Therapeutic value of local cryotherapy in the treatment of patients with gonarthrosis

Łukasz Kopacz, Anna Lubkowska, Iwona Bryczkowska, Piotr Skomro, Elżbieta Kubala, Marek Kiljański, Danuta Lietz-Kijak

Ł. Kopacz, A. Lubkowska, I. Bryczkowska, P. Skomro, E. Kubala, M. Kiljański, D. Lietz-Kijak – Wartość terapeutyczna krioterapii miejscowej w leczeniu pacjentów z gonartrozą. FP 2013; 13(4); 31-36

Streszczenie
Wstęp. Celem przeprowadzonych badań była ocena wpływu zabiegów krioterapii miejscowej na zakres ruchu w stawie kolanowym u pacjentów z chorobą zwyrodnieniową stawów. Dodatkowo analizowano potencjalne zmiany w dolegliwościach bólowych pacjentów. Materiał i metody. Grupa badana liczyła 50-ciu pacjentów i była jednorodna pod względem schorzenia. W badaniu wzięło udział 39 kobiet i 11 mężczyzn. Pacjenci poddani byli 10-ciu codziennym zabiegom krioterapii miejscowej na okolicę stawu kolanowego. Przed przystąpieniem do krioterapii, pacjenci zostali poddani badaniom antropometrycznym oraz wyliczono wskaźniki BMI. Został zebrany wywiad odnośnie chorób współistniejącychi zbadano dolegliwości bólowe według skali VAS. U wszystkich badanych wykonano pomiar zakresu ruchów w stawie kolanowym za pomocą goniometru. Został on wykonany przed rozpoczęciem zabiegów oraz po ich zakończeniu. Wynik. U wszystkich pacjentów, poddanych serii zabiegów można stwierdzić znaczną poprawę w zakresie ruchu zgięcia i wyprostu w stawie kolanowym. Analizując dolegliwości bólowe oceniane za pomocą skali VAS, po zakończeniu serii zabiegów wykazano znaczne zmniejszenie wartości wskazywanych przez badanych. Rozpatrując zakres ruchu zgięcia w stawie kolanowym w obu grupach, zarówno z rozpoznaniem choroby zwyrodnieniowej stawów kolanowych oraz choroby zwyrodnieniowej wielostawowej, po serii zabiegów krioterapii miejscowej ruch znacznie się poprawił, natomiast zakres ruchu wyprostu w stawie kolanowym polepszył się w grupie z rozpoznaniem choroby zwyrodnieniowej wielostawowej. Wnioski. Krioterapia miejscowa jest korzystną metodą, redukującą dolegliwości bólowe oraz wpływającą na poprawę zakresu ruchów w stawie kolanowym u pacjentów z gonartrozą.

Słowa kluczowe:
zimnolecznictwo, gonartroza, leczenie zimnem


Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients. Material and method. The study group consisted of 50 of the patients and was homogeneous in terms of disease. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before cryotherapy, patients were examined anthropometric, and BMI was calculated indicators. Was collected interview regarding comorbidities and examined pain according to VAS. In all patient performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. All patients who underwent a series of treatments there is a considerable improvement in flexion and extension of the knee. Considering the analysis of pain assessed by VAS in all patients demonstrated a significant reduction in the value indicated by the respondents on the scale after the series of treatments. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis. Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, osteoarthritis, knee, cold therapy

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Cryotherapy as Part of the Post-Stress Disorder Rehabilitation Complex

O.A. Panchenko, Zbigniew Śliwiński

O.A. Panchenko, Z. Śliwiński – Cryotherapy as Part of the Post-Stress Disorder Rehabilitation Complex. FP 2017; 17(4); 62-68

Abstract

Aim. The aim of our investigation is to estimate cryotherapy and complex rehabilitating procedures effectiveness for the patients who suffer of some post stress disorders. The aim of psychotherapeutic treatment for PSD suffering patients is to relieve such patients from some traumatic event intrusive memories and following emotional pains. Every patient should have got possibility to be involved in present day social and economic activities.
Material and methods.
Research approaches and materials: the clinical and experimental psychological investigations have been conducted with 114 patients, who suffered of various post stress disorders on the basis of psychoneurological department of the State Institution “Scientific Practical Medical Rehabilitating Diagnostic Centre of the Ukrainian Health Ministry” Konstantinivka city, Donetsk region, Ukraine. The main (experimental) group consisted of post stress disorders suffering patients. This group consisted of 74 patients, who, along with corresponding medical treatment according to the clinical medical treatment protocol, attended course of general extreme air cryotherapy (GEACT). The control group consisted 70 patients.
The equipment to create extreme low temperature (beneath -100°С), was cryochamber “Cryo Therapy Chamber” Zimmer Midizin Systeme (Germany). It was possible to treat the patients both individually and in groups (3-4 persons). All the procedures were conducted according to O.A. Panchenko’s methodology. The patients had been selected according to inclusion-exclusion criteria. All the patients were volunteers, they were properly informed about extremely low temperature influences and about such medical investigation conditions.
Conclusions.
Today, cryotherapy is widely spread in various fields of medical science. This methodology constant technical improvement and any side effects absence promote this methodology to be popular around the Globe. General extreme air cryotherapy is an ideal model of psychophysiological stress. As a result, patients’ psychophysiological and psychological conditions improvements have been observed.

