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Efficacy of instrument assisted soft tissue mobilization on chronic ankle instability

Marwa Mostafa Ahmed, Fatma Sedeek Amin, Magda Gaid Sedhom


Marwa Mostafa Ahmed, Fatma Sedeek Amin, Magda Gaid Sedhom – Efficacy of instrument assisted soft tissue mobilization on chronic ankle instability. Fizjoterapia Polska 2022; 22(4); 162-170

DOI: https://doi.org/10.56984/8ZG1A6m5D

Abstract
Purpose. To investigate the effect of instrument assisted soft tissue mobilization (IASTM) on ankle pain, range of motion, balance, and Ankle and Foot Outcome Score (FAAOS) in patients with chronic ankle instability.
Methods. Randomized controlled trial. Overall, 50 patients of both genders with age ranged from 16–30 years with chronic ankle instability were recruited and divided randomly into two equal groups; Group (A) (control group), received traditional physical therapy treatment (dynamic balance training) for 4 weeks, Group (B) (experimental group), received the same traditional PT treatment in addition to IASTM for 4 weeks. Pre- and post-treatment assessment using Visual analogue scale (VAS), Plastic goniometer, Biodex balance system and FAAOS were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in VAS, as well as overall stability index in favour of experimental group (B) (p < 0.001) and a significant increase in FAAOS, dorsiflexion, planter flexion, inversion and eversion range of motion in favour of experimental group (B) (p < 0.001).
Conclusion. Instrument assisted soft tissue mobilization has a significant effect on reducing pain, increasing range of motion and improving balance and function in patients with chronic ankle instability.

Keywords
chronic ankle instability, instrument assisted soft tissue mobilization, foot and ankle outcome score

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Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic

Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz


Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz – Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic. Fizjoterapia Polska 2022; 22(4); 154-161

DOI: https://doi.org/10.56984/8ZG1A62sK

Abstract
The COVID-19 pandemic resulted in an almost immediate need to limit social contact, including access to full-time education.
Teaching in the 2020/2021 academic year relied almost entirely on remote education. Medical students felt the problem of the lack of student-patient contact in particular. Internships and apprenticeships were kept to a minimum, and in many universities there were no apprenticeships, which also translated into the lack of acquisition of practical knowledge, which is very important in the work of a future medic.
The study covered students from all voivodeships. The nationwide character of the study made it possible to obtain objective results.
The objective of the study was to examine the level of satisfaction and acquired skills of students of the medical faculty, i.e. physiotherapy within remote education.
The results of the study and the literature review show that the preferred form of education in medical faculties is a mixed form of education, and student satisfaction with the remote form is rather low. It has been shown that this method of education does not lower the level of satisfaction, and at the same time has a positive effect on the economic aspect of studying.

Key words:
student satisfaction, physiotherapy, remote learning, COVID-19 disease

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Immediate effect of shock wave versus muscle energy technique in cases of quadratus lumborum myofascial pain

Hessa Al Shehhi, Mouza Lootah, Ibrahim Moustafa, Tamer Shousha


Hessa Al Shehhi, Mouza Lootah, Ibrahim Moustafa, Tamer Shousha – Immediate effect of shock wave versus muscle energy technique in cases of quadratus lumborum myofascial pain. Fizjoterapia Polska 2022; 22(4); 148-152

DOI: https://doi.org/10.56984/8ZG1A60Yj

Abstract
Objective. To compare the effects of applying Extra-Corporal Shockwave treatment (ESWT) and Muscle Energy Technique (MET) to the Quadratus lumborum (QL) with regards to pain and function. Methods. 77 participants were included in this study. Patients were included if they were diagnosed as Myofascial pain syndrome, pain localized on the QL muscle; surrounding tightness; QL tenderness; and painful trigger points, causing referred pain around the QL. Outcome measures. Pain was measured by the Visual analogue scale (VAS), Pain pressure threshold (PPT) by the algometer and functional disability by the Oswestry pain disability index (ODI). Intervention. Patients were randomly divided into two groups. For the first group, ESWT was delivered by the Dornier AR2; smart focus technology on the tender point of the QL muscle. Three sessions were delivered with 2 days of rest following each session. The second group received the MET for 3 sessions as well. Results. The pre-treatment assessment revealed no significant differences between groups with regards to the pain (measured by the VAS & PPT) and Functional disability (measured by ODI). Following treatment, within group comparisons for the ECSW and Met groups respectively revealed significant differences with regards to pain (P = 0.0001), PPT (P = 0.0001) and ODI (P = 0.024 and 0.004 respectively) Between group comparisons revealed significant differences in favor of the ECSW group with regards to pain and PPT (P = 0.0001) with no significant difference with regards to ODI. Conclusion. ESWT showed better outcomes in improving QL myofascial pain and PPT than MET in the short term. Both treatment techniques improved the functional disability but with no significant difference between them.

