Kinesiotaping after thoracosurgeries

Jan Szczegielniak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Zbigniew Śliwiński

Jan Szczegielniak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Zbigniew Śliwiński – Kinesiotaping after thoracosurgeries. Fizjoterapia Polska 2007; 7(3); 344-350

Abstract
In 2005 there were about 15 000 operations carried out in Thoracosurgery Units in Poland. The majority of these involved lobectomy due to structural changes resulting from cancer. It is worth mentioning that the majority of patients were operated on during their first or second stages of the disease, which shows improvement in methods used for diagnostic purposes qualifying for surgical operations. However, the patients treated in the third stage of their disease might reach even 40%. Application of physiotherapy in these patients is a complex problem due to the disease, their overall condition and post-operative complications. The treatment aims at improving the efficiency, strengthening the respiration mechanism, increasing thoracic flexibility and pain relief – which finally leads to improvement of the patient’s well-being. In case of possible lymphatic swelling, drainage and antiedema treatment are also very important. In case of the patients, who underwent surgery, not connected with cancer, physical treatment and massage are valuable complementation to kinesitherapy, which is the basis of physiotherapeutic treatment. They are mainly used in order to stabilize the muscle tone, decrease swelling and pain perception. However, because of the main disease, they could not be applied in most of patients. Under limited possibility of using physiotherapeutic treatment, kinesiotaping (KT) is a safe method stimulating post—operative scar healing, improving muscle activity and helping to decrease swelling and pain.
Key words:
kinesiotaping, physiotherapy, thoracosurgery
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Body equilibrium assessment in patients with degenerative changes after whole-body cryostimulation connected with physiotherapy

Marek Kiljański, Zbigniew Śliwiński, Wojciech Kufel, Wojciech Kiebzak, Marek Woszczak

Marek Kiljański, Zbigniew Śliwiński, Wojciech Kufel, Wojciech Kiebzak, Marek Woszczak – Body equilibrium assessment in patients with degenerative changes after whole-body cryostimulation connected with physiotherapy. Fizjoterapia Polska 2007; 7(3); 286-298

Abstract
Background. The authors present the results obtained in a group of 126 participants. The aim of the study was to determine whether a four-week program of physiotherapy including whole-body cryostimulation, applied in patients with degenerative changes in the spine, influences their body equilibrium and pain sensation. Material and methods. The examined group comprised 66 patients with degenerative changes in the lumbar spine, while the control group consisted of 60 participants. Apart from an individually designed rehabilitation program, each patient participated in 20 sessions of whole-body cryostimulation. The measurement of lumbosacral spine mobility and the assessment of pain sensation using the Visual Analogue Scale (VAS) were performed before the first and after the last session. Moreover, after the first, tenth and twentieth session of general cryostimulation, measurements on a stabilometric platform were conducted. The healthy participants, who were qualified as the control group, underwent tests on the stabilometric platform after one session in the cryogenic chamber. The aim of these tests was to compare the differences in the stabilogram curve in healthy individuals and patients with degenerative changes in the lumbar spine. The effect of cryostimulation procedures on pain sensation and mobility of the lumbosacral spine was assessed. Additionally, the effect of cryogenic temperatures on body equilibrium was studied. Results. The comparison of the results, obtained before the procedure and after completing the therapy indicates that general cryostimulation in a physiotherapeutic program for patients with degenerative changes in the lumbar spine contributes to relaxation of excessively tense muscles. Conclusions. The use of whole body cryostimulation in patients with degenerative changes in the lumbosacral spine, combined with a properly designed and managed physiotherapeutic program, decreases pain sensation in a statistically significant way. The application of cryogenic temperatures, combined with physiotherapeutic program, favourably affect patient body equilibrium.
Słowa kluczowe
physiotherapy, spine, cryostimulation, coordination, stabilometric platform
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Treatment of scoliosis – F.E.D. method

Santos Sastre Fernandez

Santos Sastre Fernandez – Treatment of scoliosis – F.E.D. method. Fizjoterapia Polska 2007; 7(3); 223-231

