Tag: pain

Pain among women with primary dysmenorrhea

Aneta Kościelny, Aneta Dąbek, Witold Rekowski

Aneta Kościelny, Aneta Dąbek, Witold Rekowski – Pain among women with primary dysmenorrhea. Fizjoterapia Polska 2021; 21(2); 84-92

Abstract
Objective. The objective of the study was to assess pain in a group of women with primary dysmenorrhea (PD) and to identify factors that may affect pain intensity. Material and methods. The study involved 336 women with PD symptoms, aged 18–35 years (mean age 23 ± 3.7). The study was conducted using an extensive online questionnaire. The research tools were: the authors’ questionnaire, the NRS numerical pain rating scale, the IPAQ International Physical Activity Questionnaire – short version and the PSS-10 scale of perceived stress. Results. Based on the conducted analysis, a high level of menstrual pain was observed in 64.6% of the women participating in the study. There was no significant correlation between the level of physical activity and pain (p = 0.280). The correlation between physical activity and the duration of menstruation was statistically significant (p = 0.05), as was the correlation between stress and pain (p = 0.05). BMI, pelvic position and body type did not correlate with menstrual pain (p > 0.05). Conclusions. 1. Most of the women participating in the study experienced high levels of pain in the lower abdomen in the first two days of menstruation. 2. Physical activity did not affect pain in the case of the women participating in the study, neither did: BMI, waist circumference, body type or pelvic position. 3. The high level of stress intensified pain in women with PD.
Key words:
pain, primary dysmenorrhea, physical activity
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Analgesic effect of static magnets – efficacy according to evidences

Piotr Tederko, Marek Krasuski

Piotr Tederko, Marek Krasuski – Analgesic effect of static magnets – efficacy according to evidences. Fizjoterapia Polska 2011; 11(4); 289-301

Abstract
Alternative and complimentary modes of treatment gain popularity and compete with evidence based therapies. Deve­lopment of alternative methods is enhanced by the demands of the market of medical devices designed for home treatment without need of a physician’s consultation. Application of devices with static magnets is advertised as a safe and effective pain therapy. The purpose of the paper is to analyze scientific evidence of efficacy and safety of static magnetic fields (SMF) applied as therapeutic modality for pain. Survey of peer-reviewed scientific publications resulted in identification of 45 papers including 40 primary publications and 5 meta-analyses. 4 original studies were excludes as uncontrolled trials or case studies. One paper was disqualified because of simultaneous application of alternating magnetic field. Among randomized controlled trials on clinical applications of SMF against pain 10 support hypothesis of analgesic effect of SMF, 9 neither confirm nor exclude therapeutic efficacy of SMF, and 16 give the evidence against SMF superiority over placebo. Frequent failure to blind the study, small sample sizes, short follow-up period limit evidence value of the analyzed results. Expectations resulting from frequent sponsorship of studies by manufacturers of SMF equipment appear to influence the objectivity of several conclusions. SMF of inductances within the range of those used in analyzed devices are not classifiable due to their potential risk of chronic exposure by inconclusive evidence. According to theoretical deliberations, pregnancy, infancy, pacemakers, ferromagnetic implants and application of electronic devices regulating life functions are considered contraindi­cations for the use of therapeutic devices emitting SMF. The current state of knowledge does not allow for unambiguous confirmation of SMF therapeutic efficacy. Devices for therapy with SMF should not be sold as analgesic modalities before evidence of efficacy and safety in each particular indication is confirmed.
Key words:
static magnets, medical devices, Pain, Analgesia
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The Influence of Photobiomodulation on Pain and Knee Swelling in Patients Post Knee Arthroplasty

Ahmed Mahmoud Nasr Tolba, Rania N. Karkousha, Fatma Seddek Amin, Adham ARE Elgeidi

Ahmed Mahmoud Nasr Tolba, Rania N. Karkousha, Fatma Seddek Amin, Adham ARE Elgeidi – The Influence of Photobiomodulation on Pain and Knee Swelling in Patients Post Knee Arthroplasty. Fizjoterapia Polska 2021; 21(1); 114-118

