The occurrence and dynamics of depressive symptoms in patients with chronic lumbar pain syndrome

Iwona Demczyszak, Zdzisława Wrzosek, Wojciech Hagner

Iwona Demczyszak, Zdzisława Wrzosek, Wojciech Hagner – The occurrence and dynamics of depressive symptoms in patients with chronic lumbar pain syndrome. Fizjoterapia Polska 2004; 4(2); 112-116

Abstract

Background. The purpose of our study was to analyze the occurrence, strength, and dynamics of depressive symptoms in patients with chronic pain caused by degenerative and deformative changes in the lumbar spine, and to examine the impact of the physiotherapy methods used on the measured parameters. Material and methods. The research material consisted of patients at the Resurs Specialized Rehabilitation Clinic in Wrocław. We examined 106 patients complaining of chronic pain caused by degenerative and deformative changes in the lower spine. The level of depressive symptoms was assessed in all patients with the Beck Depression Inventory. Results. Statistical analysis showed a dependency between the occurrence of depressive symptoms and gender. The impact of various methods of treatment in the group with depressive symptoms was also assessed. Conclusions. Depression occurs in some patients with chronic lower back pain. The level of depression in both examinations was higher among the women. After treatment there were no significant changes in the level of depression in the study group.

Key words:
degenerative changes, deformative changes, physiotherapy methods
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Comparison between the effectiveness of therapy using a high-frequency electromagnetic field and the therapy using ultrasound waves in the degenerative and overload diseases of the locomotor system

Lidia Kościelny, Krystyna Stanisz-Wallis, Bożena Latała, Magdalena Wilk-Frańczuk

L. Kościelny, K. Stanisz-Wallis, B. Latała, M. Wilk-Frańczuk – Comparison between the effectiveness of therapy using a high-frequency electromagnetic field and the therapy using ultrasound waves in the degenerative and overload diseases of the locomotor system. Fizjoterapia Polska 2018; 18(1); 6-13

Abstract

Objective. The objective of this study is to assess the effectiveness of treating degenerative diseases of the locomotor system using a high-frequency electromagnetic field in comparison with ultrasound treatment.
Materials and methods. 77 people aged 42-84 with exacerbation of pain ailments and limitation of motor skills resulting from degenerative diseases, were qualified for the study. The patients were divided into 3 groups. The following procedures were performed in group I (27 persons): cryotherapy, laser therapy and kinesiotherapy. The following procedures were performed in group II (27 persons): cryotherapy, laser therapy, ultrasounds and kinesiotherapy. The following procedures were performed in group III (23 persons): cryotherapy, laser therapy, high-frequency electromagnetic field, kinesiotherapy. The procedures were performed for 10 days in all the groups. There was applied the motor skill assessment survey and pain assessment. The tests were performed on the 1st and 10th day of the procedures.
Results. In each group, the treatment applied occurred to be effective, which was statistically relevant. In group III, the median difference was highest. Similarly, the change in pain was most significant in group III, the therapy using an electromagnetic field occurred most effective.
Conclusions. A significant difference between the initial and final pain was noted in the 3 tested groups. A significant difference in the level of pain appeared in the 3 tested groups. The higher effectiveness of electromagnetic field therapy was demonstrated.

Key words:
rehabilitation, degenerative lesions, physical therapy

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