150 years of electrostimulation. The development of electrostimulation methods between years 1855 and 2005

Janusz Orzech

Janusz Orzech – 150 years of electrostimulation. The development of electrostimulation methods between years 1855 and 2005. Fizjoterapia Polska 2006; 6(3); 185-191

Abstract
The ongoing expansion of electrotherapy methods has led to the conspicuous growth of terminological turmoil in the Polish and international literature. The information provided on the subject of electrostimulation is often incomplete and even incorrect, making it harder to come up with a systematic approach of interventions, especially from a scientific and didactic point of view. In order to establish the unified definition and systematics of electrostimulation, a review of available and mainly source literature has been conducted, concerning the history of invention and development of different electrotherapy methods from the very early therapeutic application of electricity in 1855 by Duchenne till the year 2005. The analysis of scientific publications proves that, from the physiotherapeutic point of view, the history of electrical stimulation of human tissues is vast and concerns 150 years of research and experiments on bringing new different techniques to life. We observe the ongoing improvement and extension of applied methods whilst only one of them — the Franklinization method — has been discontinued from the physical therapy practice in most of the countries worldwide. Concerning the substantial variability of present methods, the author suggests a following definition of electrostimulation: „The electrostimulation is an electro-the-rapeutic intervention leading to the striated or smooth muscle contraction of the normal and paralyzed tissues with additional positive effects on blood and lymphatic circulation along with the analgesic action”. The author also suggests retaining English terms and abbreviations for the electrostimulation interventions, i. e. NMES, ESDM, FES, TENS, ATES, and propo-ses incorporation of the unified systematics of electrostimulation methods.

Key words:
electrostimulation, history of electrostimulation, methods of electrostimulation, systematic review

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Effect of stretching exercises in treatment of muscle strain: A systematic review

Karima Abdelaty Hassan, Marwa Abdelfattah Abdelrahman, Nadia Abdelazim Fayaz, Nasr Awad Abdelkader

Karima Abdelaty Hassan, Marwa Abdelfattah Abdelrahman, Nadia Abdelazim Fayaz, Nasr Awad Abdelkader – Effect of stretching exercises in treatment of muscle strain: A systematic review. Fizjoterapia Polska 2020; 20(5); 96-104

Abstract

Background. Although stretching may play a role in treatment of muscle strain, its significance is still conflicting and previous studies show a low level of evidence. Objective. To find the latest evidence regarding the effectiveness of stretching as a treatment to patients with grade I&II muscle strain. Methods. A comprehensive electronic database search of PubMed, Cochrane Library Database, and the Physiotherapy Evidence Database (PEDro) was conducted for randomized controlled trials (RCTs) in English language from January 2008 to October 2019 on adults with muscle strain treated by stretching exercise. Manual searching was conducted for reference list of included studies. Two reviewers independently reviewed and assessed each article for inclusion. The Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to rate methodological quality and risk of bias. Results. A total of five RCTs with a total number of 197 patients were analyzed. Three trials used stretching exercises versus conventional physical therapy (basic range of motion exercise, postural stabilization, and concentric and eccentric exercises) showed the positive efficacy of static stretching on flexibility, strength and ROM. Two trials used stretching based rehabilitation versus other treatment (vibration and cryotherapy) revealed superior effect of stretching rather than any other treatment. Conclusion. The clinical efficacy of stretching may correlate with using static stretching in treatment of grade I&II muscle strain. The effects of combining stretching with other modalities may be superior to conventional physical therapy treatment and can result in better outcomes.

Key words:
muscle strain, stretching exercises, systematic review
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Effect of foot orthoses on patellofemoral pain syndrome: A systematic review

Marihan Zakaria Aziz, Salwa Fadl Abd Elmajeed, Karima Abdelaty Hassan

Marihan Zakaria Aziz, Salwa Fadl Abd Elmajeed, Karima Abdelaty Hassan – Effect of foot orthoses on patellofemoral pain syndrome: A systematic review. Fizjoterapia Polska 2020; 20(5); 12-23

Abstract

Background. Although foot orthosis may play a role in treatment of patellofemoral pain syndrome, its significance is still conflicting and previous studies show a low level of evidence. Objective. To find the latest evidence regarding the effectiveness of foot orthosis (FO) on adult patients with patellofemoral pain syndrome (PFPS). Methods. A comprehensive electronic database search of PubMed, Cochrane Library Database, the Physiotherapy Evidence Database (Pedro), ProQuest, EBSCo host, and Ovid databases was performed for randomized controlled trials (RCTs) in English language since January 2000 till February 2019 on adults with patellofemoral pain syndrome treated by foot orthosis and physical therapy, with hand searching to reference lists of previous systematic reviews and included papers. At least one primary outcome measure for pain or function must have been reported. Two authors independently reviewed and assessed each citation for inclusion, The Cochrane risk of bias tool was used to rate methodological quality and risk of bias. Data was met analyzed when this was not possible, qualitative data analysis was performed. Results. A total of 9 RCTs with a total number of 415 patients (6 on non-runners and 3 on runners) were included. Findings were summarized in four main comparisons as follows 1)foot orthosis versus flat insoles these results showed the positive efficacy of FO on pain, function and muscular activity, 2) foot orthoses alone versus physiotherapy have a poor indication of PFO alone as an intervention alternative to physiotherapy for PFPS, 3)foot orthoses versus no treatment may provide greater improvements on pain, function and neuromotor changes than natural history concerning foot posture, and 4)foot orthoses combined physiotherapy is better than physiotherapy alone even though the success may relate to clinical foot predictors for foot orthosis. Conclusion. The clinical efficacy of foot orthoses may correlate with targeting specific individuals based on specific foot measures and the comfort perception of the orthosis. On the kinematics, foot orthosis may behave minor neuromotor activity changes at the lower extremity. The effects of combining foot orthoses with physical therapy may be superior to physical therapy alone and result in better outcomes.

Key words:
Patellofemoral pain syndrome, foot orthosis, systematic review
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Body Weight Support Treadmill Training – a systematic review of meta-analyses

Marcin Błaszcz, Beata Stach

M.Błaszcz, B. Stach – Body Weight Support Treadmill Training – a systematic review of meta-analyses. Fizjoterapia Polska 2020; 20(1); 66-77

Abstract
Aim. Although the effectiveness of Body Weight Support Treadmill Training has already been confirmed in various patients, its superiority over other physiotherapeutic interventions is unclear. The aim of this review was to compare the effectiveness of BWSTT in relation to other methods in various patients group.
Material and methods. A systematic review of meta-analyses was performed with: Cochrane Database of Systematic Reviews, MEDLINE and PEDro from the beginning until January 2019. 1775 publications were identified, of which 4 metaanalyses and one systematic review were included.
Results. BWSTT was more effective than other physiotherapeutic interventions in short-term increasing gait endurance and speed in stroke patients walking independently, and in improving functionality after hip replacement. In terms of: increasing the chance of independent walking, improving gait endurance and speed in dependent stroke patients; increasing walking distance and speed after a spinal cord injury and increasing the walking speed and cadence and stride length in Parkinson’s disease BWSTT was not more effective than standard physiotherapy.
Conclusion. The use of BWSTT may be beneficial for stroke patients who walk independently and at people after hip replacement. In the other areas, insufficient evidences were found.

Key words:
Body Weight Support Treadmill Training, gait, body weight support, systematic review, meta-analysis

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