Abstract
Purpose. This study aimed to investigate the effect of Photobiomodulation on pain and immediate swelling after knee arthroplasty. Materials and Methods. 40 patients with knee arthroplasty participated in this study. Their ages ranged from 50-70 years. They were assigned randomly into two equal groups; control and study groups. Control group received intensive functional rehabilitation program only. Study group received a laser dose of 6 J/cm2 at the surgical incision, medial and lateral femoral condyle, patellar up and down, and popliteal space with 650 nm continuous wave, 60 seconds/point with total dose of 48J each session and intensive functional rehabilitation program. All patients received 12 treatment sessions in six weeks. The pain was measured by pressure algometer and level of knee swelling was measured by tape measurement. Results. Both groups showed significant difference in all variables between pre and post treatment (P < 0.05). Regarding between groups pretreatment statistics, no significant difference was found in level of knee swelling (P > 0.05) and significant difference in level of pain intensity (P < 0.05). While post treatment statistics showed significant difference in pain and knee swelling (P < 0.05). Conclusion. Photobiomodulation is effective in improving pain and knee swelling after knee arthroplasty. Also, it can be concluded that adding photobiomodulation to rehabilitation program after knee arthroplasty gives more improvement in level of pain and knee swelling.
Key words:
photobiomodulation, pain, swelling, knee arthroplasty
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Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship

Agata Grzyb, Anna Koralewska, Martyna Gruszka, Zuzanna Sobczak, Magdalena Drewnowska

A. Grzyb, A. Koralewska, M. Gruszka, Z. Sobczak, M. Drewnowska– Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship. Fizjoterapia Polska 2020; 20(4); 22-33

Abstract
Introduction. During the menopause, many changes are observed in a woman’s life. These processes have different backgrounds, but mainly they are caused by hormonal changes that have a huge impact on the functioning of the whole organism. These changes may cause, among others: insomnia, mood disorders, weight gain, and indirectly may affect the appearance of back pain.
Aim of the study. The main aim of the study was to recognize the incidence and severity of menopause symptoms, as well as to assess the degree of disability caused by pain in the thoracolumbar spine in the Silesian female population.
Material and method. The material consisted of 150 women between the ages of 40 and 60 from the Śląskie Voivodeship. The study used: the author’s questionnaire, Menopausal Symptom Assessment Scale (MRS) and the Oswestry Questionnaire. The collected material was subjected to statistical analysis.
Results. There was a wide variation in the incidence of menopause symptoms among respondents. Correlation analysis showed that there are statistically significant differences between all menopausal symptoms and lower back pain. Over half of the respondents (56.7%) struggled with excessive body weight. 79% of women have a moderate degree of disability.
Conclusions. The most common symptoms of menopause are psychological symptoms. The respondents have pain in the lumbar spine. The vast majority of women have a moderate degree of disability resulting from pain in the lower spine, the higher the body mass index result, the greater the sensation of somatic and vegetative symptoms and urogenital symptoms. The obtained data encourage a deeper and broader analysis of the phenomenon.

Key words:
pain, women, menopause

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Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes

Ewa Puszczałowska-Lizis, Kamila Dobrucka, Izabela Zbrońska

E. Puszczałowska-Lizis, K. Dobrucka, I. Zbrońska – Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes. Fizjoterapia Polska 2019; 19(4); 126-135

Abstract
Background. Back problems become a medical and social problem in the era of modern civilization. Wide variety of pain syndromes, their recurrent character and persisting pain in chronic cases prompts the search for effective diagnostic and therapeutic methods. The aim of the study was to compare the effectiveness of two spa therapy programs in alleviating pain and eliminating functional limitations in office workers with degenerative disease of the cervical spine.
Material and methods. The study involved 144 office workers aged 45-55, staying on a rehabilitation stay due to pain in the cervical spine caused by degenerative changes. Patients were divided into two groups depending on the rehabilitation programme administered. Research tools was functional tests of the cervical spine (Valsalva, Kernig, compression test and traction test), linear measurements of ranges of cervical spine, NRS scale and NDI questionnaire. The data were analyzed based on the Chi-square test, Student t test, Mann Whitney U test, Wilcoxon test.
Results. In both groups, after improvement, a statistically significant improvement was noted in terms of functional test results, cervical spine movement ranges, NRS scale values and NDI index. The differences in the results obtained in Test II in relation to I were significantly greater for patients from group I. The application of both therapeutic programs had an effect on alleviating pain and improving functional capacity.
Conclusions. Application of both programs contributed to the relief intensity of pain and improved functional capacity, however, the extent of improvement was significantly greater in the case of patients subjected to a program containing mud therapy.

