Ewa Zmudzka-Wilczek – Physical exercises to ameliorate the sequelae of osteoporosis. Fizjoterapia Polska 2009; 9(1); 69-74

Abstract
Background. The manifestations of osteoporosis, such as fractures, pain, disorders of gastrointestinal and respiratory function, and postural deformities, become evident only after a number of years. Appropriate and regular physical activity makes it pos-sible to ameliorate these signs and symptoms.The goal of the present study was to determine whether a 3-month bone-strength-ening exercise programme can reduce the negative consequences of osteoporosis by increasing mobility in the joints of the pe/wc and shoulder girdles and the spine and improving rib cage mobility.Materiał and methods. The study was carried out at the St. Elizabeth Centrę in Ruda Śląska and involved 30 patients with osteoporosis confirmed by densitometry The patients were divided into a study group and a control group on the basis of their involvement in the bone-strengthening exercise programme. Both groups underwent physical examinations. The following param-eters were evaluated: raising the upper limb forwards through flexion and sideways through abduction, flexion and abduction of the lower limb, sagittal and forward bending of the trunk (finger-floor test) and mobility of the rib cage. Results. The programme of bone-strengthening exercise was shown not to make a significant difference in the parameters of the locomotor system evaluated. Nevertheless, positive changes had been maintained with a tendency towards improvement in the following parameters: raising the upper limb forwards through flexion (41% improvement), mobility of the rib cage (40% improve-ment), and raising the upper limb sideways through abduction (33% improvement). Conclusions. A programme of physical exercise designed to strengthen bones exerts a positive effect slowing down the pro-gression of osteoporosis and may even improve the patienfs overall musculoskeletal health.
Key words:
physical activity, exercise, osteoporosis
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Proposal for rehabilitation after conservative treatment and in the presence of complications in Colles’ fracture – selected aspects

Aneta Bac, Dorota Czechowska, Andrzej Szczygieł

Aneta Bac, Dorota Czechowska, Andrzej Szczygieł – Proposal for rehabilitation after conservative treatment and in the presence of complications in Colles’ fracture – selected aspects. Fizjoterapia Polska 2009; 9(2); 181-190

Abstract
Colles’ fracture is one of the most common types of forearm fractures, affecting mainty women around the age of 60, most often those suffering from osteoporosis. On the basis of literature data and the authors’ own experiences, the article presents protocols of physiotherapeutic management ofpatients with fractures ofthe distal epiphysis ofthe radius and management of complications associated with these fractures. The therapeutic procedure consists of three basie stages. The first two are the repositioning and immobilization of the fracture, sometimes preceded by surgical intervention. The third stage consists in intensive physiotherapy aiming to speed up the bone healing process, restore as much wrist mobility as possible, restore limb strength and function, and prevent or cope with possible complications. Physiotherapists dealing with a Colles fracture employ a yariety of exercises using specialist equipment and modern manual therapy techniques, such as the „hold-relax techniques, Brian Mulligan’s MWM, and, in later stages, active exercises aga-inst resistance. The goal of the therapy is to achieve fuli range of motion in the joint, inerease muscle strength and improve pro-prioception. Working with the patient, the therapist can utilize appropriate equipment, functional exercises related to actMties ofda-ily living, and physical agents. As with any musculoskeletal injury, fractures of the distal epiphysis of the radius may be accompa-nied by various complications. These can be divided into early (loss of reposition, median nerve neuropathy etc.) and late complications. The latter group includes incorrect union of fractured bone, carpal tunnel syndrome, wrist instability etc. Early and appropriate physiotherapy may prevent many secondary complications and speed up fuli functional recovery of the patient.
Key words:
Colles fracture, exercises, mobilisations with movement, secondary complications
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Effect of Forward Head Posture Correction Added to Lumber Stabilization Exercises on Lumbopelvic Organization in Mechanical Low Back Pain Patients: A Randomized Clinical Trial

Aliaa M Elabd, Ahmed I Elerian, Salah-Eldin B Ahmed, Haytham M Elhafez, Ahmed F Geneidy, Ahmed Atteya Ashour, Omar M Elabd

Aliaa M Elabd, Ahmed I Elerian, Salah-Eldin B Ahmed, Haytham M Elhafez, Ahmed F Geneidy, Ahmed Atteya Ashour, Omar M Elabd – Effect of Forward Head Posture Correction Added to Lumber Stabilization Exercises on Lumbopelvic Organization in Mechanical Low Back Pain Patients: A Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(3); 132-140

Abstract
Background. Although current Lumbar Stabilization Exercises (LSEs) is beneficial for chronic mechanical low back pain (CMLBP), further research is recommended focusing on normalizing sagittal lumbopelvic alignment. Subjects with forward head posture (FHP) possibly have a problem with the regulation of static upright posture.
Purpose. This study was conducted to determine the effects of adding FHP correction to LSEs on pain, functions and lumbopelvic sagittal alignment in CMLBP patients.
Materials and Methods. Forty adult patients with CMLBP and FHP were assigned into one of two groups. Group A received FHP correction exercises in addition to LSEs for 12 weeks, while group B received only lumber stabilization for 12 weeks. The primary outcome was lumber lordosis (LL). Secondary outcomes included pain intensity, back specific physical functioning, cranio-vertebral angle (CVA), pelvic tilt (PT), pelvic incidence (PI), and sacral slope (SS). Patients were assessed pre and post treatment by an assessor blinded to the patients’ allocation. Reported data was analyzed by Mixed-model-MANOVA.
Results. MANOVA indicated a significant group-by-time interaction (P= 0.00, Partial η2= 0.65). LL, Pain, and SS were reduced in group A more than B. Physical function, CVA, and PT were increased in A when compared to B. There was no significant group-by-time interaction for PI. Within-group comparisons revealed significant differences for all measured variables in both groups except for CVA and PI in the control one.
Conclusion. The addition of FHP correction to LSEs for management of CMLBP seemed to positively affect pain, functioning, and lumbopelvic organization.
Key words:
Exercises, Low Back Pain, Posture, Stabilization
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