Abstract
The paper presents the application of the FED system (F — fixation, E — elongation D — derotating pressure) in scoliosis treatment. Based on his previous experience, the author once concluded that compressive forces, which cause and worsen bone deformities during bone growth period, may be used in treatment of these deformities, if applied in the contrary direction. Based on this hypothesis, the author started his research, consisting in the development of experimental scoliosis in 25 day old rabbits and using the same asymmetric, dynamic and compressive forces to treat them. The obtained results were markedly good when comparing the treated and untreated animals. In 1989 he and his coworkers designed an experimental prototype of the FED system to achieve similar therapeutic effects in humans. For about 15 years he has treat-ed patients with spine defects, mainly idiopathic scoliosis and frequently during their growth period. The therapeutic program comprises special physiotherapy with electrotherapy and thermal therapy, followed by the application of external corrective forces to spinal curvatures. The treatment results in significant improvement in bones, cartilages, discs and orthostatic pos-tural control. It reduces and/or eliminates symptoms including pain, stiffness and instability, both in children and adults. The method is applicable and, in most cases, it allows to avoid surgical intervention.
Key words:
external forces, spine deformities, scoliosis, physiotherapy
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The possibilities of using Kinesio Taping in patients after cardiac surgery

Jan Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Zbigniew Śliwiński

Jan Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Zbigniew Śliwiński – The possibilities of using Kinesio Taping in patients after cardiac surgery. Fizjoterapia Polska 2007; 7(4); 465-471

Abstract
Background. Kinesio Taping is used in physiotherapy to stimulate recovery and increase physical efficiency. Kinesio Taping offers new possibilities of using physiotherapy in patients who cannot fully benefit from kinesiotherapy or physiotherapy. Kinesio Taping is a method of treatment of pain syndromes reducing subjective pain perception. Appropriate applications, adjusted to patients’ needs and overall health, stimulate the activity of the lymphatic system and auxiliary respiratory muscles, regulate muscle tone, accelerate post-operative scar healing processes and provide additional scar stabilization.The aim. The article presents possibilities for using Kinesio Taping in patients after cardiac surgery. Kinesio Taping was used in the study in order to reduce pain, stabilize muscle tone, support respiratory muscles, prevent pectoralis muscle contracture, accelerate post-operative scar healing processes, increase post-operative scar elasticity and prevent the development of adhesions. Conclusions. The observed results of therapy were as follows: a decrease in subjective pain perception, a reduction of oedema, additional scar stabilization, and fully active participation of the patients in kinesiotherapy, which was limited before the KT treatment.
Key words:
Kinesio Taping, physiotherapy, cardio-surgery
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Interpretation of the results of physiotherapy for low back pain based on the Ryodoraku electrodermal measurements

Andrzej Żytkowski, Henryk Chmielewski, Beata Wrodycka

Andrzej Żytkowski, Henryk Chmielewski, Beata Wrodycka – Interpretation of the results of physiotherapy for low back pain based on the Ryodoraku electrodermal measurements. Fizjoterapia Polska 2007; 7(4); 392-400

Abstract
Background. The aim of this study was to analyse skin conductance of a direct current (galvanic skin response, GSR) in dermatomes corresponding to the level of discopathy and to provide an indirect objective interpretation of several commonly used physiotherapeutic methods: low frequency diadynamic currents, medium frequency interferential currents, low frequency pulsed magnetic therapy and classic acupuncture. Material and methods. Tests of GSR, an indirect measure of sympathetic activity, were carried out in addition to clinical assessment and radiological studies in a group of 164 patients with diagnosed low back pain [65 persons with a pseudoradicular pain syndrome and 99 patients with evident sciatic neuralgia], using the diagnostic component of Yoshio Nakatani’s Ryodoraku method. The essence of the method is the measurement of skin conductance of a 200 uA direct current at 24 points of the body regarded as representative of systemic sympathetic activity. Results. There was no correlation between the clinical characteristics of a pain syndrome and GSR changes. Skin conductance values significantly more often fell within the normal range following exposure to a low frequency magnetic field compared of the other physical therapy methods investigated in the study. Conclusions. The following conclusions can be made on the basis of the observed outcomes: 1. The Ryodoraku method is non-specific and inappropriate as an additional tool for the diagnosis of sciatic neuralgia; 2. Some correlations can be established between conductance measurements and the physical treatment method used.
Key words:
low back pain, electrodermal measurements of Ryodoraku, physiotherapy
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The use of high-tone power therapy in the rehabilitation of patients with coxarthrosis