Key words:
cervical spine, pain, functional capacity, balneotherapy

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Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with lower back pain syndrome

Paweł Gąsior

P. Gąsior – Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with lower back pain syndrome. Fizjoterapia Polska 2019; 19(4); 80-91

Abstract
Introduction. Spinal pain syndromes have become a social problem. Among the many factors causing pain, the most frequently mentioned are: congenital anomalies, degenerative changes, inflammations, neoplastic diseases, injuries, overload pains, metabolic disorders, psychological problems, social problems. In the treatment of back pain, kinesitherapy, physiotherapy and pharmacological treatment are most commonly used.
Purpose of research. Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with low back pain syndrome.
Material and methods. The study was performed on a group of 40 patients (22 women and 18 men) with diagnosed lower back pain syndrome. The subjects were assigned to two groups. Group A has undergone a series of treatments in the field of physical therapy. Group B performed central stabilization training without using physical therapy. Before the beginning of the treatments and after the end of rehabilitation, the degree of pain and their impact on everyday life comfort were assessed using the Oswestry questionnaire (ODI) and the VAS scale.
Results of the research. There was no significant difference in the results regarding the subjective assessment of pain in the lower spine, verified with the VAS scale. In both groups a highly significant (p <0.01) drop in pain sensations after therapies in relation to the results from the pre-therapy period was observed. There was no significant difference in the results of daily living comfort verified by the ODI questionnaire depending on the research group (p <0.05). Highly significant (p <0.01) difference concerns the comparison of results before and after therapy in two groups. None of the applied therapies shows greater effectiveness in improving the comfort of everyday life, despite the fact that both therapies in the assessment of patients improve this comfort.
Conclusions. Central stabilization exercises are an effective alternative to widely used physiotherapeutic procedures in the treatment of lower back pain syndrome or should be effectively complemented. Our own studies did not show unambiguously higher effectiveness of physical treatments in relation to the concept of central stabilization exercises.

Key words:
core stabilization, pain, lumbar section, physical therapy

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Procjena pokretljivosti vilice i vratnog dijela kralježnice kod defekata stomatognatog sustava (SS)

Magdalena Gębska, Aleksandra Szylińska, Katarzyna Weber-Nowakowska, Elżbieta Kubala, Wojciech Garczyński, Łukasz Kołodziej

M. Gębska, A. Szylińska, K. Weber-Nowakowska, E. Kubala, W. Garczyński, Ł. Kołodziej – Assessment of mobility of the mandible and cervical spine in the stomatognathic system disorders. Fizjoterapia Polska 2019; 19(2); 78-86

Abstract
Introduction. The biomechanical connection of the stomatognathic system (SS) with anatomical structures within the head, neck, shoulder girdle, and even with the whole musculoskeletal system signals the need for an interdisciplinary approach to the treatment of dysfunctions of this system.
Objective. Assessment of mobility of the temporomandibular joints and cervical spine in patients with masseter muscle pain. Determination of the relationship between the mobility of the temporomandibular joints and cervical spine. Assessment of bioelectrical activity (sEMG) of masseter muscles in patients with myogenic disorders of the stomatognathic system.
Material and methods. Fifty women (G I) aged 20 to 37 years with diagnosed myogenic disorders of the stomatognathic system and pain were studied. The following examinations were carried out: interview (questionnaire) and physical examination (examination of the stomatognathic system according to Bouman, sEMG of masseter muscles, evaluation of cervical spine mobility, numerical pain scale). The control group (G II) consisted of 50 healthy women.
Results. The level of pain intensity in the masseter muscles was close to the intensity of pain within the sternocleidomastoid muscles. In patients suffering from pain of the stomatognathic system, there was a limited range of mobility of the cervical spine. The largest difference occurred during the rotation of the head to the right and to the left. Between G I and G II, there were statistically significant differences in the values of the masseter muscle sEMG amplitude.
Conclusions. There is a relationship between the limitation of movements of the mandible (opening, lateral movements) and a decrease in the range of mobility of the cervical spine. Myogenic disorders of the stomatognathic system may lead to disturbances in the mobility of the neck.

