Laser biostimulation in the regeneration of the trigeminal nerve

Aneta Demidaś, Anna Koziatek, Ewa Boerner, Barbara Ratajczak, Maciej Kochański

Aneta Demidaś, Anna Koziatek, Ewa Boerner, Barbara Ratajczak, Maciej Kochański – Laser biostimulation in the regeneration of the trigeminal nerve. Fizjoterapia Polska 2004; 4(2); 129-135

Abstract

Background. Research on the effects of low-level laser (LLL) radiation on living organisms has been conducted for nearly 40 years now, and the effectiveness of LLL has been examined in many diseases. The aim of the present study was to examine the impact of laser biostimulation on the restoration of the sense of touch after injury to the mandibular and maxillary regions, using a double-blind experiment. Material and methods. Our research involved 61 patients with fractures of the upper or lower jaw. The subjects were divided into two groups: Group I (31 persons) received laser therapy, while Group II (30 persons) received a placebo treatment. Touch sensation was tested by a JVP Domes esthesiometer, and the surface areas of disturbed sensation were measured.Results. After the observation period, the surface area of diminished sensation was reduced by an average of 9.52 cm2 in the laser group, and 5.03 cm2 in the placebo group. The difference is statistically significant. A comparison of touch sensitivity in the two groups showed less sensitivity in the placebo group. The results of a questionnaire suggest that laser biostimulation has a positive impact on the regeneration of the sense of touch in the face.Conclusions. Low-level laser radiation accelerates regeneration of the trigeminal nerve.

Key words:
low-level laser (LLL), tactile sensation, mandibular injury, maxillary injury
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Laser light therapy in cervical spine degenerative disease

Ewa Boerner, Barbara Ratajczak, Krzysztof Jarosz, Małgorzata Królicka, Ewa Bieć

Ewa Boerner, Barbara Ratajczak, Krzysztof Jarosz, Małgorzata Królicka, Ewa Bieć – Laser light therapy in cervical spine degenerative disease. Fizjoterapia Polska 2006; 6(3); 212-215

Abstract
Background. Degenerative arthritis is the most widespread disease of organ of movement. Degenerative process refers to vertebrae, lumbar discs and joint cartilage. Its character is slow, but constantly progressive. Treatment consists in minimalising the weight through lying with the head positioned in the least painful position, most often in a medium position on a small roller under the head. Apart from positioning treatment pharmacological analgesic and loosening substances are applied. Also physical treatment may be performed, like laser light therapy; most often laser light of power up to 200 mW is used. Material and methods. The research material constituted 25 patients with diagnosed degenerative cervical spine disease. Laser radiation of cervical spine in all patients was performed. The recommended dose was 4J/cm2. Treatment was performed of laser probe, with the contact method. Treatment was applied 10 times, everyday, with a weekend break. Before and after the treatment measurement of pain intensity and the range of movement of neck spine section was executed. Results. On the basis of the results of the research a significant reduction of pain level after therapy was stated. With 75% of patients pain could be positioned on level 3 which means small, not resulting in limitation of motorial activity, with 25% of patients pain was moderate. The assesment of movability of cervical spine in sigittal plain after therapy showed a significant increase in range of movement in sigittal and horizontal plain in the right direction. Conclusions. Laser therapy on cervical spine degenerative disease lowers pain level. Laser light radiation results in increasing of the range of movement in cervical spine joints.