Keywords
shock wave, myofascial, pain, quadratus lumborum, trigger point

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Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis

Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif


Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif – Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis. Fizjoterapia Polska 2022; 22(4); 142-147

DOI: https://doi.org/10.56984/8ZG1A66hK

Abstract
Purpose. To compare between the effect of torso based balance weighting and tailored physical therapy program on balance and postural control in ataxic MS patients. Methods. Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control were selected from outpatient clinic of two hospitals. The patients randomly assigned into two groups, group (A: n = 30) received torso-based balance weighting and selected physical therapy program and group (B; n = 60) received tailored physiotherapy program and the same selected physical therapy program. Treatment lasted eight weeks, three times per week. Pre- and post-treatment assessment using berg balance scale and overall stability index were done for all patients. Results. Post-treatment comparisons between the two groups showed a statistically significant improvement in Berg balance (p < 0.05) in favor of group (B) and both groups showed clinical improvement. Conclusion. The tailored physical therapy program was more statistically effective in improving balance disorders than torso based balance weighting in ataxic MS patients, and there was clinical effect on improving postural control of both groups.

Keywords
multiple sclerosis, postural control, torso based balance weighting, tailored physical therapy

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The assessment of the early rehabilitation’s impact on the level of disorders occurring and the process of reinnervation, on the example of facial twigs of the motor nerve in patients with craniofacial injuries

Szymon Tyszkiewicz, Patrycja Ujma, Dominik Szczeciński, Klaudia Szczygieł, Marcin Kozakiewicz


Szymon Tyszkiewicz, Patrycja Ujma, Dominik Szczeciński, Klaudia Szczygieł, Marcin Kozakiewicz – The assessment of the early rehabilitation’s impact on the level of disorders occurring and the process of reinnervation, on the example of facial twigs of the motor nerve in patients with craniofacial injuries. Fizjoterapia Polska 2022; 22(4); 128-141

DOI: https://doi.org/10.56984/8ZG1A6t5I

Abstract
Introduction. Lymphoedema of the skull’s facial part is one of the main complications observed in a patient after surgical treatment of disorders of this area. Another noticeable and frequently reported complication by the patient is irregularities in facial expression muscles’ work. A relationship between them and reducing edema performed in patients in the first days after surgery will reduce the noted disturbances in motor branches’ function.
Aim. To investigate the impact of early swelling reduction on the extent of nervous system disorders and its reinnervation rate.
Materials and methods. Patients of the Maxillofacial Surgery Clinic of the University Clinical Hospital of the Military Medical Academy in Łódź were enrolled in the study. The study was conducted on 60 people who underwent maxillofacial surgery procedures from February to December 2019. Lymphatic drainage and dynamic taping were used to reduce patients’ edema. Forty-five people were divided into three equal groups. Fifteen patients constituted the comparative group. The research tools were a survey created following the author’s idea, linear measurements for measuring edema, and the Pietruski scale for assessing the state of reinnervation imaged by mimic muscle motility. On the first day after surgery, patients were examined four times, then on the third and seventh day after surgery, and finally four months after surgery.
Results. The use of anti-edema therapy noticeably (from 2-5 points on the Pietruski scale) reduces the disturbances in facial expression muscles’ function. The difference has been visible already on the third day after surgery. Regarding the patient’s pain, the lack of manual lymphatic system development resulted in pain sensations remaining in each of the three tests performed. The occurrence of edema, pain level, and level of facial expression muscle disorders were similar between groups and made the following research objective in terms of observed relationships.
Conclusions. The level of disturbances in the area of the mobility of expressive facial muscles (based on Pietruski scale) indicates that the implementation of anti edematous therapy, and thus the reduction of excess lymph, already in the first days after surgery provides a reduction of disorders of conduction of efferent impulses of motor fibers, appearing already in the first days after surgery. Increased drainage rate also accelerates the reinnervation process, shortens it by several weeks, and reduces pain symptoms.

Key words:
reinnervation, facial nerve, lymphatic oedema, dental physiotherapy

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Adjunctive effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury

Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme


Walaa Abd El Aziem Abd El Aziz, Wafaa Hussein Borhan, Haidy Nady Ashem, Ashraf El Sebaie Mohamme – Adjunctive effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury. Fizjoterapia Polska 2022; 22(4); 122-127

DOI: https://doi.org/10.56984/8ZG1A6ZsV

Abstract
Purpose. This study was conducted to examine the effect of pulsed electromagnetic field therapy on quadriceps muscle strength after burn injury.
Methods. From April 2021 to June 2022, sixty male patients who suffered from second degree lower limb thermal burn injury and Total body surface area (TBSA) from 25% to 35% participated in this study. Their ages ranged from (20-40) years. They were randomly assigned in two groups, a study group composed of 30 patients who received (PEMF) over thigh area before strengthening exercise for quadriceps muscle and a control group composed of 30 patients who received strengthening exercise for quadriceps muscle. Patients of both groups received traditional physical therapy program.. Evaluation tool was isokinetic dynamometer to measure the quadriceps muscle peak torque before the treatment and after 8 weeks of treatment for both groups.
Results. There was no significant difference between both group (study and control) in mean values of quadriceps peak torque pre-treatment (P > 0.05). There was a significant increase in the mean values of quadriceps peak torque after 8 weeks of treatment in both groups (p < 0.05) while there was a significant difference in post treatment mean values of quadriceps peak torque in the study group when compared with control group (p < 0.05).
Conclusion. Pulsed electromagnetic field therapy is an effective modality that can be used for improving muscle strength and performance in patients with lower limb burn when applied prior to strengthening exercise.