Key words:
stomatognathic system, cervical spine, pain, masseter muscle

 

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Ocena roli wcześniejszego przygotowania fizjoterapeutycznego w aspekcie zastosowania TENS podczas porodu u pierwiastek

Michał Kaczyński, Sławomir Jarząb, Michał Guła, Krzysztof Aleksandrowicz

M. Kaczyński, S. Jarząb, M. Guła, K. Aleksandrowicz – Evaluation of the importance of previous physiotherapeutic preparation in aspect of using TENS during childbirth among primiparous. FP 2014; 14(2); 60-66

Streszczenie
Wstęp. Stosowanie TENS podczas porodu staje się coraz bardziej popularne choć doniesienia na temat jego skuteczności są sprzeczne. Za cel pracy postawiono sobie określenie jaka jest skuteczność podczas porodu przezskórnej elektrostymulacji nerwów z zastosowaniem przenośnego aparatu bez konsultacji w porównaniu z zastosowaniem tej terapii przy wcześniejszym przeszkoleniu i przy udziale fizjoterapeuty.
Materiał i metody. Badaniami objęto 30 pierwiastek. W tym 18 kobiet, u których rozpoczęcie zabiegu poprzedzał opis sposobu działania elektrostymulatora oraz zapoznanie ich z obsługą aparatu przez fizjoterapeutę oraz 12 pacjentek, które we własnym zakresie zakupiły aparaty do elektrostymulacji. Przeprowadzono autorski wywiad kwestionariuszowy i opisano obserwacje zespołu badawczego oraz personelu uczestniczącego w porodach.
Wyniki. U 94,43% pierwiastek z grupy objętej szkoleniem fizjoterapeutycznym oraz 50% pacjentek bez konsultacji, TENS w mniejszym lub większym stopniu niweluje ból porodowy. W grupie pacjentek po szkoleniu odnotowano tylko jeden przypadek podania farmakologicznego leku przeciwbólowego. Natomiast w grupie bez konsultacji odsetek wyniósł 25%.
Wnioski. Terapia przeciwbólowa TENS jest skuteczniejsza jeśli została poprzedzona odpowiednim szkoleniem lub instruktażem fizjoterapeutycznym z zakresu obsługi i działania aparatu. Pacjentki po przeszkoleniu fizjoterapeutycznym wykazywały się większą znajomością sposobu działania i obsługi aparatu do terapii TENS niż pacjentki które ominęły ten etap.

Słowa kluczowe:
ból, poród, TENS

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Ocena skuteczności wybranych metod elektroterapii w schorzeniach dolnego odcinka kręgosłupa w aspekcie ograniczenia przyjmowania leków przeciwbólowych

Sławomir Jarząb, Michał Kaczyński, Michał Guła,
Krzysztof Aleksandrowicz, Małgorzata Paprocka-Borowicz

S. Jarząb, M. Kaczyński, M. Guła, K. Aleksandrowicz, M. Paprocka-Borowicz – Evaluation of chosen electrotherapy methods efficiency in lower spine diseases in aspect of lowering usage of painkillers. FP 2014; 14(3); 12-21