Key words:
analgesia, physical method, pain of cervical spine

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Trunk asymmetry in people with L5-S1 lumbar discopathy

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Barbara Ratajczak

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Barbara Ratajczak – Trunk asymmetry in people with L5-S1 lumbar discopathy. Fizjoterapia Polska 2008; 8(1); 11-22

Abstract
Background. The aim of this study was to investigate and describe trunk symmetry patterns via an analysis of changes in the position of selected anthropometric points and tracing these changes in time relative to type of treatment. Material and methods. The study enrolled 150 people aged 40-50 diagnosed with a chronic spinal pain syndrome inthe course of L5-S1 discopathy. The patients were divided into two groups corresponding to different treatments used. Patients in each group were further divided with respect to the direction of the hemia of the nucleus pulpous. Examinations were carried out twice: before starting treatment and after 6 weeks. Results. The degree of asymmetry in the frontal plane was similar between the study groups. Asymmetry occurred in a considerable percentage of the patients in both groups. Conclusions. Greater improvement of the asymmetry was noted in the patients receiving combination treatment, which may indicate a need for combining physiotherapy with pharmacological treatment in the treatment of discopathy. A complete cure is difficult to obtain in lumbar discopathy patients following a 6-week treatment. Long-term thearpy is needed as well as broadly understood prophylaxis to prevent recurrence of symptoms.
Key words:
discopathy, Moire Topography, physical therapy, kinesitherapy, massage
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Transcutaneous electrical nerve stimulation in low back pain treatment

Barbara Ratajczak, Ewa Boerner, Arletta Hawrylak, Aneta Demidaś

Barbara Ratajczak, Ewa Boerner, Arletta Hawrylak, Aneta Demidaś – Transcutaneous electrical nerve stimulation in low back pain treatment. Fizjoterapia Polska 2008; 8(2); 179-188

Abstract
Background. The aim of this study was to assess the effectiveness of TENS and its impact on pain intensity, mobility range and functional capacity of the spine in subjects with a diagnosed lumbar discopathy. Material and methods. The study group consisted of 40 patients with a diagnosed lumbar discopathy. This group was subjected to TENS therapy. The intensity of pain, functional status and mobility range of the lumbar spine in the sagittal, frontal and transverse planes were assessed in all patients before and after the therapy.Results. The results indicate that functional capacity correlates significantly with pain level. The sensation of pain is the main determinant of patients’ physical and mental well-being. It is reflected both in differences in pain level owing to TENS (the patients’ physical and mental state was getting better along with decreasing pain level) and in the values of this parameter before and after the TENS therapy. The observed differences were statistically significant, allowing the conclusion that functional capacity correlates significantly with pain intensity.Conclusion. Pain intensity decreased considerably under the influence of TENS, which also had a marked effect on increasing lumbar flexion range in the sagittal plane. The patient’s functional capacity improved significantly with TENS and, consequently, so did their general physical and mental well-being.
Key words:
discopathy, transcutaneus electrical nerve stimulation, pain, functional fitness test
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Impact of treatment on selected functional parameters in patients after hip joint replacement surgery – preliminary report

Arletta Hawrylak, Dorota Weigel, Katarzyna Barczyk, Bożena Ostrowska, Barbara Ratajczak

Arletta Hawrylak, Dorota Weigel, Katarzyna Barczyk, Bożena Ostrowska, Barbara Ratajczak – Impact of treatment on selected functional parameters in patients after hip joint replacement surgery – preliminary report. Fizjoterapia Polska 2010; 10(3); 222-233

Abstract
Background. The aim of the study was to assess the impact of physiotherapy on selected functional parameters and the process of maintaining body balance in patients after hip joint replacement surgery. Material and methods. The study involved 30 patients, aged 60-75 years, following cementless hip replacement surgery. All subjects underwent a goniometric examination of hip joint range of motion and were assessed with regard to the process of maintaining body balance in a standing position on a stabilographic platform. The treatment regimen comprised kinesiotherapy and physical therapy procedures. Results. The comprehensive programme of physiotherapy improved the range of motion of the hip joints and the process of maintaining body balance in a standing position in the study group. Conclusions. By improving the functional status of joints and the process of maintaining balance, the treatment method used in this study enabled the patients after hip replacement surgery to improve their quality of life.
Key words:
hip replacement surgery, stabilographic platform, goniometry, kinesiotherapy, physical therapy
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