Ultrasonic wave-induced damage to human red blood cells

Iwona Pyszczek, Jan Talar, Jolanta Kujawa, Leu Zavodnik, Ewa Kilańczyk

Iwona Pyszczek, Jan Talar, Jolanta Kujawa, Leu Zavodnik, Ewa Kilańczyk – Ultrasonic wave-induced damage to human red blood cells. Fizjoterapia Polska 2002; 2(2); 134-139

Abstract
Background. The aim of this study was to evaluate the response of human red blood cells to physiotherapeutic ultrasound (1 MHz). Material and methods. The susceptibility of erythrocytes to ultrasonic wave-induced damage was indicated by cell hemolysis, changes in the electrochemical properties of cell membranes, and membrane-bound acetylcholinesterase activity. Results. Exposure of erythrocytes to ultrasound resulted in dose-dependent hemolysis, significant activation of membrane acetylcholineterase due to an increase in substrate affinity, slight membrane depolarization due to nonselective pore formation, and activation of membrane lipid peroxidation. Conclusions. These results show the significant biomodulation effect of the ultrasonic waves used in medical practice on human erythrocytes at the membrane and cellular level.

Key words:
physiotherapy, Hemolysis, acetylcholinestrerase

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The atteration of the value of muscle forces in the programme of physiotherapy after the reconstruction of anterior cruciate ligaments

Andrzej Czamara

Andrzej Czamara – The atteration of the value of muscle forces in the programme of physiotherapy after the reconstruction of anterior cruciate ligaments. Fizjoterapia Polska 2002; 2(4); 263-272

Abstract
Introduction. The aim of this research was the analysis of the alteration of the value of forces of the extensors and flexors of knee joints in the 13th week and the 6th month of physiotherapy of the patients after the reconstruction of anterior cruciate ligaments. Material and method. The research involved 46 patients, 25 of whom were women. 39 patients, 19 of whom were women, who had undergone at least a six-month physiotherapy were qualified for the analysis of the alteration of the value of forces. The author offered a four-step physiotherapy programme. In the 13th week and then at the beginning of the 6th month the moment of forces was measured and the analysis of the balance of the moment of forces of the flexors to extensors of knee joints was made. Results. A statistically essential increase of the moment of forces of traumatic limbs, both in a group of men and women, was reached in the 6th month as compared to the 13th week of physiotherapy. No statistically important differences were noted in a men’s group at the beginning of the 6th month. The results in the traumatic limbs were comparable the value of the moment of forces of healthy limbs. At the same time a women’s group got, in the traumatic limbs, about 80-90% of the value of the moment of forces of the muscle groups of healthy limbs. Some essential statistic differences were noted. The value of the balance of the moments of forces of the operated limbs’ muscles altered approaching in the 6th month the values of healthy limbs. Conclusions. The increase of the mean value of the moment of forces in traumatic limbs was reached in the treated groups. The dynamics of the increase of the value of the moment of forces proved better in men. It appears that the analysis of the changes of balance of flexors to extensors may prove useful in the monitoring of the process of physiotherapy.

Key words:
Anterior Cruciate Ligament, physiotherapy, moment of forces

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Physiotherapeutic technics used in Yalta health resorts in the treatment of chronic bronchitis

Volodymyr Mizin

Volodymyr Mizin – Physiotherapeutic technics used in Yalta health resorts in the treatment of chronic bronchitis. Fizjoterapia Polska 2003; 3(2); 197-204

Abstract
A review of the literature in Poland shows no reports on the treatment potential of the physiotherapeutic techniques used in the treatment of chronic bronchitis in the health resorts of Yalta (in Crimea). The goal of this article is to present the current picture of this treatment. The clinical goals and tasks for prevention, resort treatment and rehabilitation in chronic bronchitis are discussed. The effects and doses for the physiotherapeutic factors used in Yalta health resorts are described, including aerotherapy, inhalation, aromatotherapy, electrotherapy, light therapy, magnetotherapy, ultra sound therapy, acupuncture, massage, gymnastics, physical training, climatotherapy, thalassotherapy, balneology, heat therapy and phytotherapy

Key words:
chronic bronchitis, physiotherapy, resort treatment

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Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study

Janusz Boczar, Łukasz Wojtyczek

Janusz Boczar, Łukasz Wojtyczek – Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study. Fizjoterapia Polska 2003; 3(4); 384-386

Abstract

Background. The purpose of this article is to present the neuromobilization technique as a useful procedure in physical therapy. Material and methods. The paper presents a case study of a male patient who was treated at the Subcarpathian Hospital in Krosno, Poland. In addition to various kinds of PT procedures, the neuromobilization technique was implemented in treatment. Results. We noted improvement in range of movement and muscle strength, and decreased pain after treatment. The patient regained a very high functional status. Conclusions. Neuromobilization is a successful method when used to treat patients with neurobiomechanical problems, and should be implemented in regular physiotherapy.