Anna Mika, Paweł Polak

Anna Mika, Paweł Polak – The use of high-tone power therapy in the rehabilitation of patients with coxarthrosis. Fizjoterapia Polska 2007; 7(4); 401-408

Abstract
Background. The aim of this study was to assess the effect of high-tone power therapy on complaints related to coxarthrosis, i. e. reduced range of motion and pain. Material and methods. 12 subjects (aged 48-80) suffering from coxarthrosis received a series of 10 high-tone power (HiToP) therapy procedures. Additionally, 20 minutes of exercise was applied after each HiToP session. The subjects were evaluated for hip range of motion and pain level three times: before starting treatment (baseline), after the 5th session and on completion of the treatment (after the 10th session on the last day of the treatment). Results. Statistically significant changes in the functional parameters and pain level in comparison to baseline values were observed after the 5th visit. After the 10th visit, there was a significant increase in the hip range of motion in all planes assessed and a decrease in pain level. Conclusion. The treatment of coxarthrosis using high-tone power therapy and postisometric relaxation had a beneficial effect on the range of motion in the hip and coxarthrosis-related pain in the study group.
Key words:
coxarthrosis, high-tone power therapy, physiotherapy
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Assessment of thermal effects of kinesiology tape application

Henryk Racheniuk, Jan Szczeielniak, Katarzyna Bogacz, Sławomir Zator, Jacek Łuniewski, Grzegorz Skiba, Zbigniew Śliwiński

Henryk Racheniuk, Jan Szczeielniak, Katarzyna Bogacz, Sławomir Zator, Jacek Łuniewski, Grzegorz Skiba, Zbigniew Śliwiński – Assessment of thermal effects of kinesiology tape application. Fizjoterapia Polska 2008; 8(3); 310-316

Abstract
Background. This work presents the results of a thermovisual analysis of 20 patients subjected to a single Kinesiology Tape application to the lumbosacral region. The Y muscle technique was used for thermovisual assessment. Material and methods. The study involved a group of 20 volunteers, students of Opole Technical University, including 16 women and 4 men, at an average age of 21 years. The subjects had previously reported intermittent low back pain. The surface temperature of the area where Kinesiology Tape was applied was measured three times: before taping, at one hour after taping and 24 hours after the KT application. Results. The biggest increase in surface temperature was observed in centrally located Area 1, where mean temperature increased by 1.27°C while mean temperature increases in lateral test areas were 0.6°C. Temperature increases in test areas located directly on the tapes were 0.3°C. These values fall within thermovisual camera statistical error range. Conclusion. The highest temperature increase was observed in the central test area. The values of temperature increases of the lateral test areas and those located directly on the tape fell within the thermovisual camera statistical error range.
Key words:
Kinesiology Taping, thermovision, physiotherapy
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The effectiveness of Kinesio Taping applications in physiotherapy of post-cholecystectomy patients. Preliminary report

Marcin Krajczy, Jan Szczegielniak, Zbigniew Śliwiński, Krzysztof Kamiński

Marcin Krajczy, Jan Szczegielniak, Zbigniew Śliwiński, Krzysztof Kamiński – The effectiveness of Kinesio Taping applications in physiotherapy of post-cholecystectomy patients. Preliminary report. Fizjoterapia Polska 2008; 8(3); 279-289