Streszczenie
Wstęp. Pogłębiającym się wraz z wiekiem stanom zwyrodnieniowym kręgosłupa i stawów obwodowych oraz pourazowym zaburzeniom układu ruchu nieodwołalnie towarzyszy ból. Alternatywnie do leków przeciwbólowych z powodzeniem można stosować takie metody, jak elektroterapia. Celem badań była weryfikacja skuteczności wybranych metod elektroterapii w zakresie działania przeciwbólowego w schorzeniach dolnego odcinka kręgosłupa oraz w kontekście redukcji ilości przyjmowanych farmakologicznych środków przeciwbólowych.
Materiał i metody. Grupę badaną stanowiło 74 pacjentów (46 kobiet, 28 mężczyzn) cierpiących na schorzenia dolnego odcinka kręgosłupa. Każda z osób poddawana była jednemu z 3 zabiegów elektroterapii: TENS, prądy Nemeca oraz prądy Bernarda. Przeprowadzono autorski wywiad kwestionariuszowy zawierający m.in. podstawowe informacje o pacjencie, rozpoznanie, informacje o przyjmowanych lekach przeciwbólowych oraz ocenę dolegliwości bólowych, której dokonywano czterokrotnie. Indywidualnie dla każdego badanego wyznaczono parametry pozwalające ocenić skuteczność terapii w perspektywie czasu.
Wyniki. Największą ilość osób deklarujących pozytywny długotrwały efekt przeciwbólowy (60,9%) odnotowano w grupie TENS. Największą ilość osób deklarujących pozytywny doraźny oraz krótkotrwały efekt przeciwbólowy (56%) odnotowano w grupie IF, podobnie jak najczęstszą pozytywną ocenę subiektywną skuteczności terapii (84%). Zmniejszenie ilości leków przeciwbólowych odnotowano na podobnym poziomie (50-60%) dla terapii prądami interferencyjnymi oraz TENS.
Wnioski. Najbardziej długoterminowo skuteczną metodą terapii w leczeniu dolegliwości bólowych dolnego odcinka kręgosłupa jest TENS. Największą skuteczność doraźną i krótkoterminową w uśmierzaniu bólu kręgosłupa lędźwiowo-krzyżowego wykazuje terapia prądem interferencyjnym, co stanowić może podstawę do jej aplikowania bezpośrednio przed zabiegami kinezyterapii. Elektroterapia może, i powinna być stosowana jako alternatywa dla farmakologicznych środków przeciwbólowych.

Słowa kluczowe:
ból, kręgosłup, elektroterapia

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Zastosowanie terapii manualnej w likwidacji bólu pochodzenia miogennego w zaburzeniach układu stomatognatycznego

Magdalena Gębska, Danuta Lietz-Kijak, Krystyna Opalko,
Ewelina Żyżniewska-Banaszak, Zbigniew Śliwiński, Marek Kiljański

M. Gębska, D. Lietz-Kijak, K. Opalko, E. Żyżniewska-Banaszak, Z. Śliwiński, M. Kiljański – Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders. FP 2015; 15(2); 60-67

Streszczenie
Wprowadzenie. W ciągu ostatnich kilku lat nastąpił znaczny rozwój metod fizjoterapii wykorzystywanych w dziedzinie stomatologii. Wśród nich znajduje się terapia manualna, jako forma leczenia zaburzeń czynnościowych układu stomatognatycznego pochodzenia miogennego. Metoda ta jest jeszcze mało popularna wśród lekarzy stomatologów. Wynika to z faktu niewielkiej liczby literatury, a także małej ilości fizjoterapeutów zajmujących się terapią manualną w celu likwidacji objawu bólowego.
Cel pracy. określono efekt relaksacyjny oraz analgetyczny mięśni żwaczy pod wpływem zastosowanej terapii manualnej.
Materiał i metoda. badania wykonano u 20 osób płci żeńskiej, w wieku od 30 do 38 lat (średnia 34 lata) z rozpoznaniem bólowej postaci zaburzeń układu stomatognatycznego.
U pacjentek przeprowadzono kliniczne badanie podmiotowe oraz przedmiotowe, badanie elektromiograficzne mięśni żwaczy oraz ocenę bólu przy użyciu skali VAS. Następnie badaną grupę poddano zabiegom terapii manualnej.
Wyniki. po zakończeniu terapii i analizie wyników zaobserwowano spadek wartości potencjałów elektrycznych badanych mięśni i spadek wartości natężenia bólu w skali VAS.

Słowa kluczowe:
układ stomatognatyczny, terapia manualna, elektromiografia, ból, skala VAS

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