Key words:
range of movement, muscle strength, physical therapy, fracture of the sacrum
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An original method for analyzing thermo-images as an objective supplement to diagnosis outcome evaluation in knee pain syndrome

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Mirosław Janiszewski, Małgorzata Łukowicz

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Mirosław Janiszewski, Małgorzata Łukowicz – An original method for analyzing thermo-images as an objective supplement to diagnosis outcome evaluation in knee pain syndrome. Fizjoterapia Polska 2003; 3(4); 375-383

Abstract

Background. This article presents a technique for analyzing thermovision images by calculating the knee-limb temperature index (KLTI). The usefulness of this technique for diagnosis and outcome evaluation is assessed. Material and methods. 41 patients with knee pain syndrome in 67 joints were examined, along with 30 healthy controls. The intensity of knee joint dysfunction was evaluated on a 0-30 point scale according to a specially developed test the sheet. Results. In the control group, the KLTI was in the range from -1.4°C to -0.2°C; the range from -1.31°C to -0.5°C was the norm for 90% of the population. In the experimental group, the KLTC place from -0.5°C to +1.8°C. The differences between the KLTI values in the two groups was statistically significant. There was also correlation between the intensity of dysfunction and the KLTI. In the experimental group the values were lower after treatment. Conclusions. The KLTI is a highly specific and sensitive instrument for evaluating knee pain syndrome. The technique described here is a valuable diagnostic supplement, objectivizing outcome evaluation in these patients.

Key words:
thermovision, knee pain syndrome, physiotherapy
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Select physiotherapeutic methods in treatment of a hip joint degeneration

Przemysław Lisiński, Maria Tomaszewska, Włodzimierz Samborski

Przemysław Lisiński, Maria Tomaszewska, Włodzimierz Samborski – Select physiotherapeutic methods in treatment of a hip joint degeneration. Fizjoterapia Polska 2006; 6(1); 45-50

Abstract

Background. Degenerative joint disease is regarded as a civilization-related disease, and is one of the most vital problems facing global medical care at the turn of the century. In most cases this problem is connected with the hip joint, mainly among elderly people. The aim of our study was to estimate the efficiency of selected physiotherapeutic procedures
in the treatment of degenerative disease of the hip joint. Material and methods. We examined 60 persons with hip problems. The age of the patients oscillated between 47 and 77 years, with a mean of 62,8 ±10,31 years. The patients were divided into 4 subgroups, who received the same kinesitherapeutic procedures but different physical agents, such as cryotherapy, laser, magnetic field, and high-frequency impulse electromagnetic field. The duration of treatment was 21 days. We performed a full orthopedic examination before and after therapy. Results. Our results showed that the level of pain went down and the range of movement went up after treatment. Conclusions. Physiotherapy is a suitable method for treating degenerative changes in the hip joint. The time of observation was too short to allow for assessment of the improvement of the trophic properties of muscles.

Key words:
hip joint, degeneration, physiotherapy
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Physiotherapy in patients with implanted cardiac pacemakers

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak – Physiotherapy in patients with implanted cardiac pacemakers. Fizjoterapia Polska 2006; 6(3); 245-250

Abstract
Since the implantation of the first cardiac pacemaker in 1958 by Ake Sening and Rune Elmqvista, there has been gigantic progress in this field of medicine including both the range the equipment and the techniques of implantation. Today electrotherapy is a rapidly developing field of invasive cardiology. Cardiac pacemaker implantation is a very common procedure. Its popularity has increased year by year because the number of indicators is higher. This operation is often the only chance for patients suffering from heart rhythm disorders. In spite of the propagation this treatment method, rehabilitation of these patients is still underestimated. Meanwhile the role of the rehabilitation, as shown in some research, can be as crucial as properly programming the pacemaker. Special attention should paid to patients with implanted rate response devices. Our research shows that patients who are actively rehabilitated after the implantation procedure can get back to normal life more easily and that the number of complications which are connected with patients’ inability to understand of this method is lower. Cooperation between doctors and physiotherepeutists should be a standard. Unfortunately in the most cases it is only a theory. Meanwhile our experiences bring us in creation of standard procedures which are, in spite of patients’ opinion, very useful. There are many questions and queries connected both equipment and rehabilitation process of these patients. It must us to write this publication, where in complex form, implantation of cardiac pacemaker, characteristic of implanted patients and rehabilitation procedures were presented according to our and other authors opinion.