Keywords
pulsed electromagnetic field therapy, strengthening exercise, quadriceps peak torque, lower limb burn

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The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°

Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa


Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa – The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°. Fizjoterapia Polska 2022; 22(4); 112-121

DOI: https://doi.org/10.56984/8ZG1A6z2j

Abstract
Introduction. As a result of subjective functional assessment, disturbances in the symmetry of body weight distribution on the support plane are commonly observed in children and adolescents with idiopathic scoliosis. The objective of this study was to identify the relationship between the direction of the primary curvature and the body weight distribution on the ground in children with idiopathic scoliosis.
Method. Two groups (the study group and the control group) of children aged 7–11 were included in the study. The study group consisted of 96 children rehabilitated due to scoliosis in rehabilitation centres. The control group included children of the corresponding age, height and weight in comparison to the study group. The main element of the study involved measurements of the percentage body weight distribution on the support plane between the “convex” and “concave” side of the body while maintaining a standing position on both legs.
Results. Based on the value of the symmetry index and the direction of the primary curvature, the following subgroups were distinguished among the children with scoliosis: children with symmetrical body weight distribution on the support plane (21%); children with asymmetric body weight distribution on the support plane overloading the convex side (51%) and children overloading the concave side (28%).
Conclusion. The occurrence of symmetry disorders in the body weight distribution on the support plane in children with idiopathic scoliosis requires taking these features into account in the early stage of rehabilitation of these children.

Key words:
scoliosis, compensating postural patterns, distribution of body mass on the surface

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Effect of lumbar repositioning feedback training on pain and joint position sense in participants with chronic mechanical low back pain

Mai Hassan Ahmed Desouki, Alaa Eldin Balbaa, Mohamed Samir Gobba, Ahmed M. El Melhat, Mohammed S. Abdelsalam


Mai Hassan Ahmed Desouki, Alaa Eldin Balbaa, Mohamed Samir Gobba, Ahmed M. El Melhat, Mohammed S. Abdelsalam – Effect of lumbar repositioning feedback training on pain and joint position sense in participants with chronic mechanical low back pain. Fizjoterapia Polska 2022; 22(4); 106-111

DOI: https://doi.org/10.56984/8ZG1A6Np0

Abstract
Objective. The aim of this study was to investigate the effect of lumbar repositioning feedback training (LRFT) on pain and joint position sense (JPS) in patients with chronic mechanical low back pain (CMLBP). Materials and Methods. Twenty-four patients, from both genders, suffering from CMLBP were assigned randomly into 2 equal groups. The lumbar repositioning feedback training (LRFT) group who received lumbar repositioning feedback training and conventional proprioception exercises on Swiss ball, and control group who received conventional proprioception exercises on Swiss ball only. Pain was assessed using visual analogue scale (VAS), and joint position sense was assessed using absolute repositioning error (ARE). All patients received treatment twice per week for 6 weeks. Assessments were carried out pre and post experimentally. Results. Pre- post treatment evaluations comparisons showed improvement of pain and joint position sense post- treatment compared to pre-treatment within both groups. However, pre-treatment between groups comparisons were non-significant, with significant post- treatment improvements of pain and joint position sense in favor of LRFT compared to control group. Conclusion. Patients in LRFT group showed significant pain reduction and improvement in joint position sense in patients with CMLBP than did patients in control group. Thus, LRFT might be a suggested component of treatment programs in managing patients with CMLBP.

Keywords
lumbar repositioning feedback training, chronic mechanical low back pain

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Physiotherapist – a medical profession of public trust. Do the rules for preparing physiotherapeutic documentation contradict this…?

Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik


Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik – Fizjoterapeuta – zawód medyczny zaufania publicznego. Czy zasady sporządzania dokumentacji fizjoterapeutycznej temu przeczą…?. Fizjoterapia Polska 2022; 22(4); 102-105

DOI: https://doi.org/10.56984/8ZG1A66RB

Abstract
The Act on the profession of physiotherapist constitutes the profession of physiotherapist as a medical profession of public trust, the authors subject to legal analysis whether, in accordance with this Act, other legal acts properly qualify the above competences granted under the Act.

Key words:
act on the profession of physiotherapist, medical profession of public trust, medical documentation, medical law in physiotherapy

Artykuł wyłącznie w j. polskim

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