Abstract
Background. Abdominal surgery is always associated with a variety of dysfunctions, including post-operative paralysis of the alimentary tract, water-electrolyte imbalance and other, related to the underlying disease, anaesthesia and any co-existing diseases. Post-operative pain, respiratory complications as well as impaired exercise tolerance remain a serious problem for postabdominal surgery patients. Material and methods. In order to confirm the clinical effects of Kinesio Taping, a study was performed on a group of 17 patients (8 men, 9 women) following recent open cholecystectomy in the General Surgery Unit of Nysa Municipal Hospital, between March 2007 and February 2008. The patients were randomized to a treatment group (5 women, 3 men), which received Kinesio Taping, and a control group (3 women, 6 men), which received standard treatment. The following parameters were evaluated during the study: subjective pain, abdominal circumferences, ventilatory function, exercise tolerance, duration of intestinal atony to the return of peristalsis and first post-operative defecation.Results and Conclusions. 1. Kinesio Taping applied to patients after cholecystectomy reduced pain, accelerated reduction of abdomen circumference and was associated with much lower consumption of analgesics compared to the control group. 2. Kinesio Taping considerably shortened post-operative intestinal atony, accelerating the return of peristalsis and first defecation after the operation. 3. Increased exercise tolerance and ventilatory function observed in the study indicates that Kinesio Taping is an effective physiotherapy technique in patients following a conventional cholecystectomy.
Key words:
general surgery, physiotherapy, Kinesio Taping
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Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński – Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens. Fizjoterapia Polska 2008; 8(3); 267-271

Abstract
Background. The aim of the study was to evaluate the effectiveness of cryotherapy and physiotherapy regimens in patients with indications for use of these procedures in the knee joint region or knee joints. Material and methods. The study was performed in the Cracow Rehabilitation Centre in 2008. The study involved a group of 38 patients who underwent cryotherapy of the knee joint region. The patients were dMded into two groups. Group 1 included patients who performed lower limb exercises immediately after the cryotherapy procedure, and patients in group 2 performed exercises 30 minutes following the cryotherapy procedure. Changes in thermograms were recorded in all patients. Results. Mean temperature in the affected knee joint before treatment was x=30.19°C in group 1 and 31.46°C in group 2. The differences between the study groups revealed in examination 2 were also not statistically significant. Examination 3 showed signi-ficant differences. The mean value of the temperature range was x=28.54C in Group 1 and 23.38°C in Group 2. The last exami-nation, performed 30 minutes after the completion of the cryogenic therapy procedure, showed a mean temperature of the treated knee joint of x=28.99°C in Group 1 and x=29.43C in Group 2. Conclusions. Tissue temperature in the knee joint region increased at a slower rate in patients who did not undergo kinesi-therapy immediately after cryotherapy of that region.
Key words:
knee joint, cryotherapy, thermovision, physiotherapy
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The use of backward gait in physiotherapy of female senile osteoporosis

Marek Walusiak, Jacek Durmała, Ewa Detko, Bartosz Wnuk

Marek Walusiak, Jacek Durmała, Ewa Detko, Bartosz Wnuk – The use of backward gait in physiotherapy of female senile osteoporosis. Fizjoterapia Polska 2008; 8(3); 260-266

Abstract
Background. The aim of the study was to assess the efficacy of various models of comprehensive rehabilitation in patients with senile osteoporosis, concentrating on the correction of thoracic kyphosis and increasing the strength of the knee extensor muscles. Material and methods. The prospective and randomized study was conducted in the group of female patients with known senile osteoporosis (n=37, average age – 72.7 yrs, SD – 5.79, range 65-84 yrs), divided into two groups of 17 and 20 patients, respectively. To take part in the rehabilitation, all patients were hospitalized at the department of rehabilitation for 3 weeks. The programme of rehabilitation applied in respective groups was different only with regard to walking training, with forward walking training applied in the first group and backward gait in the second group. The measurement of thoracic kyphosis was performed using a plurimeter-V. The strength of the knee extensor muscles was measured in both lower limbs by tensometry. Results. A degree of correction of thoracic kyphosis was seen in both groups. Additionally we observed a statistically significant increase in the knee extensor torque. The increase was significantly higher in the second group in comparison to the first group. Conclusion. The use of backward walking training in the comprehensive rehabilitation of female senile osteoporosis patients contributed to a greater increase in the torque of the knee extensors compared to forward walking training over the same period.
Key words:
senile osteoporosis, backward gait, physiotherapy, tensometry
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