Key words:
physiotherapy, cardiac pacemaker, activity sensor

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Methods of physiotherapy in treatment of intervertebral disc’s pathology in lumbar part of spine

Przemysław Lisiński, Agnieszka Jachowska, Włodzimierz Samborski

Przemysław Lisiński, Agnieszka Jachowska, Włodzimierz Samborski – Methods of physiotherapy in treatment of intervertebral disc’s pathology in lumbar part of spine. Fizjoterapia Polska 2006; 6(3); 222-227

Abstract
Background. Physiotherapy is very often the first step in a treatment of back pain. The aim of kinesis therapy is a probe of a damaged disc reposition. Beside of this kinesis therapy improve an elasticity of ligaments and makes stronger a paravertebral muscles. Physical therapy procedures plays significant role in a pain treatment in subjective categories of course. Material and methods. All participants of that study were selected by clinical examination and analyses of accessory investigations. Clinical examination was repeated after twenty days of treatment by different physiotherapeutic procedures. So forty patients were included in a treatment. Status of health was calculated by typical orthopedic procedure and total pain pattern questionnaire. The aim of study was to state if physiotherapy is useful method of pain treatment and to compare effects different groups of procedures. Results. All participants of that study state positive effects of a treatment which was used during twenty days. A majority of them described pain after a treatment as a small discomfort or did not feel pain at all. Beside of these findings they concluded that a frequency of pain appearance depressed in near all analyzed cases. Conclusion. Back pain caused by disc derangement positively responded on physiotherapeutic procedures. A selection of particular methods is not so important in effectiveness categories. The treatment is the most successful when kinesis therapy and physical therapy are joined.

Key words:
pain, lumbar spine, physiotherapy

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Attitude of physiotherapists towards elderly patients with mental and behavioural disorders

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski – Attitude of physiotherapists towards elderly patients with mental and behavioural disorders. Fizjoterapia Polska 2006; 6(3); 216-221

Abstract
Background. To verify whether cognitive deficits and mood disorders of older inpatients negatively influence the attitudes of physiotherapists towards them. Material and methods. Examination in Geriatric Rehabilitation Unit. 52 patients (78± ,4 years) and 7 physiotherapists. Cognitive status and mood of the patients were examined using the Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS) respectively. GDS was performed only in patients with MMSE 15. The therapists filled an anonymous questionnaire concerning the quality of working with particular patients. This enabled the following division: group (P+) patients working with whom the physiotherapists evaluated as pleasant, group (P-) patients who were negatively evaluated by the physiotherapists as working with them was difficult and tiresome. Results. In group (P-) MMSE values were significantly lower than in group (P+), and they were 15,2±7,5 vs. 23,1±3,7 respectively (p=0,0) and GDS values were significantly higher in comparison with group (P+), and they were 21,3±4,8 vs. 14,6±5,9 respectively (p=0,0). Conclusions. The patients evoking negative attitudes of physiotherapists (impatience, irritability, aversion) had mainly severe cognitive deficits (MMSE<19) and severe depressive symptoms (GDS>20). This may be an additional factor decreasing effectiveness of physiotherapy in this group of patients.

Key words:
cognitive impairment, depression, elderly persons, physiotherapy

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Medical massage in dysmenorrhoea

Krzysztof Kassolik , Waldemar Andrzejewski, Piotr Wojtoń, Klara Sadowska, Agnieszka Cichoszewska

Krzysztof Kassolik , Waldemar Andrzejewski, Piotr Wojtoń, Klara Sadowska, Agnieszka Cichoszewska – Medical massage in dysmenorrhoea. Fizjoterapia Polska 2006; 6(4); 339-343

Abstract
Background. From 40 to 60 % of women aged 20-40 are affected by dysmenorrhoea. Such patients are usually prescribed pain-relieving and spasmolytic drugs. Massage is a non-invasive therapeutic modality whose effects are believed to include reduction of muscle tone. Therefore, the authors attempted to determine the efficacy of medical massage in allevi-ating dysmenorrhoeic pain. Material and methods. The participants of the study were 48 students from the University School of Physical Education, aged 22-25. To evaluate efficacy of medical massage, the researchers elaborated questionnaires. The objectives of the questionnaire were to: 1) select those participants complaining of menstruation-associated pain, and 2) to determine the intensity of the pain at baseline and after a series of massages. A total of 26 women with dysmenorrhea were selected and subsequently subjected to medical massage. Four 10-minute medical massage sessions were performed over the lumbar, sacral and gluteal areas. At the end of each procedure a hot water bottle with 45 degrees Celsius water was applied to the massaged area in order to preserve the changes in blood distribution within the pelvis. Results. Medical massage applied a few days before menstruation reduced dysmenorrhoeic pain in 24 out of the 26 women. Pain was alleviated in 16 women and completely disappeared in a further 8 patients. In 2 patients, the intensity of pain remained the same after application of medical massage. Conclusions. The findings indicate that medical massage can be an easy-to-use adjunctive therapeutic modality for reducing pain in women with dysmenorrhea.

Key words:
massage, dysmenorrhoea, physical therapy

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