The application of laser biostimulation in the treatment of maxillary and frontal sinuses

Beata Ufniak, Jerzy Przybylski, Zbigniew Śliwiński, Zdzisław Zagrobelny

Beata Ufniak, Jerzy Przybylski, Zbigniew Śliwiński, Zdzisław Zagrobelny – The application of laser biostimulation in the treatment of maxillary and frontal sinuses. Fizjoterapia Polska 2001; 1(4); 346-353

Abstract
Background. This article describes the application of laser biostimulation in the treatment of maxillary and frontal sinusitis. The symptoms of the disease are described, along with the treatment protocols for both acute and chronic sinusitis. The article also describes the operating principles of laser radiation and the exposure techniques, which the authors have divided into two types: contact and non-contact. Material and methods. Our research involved 50 patients, 30 with maxillary sinusitis and 20 with frontal sinusitis, who had previously been treated only pharmacologically. The laser used in therapy was an LBK 2 apparatus manufactured by Amber, which emits invisible radiation with a wavelength of 980 nm and a power density of 35 mW/cm2. The radiation dose did not exceed 5 J/cm2. Treatment was administered in two stages. The first included 10 procedures, while the second began after a 2-3 week break, and included 3-6 procedures (once every two days). Of the 50 patients who commenced laser therapy, 20 had very severe symptoms, 20 had severe symptoms, and 8 had mild symptoms. Results. 86% of the patients completed treatment with excellent results, i.e. disappearance of edema and inflammatory exudates, remission of inflammation, and subsidence of pain. 12% of the patients reported good results, i.e. incomplete remission of symptoms. 2% of the patients finished treatment without any reaction. Conclusions. Laser therapy is effective in the majority of cases of maxillary and frontal sinusitis, in both acute and chronic forms, eliminating edema, pain, and inflammation of the mucous membrane of the nose. Laser biostimulation can be more effective in some cases than pharmacological treatment, and in combination with other physical agents gives excellent therapeutic outcomes in the treatment of laryngological patients.

Key words:
acute sinositis, chronic sinusitis, infrared light, therapeutic dose, laser contraindications, contact and non-contract laser procedures

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

High-tone therapy in the comprehensive rehabilitation of children with cerebral palsy

Zbigniew Śliwiński, Bartłomiej Halat, Krzysztof Gieremek, Beata Ufniak, Jolanta Chmarek-Rojczyk

Zbigniew Śliwiński, Bartłomiej Halat, Krzysztof Gieremek, Beata Ufniak, Jolanta Chmarek-Rojczyk – High-tone therapy in the comprehensive rehabilitation of children with cerebral palsy. Fizjoterapia Polska 2003; 3(3); 231-242

Abstract

Background. This article describes the possibilities of using high-tone therapy in the comprehensive rehabilitation of children with cerebral palsy (CP). This device stimulates nerves and muscles with an electrical current at a frequency corresponding to acoustic vibrations, from 4400 to 12300 Hz. High-tone therapy produces many desirable effect; it disperses foci of pain and inflammation, intensifies metabolism, increases local blood supply, promotes cellular diffusion, improves tissue nutrition, accelerates resorption of edema, rebuilds original tissue structure (including muscles), and reduces tension in transversely striated muscle. Material and methods. We studied 19 children with CP-related spastic tetraplegia, age 4-17, inpatients at the Pediatric and Adult Rehabilitation Center in Zgorzelec, Poland. Manual dexterity was tested, as well as range of movement in the radiocarpal and ankle joints. The circumference of the hands and feet was measured and the gait stereotype assessed before and after treatment. The therapeutic program included a 30-minute procedure with the hoSti-Scan program, using a WaDiT-12 apparatus, followed by stimulation of the muscles responsible for dorsal flexion of hands and feet. Results. The evaluation of manual dexterity using the Munich Functional Developmental Diagnosis program indicated that a 4-week rehabilitation program combined with high-tone hterapy had a significant impact on improvement in the manual function of the hands in the subject children. All the children tolerated high-tone therapy very well. Conclusions. In view of the improvement in manual dexterity, radiocarpal and ankle mobility, and gait stereotype, hightone therapy is useful in the rehabilitation of children with spastic cerebral palsy.

Key words:
high tone therapy, methodology of procedure, determinants of gait, Munich Functional Developmental Diagnosis
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim