The impact of health resort treatment on improvement of upper limb function in patients with rheumatoid arthritis

Bożena Ostrowska, Edyta Szczuka, Marta Walkowiak, Beata Skolimowska

Bożena Ostrowska, Edyta Szczuka, Marta Walkowiak, Beata Skolimowska – The impact of health resort treatment on improvement of upper limb function in patients with rheumatoid arthritis. Fizjoterapia Polska 2004; 4(3); 194-202

Abstract

Background. The frequency of upper limb dysfunction in rheumatoid arthritis and the disability associated with progressive deformation make it necessary to search for treatment solutions. Treatment in a health resort makes comprehensive physiotherapy available to patients, including kinesitherapy, physiotherapy, massages, diet, and climatic treatment. The aim of our study was to estimate the effectiveness of health resort treatment in producing functional improvement of the upper limbs in patients with rheumatoid arthritis. Material and methods. 23 women and 7 men, age 25-65, took part in a comprehensive physiotherapy program in Świeradów-Zdrój, a Polish health resort. Range of movement in the joints was evaluated by goniometry; Lovett’s test was used to measure muscle strength; joint and muscular circumferences were measured; manual efficiency was tested; and the subjects completed a pain questionnaire. All measurements were taken before and after treatment. Results. Improved movement in all upper limb joints was confirmed, especially in flexion and abduction in the shoulder joint (p < 0.001). Moreover, decreased swelling was observed in the elbow and carpal joints (p < 0,001), as well as greater manual dexterity in terms of precision, speed and strength of grip. Insignificant improvement was noted in muscle strength, especially in the extensor muscles of wrist and elbow. No increase in muscle mass was observed. Conclusions. Pain intensity was lower after treatment. Three weeks treatment in a health resort with comprehensive physiotherapy seems to be long enough for significant improvement of upper limb function in patients suffering from rheumatoid arthritis.

Key words:
kinesitherapy, therapeutic massage, therapeutic diet, climatotherapy
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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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