Key words:
cryotherapy, post-stress disorders, rehabilitation complex

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The use of local cryotherapy and PNF method in the procedure that improves the functioning of patients with subacromial impingement syndrome

Łukasz Kopacz, Żaneta Ciosek, Elżbieta Kubala, Zbigniew Śliwiński, Marek Kiljański, Danuta Lietz-Kijak

Ł. Kopacz, Ż. Ciosek, E. Kubala, Z. Śliwiński, M. Kiljański, D. Lietz-Kijak – The use of local cryotherapy and PNF method in the procedure that improves the functioning of patients with subacromial impingement syndrome. FP 2017; 17(2); 148-156

Abstract

Considering the serious nature of complications pertaining to the trauma of the glenohumeral joint, the priority is to address the underlying cause as well as symptoms. This research was conducted in order to evaluate the effectiveness of localized cryotherapy and the PNF method on the mobility of the glenohumeral joint, in patients presenting with subacromial impingement syndrome. Each group (test and control) consisted of 18 patients. Patients in the test group were subjected to treatment of local cryotherapy and PNF therapy in the treatment of the shoulder girdle for fifteen days whilst the control group were treated with local cryotherapy procedures for the duration. There is little doubt that local cryotherapy is and effective treatment for various kinds of dysfunction however when combined with other treatment methods (such as PNF) a better outcome is achieved.

Key words:
subacromial impingement syndrome, PNF, cryotherapy

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Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease

Marek Woszczak, Katarzyna Bogacz, Magdalena Józefowicz-Korczyńska, Joanna Kałuża-Pawłowska, Jan Szczegielniak

M. Woszczak, K. Bogacz, M. Józefowicz-Korczyńska, J. Kałuża-Pawłowska, J. Szczegielniak – Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease. FP 2017; 17(2); 48-59

Abstract

Introduction. Pain, swelling and deformities of joints are the typical symptoms of a degenerative disease. The disease affects more than 60% of persons over 60 years of age. Due to this condition, every thirteenth person takes painkillers on a daily basis. Etiology of the degenerative knee joint disease comprises most often of micro traumas, injuries, overstrain, previous inflammatory conditions, improper weight distribution and congenital anomalies in the joint structure.
Research Goal. The aim of our study has been to evaluate the efficacy of local cryotherapy in patients with the degenerative knee joint disease.
Materials and Methods. The study has been carried out on a group of 86 persons, 20 to 45 years old, treated in the Rehabilitation Unit of the University Clinical Hospital No. 1 of the Medical University in Łódź. The patients have been randomly assigned to group A (40 persons) and B (46 persons.) In all the patients, there have been diagnosed degenerative changes in knee joints. In the study participated persons professionally active, able to walk.
Prior to application of treatment, all the patients were interviewed, had undergone physical and clinical examinations and were asked to fill out the WOMAC (Western Ontario and McMaster) questionnaire. An important purpose of the interview was to gather information about the patients’ lifestyle, their diet, addictions, physical activity and the potential epidemiological threats arising from the type of work they do.
Before and after completing the cycle of 10 treatment sessions, the patients were also examined physically by visual inspection, palpation, percussion, auscultation, measurements of lengths and perimeters, testing of muscle strength and functional tests. The patients were asked to anonymously fill out a questionnaire.
For all the patients were applied same treatments: ultrasounds, magnetic field, self-assisted exercises, knee joint load relief exercises. The differentiating factor in the study were the knee joint local cryotherapy treatments applied additionally for patients in group B. The evaluation was made on the basis of examinations before and after the physiotherapy treatments.
Results. Based on the examinations it can be concluded, that there has been achieved statistically significant reduction in pain according to VAS in both, group A and group B. There has also been a reduction in exudate and temperature of the joint.. There has also been registered an increase in the mobility ranges. Based on results of the test of Western Ontario and McMaster Universities Osteoarthritis Index, we have also observed an improvement in functional capacities in executing daily activities, i.e. for example climbing/descending stairs or putting on/taking off socks.
Conclusions. While interpreting the results, it has been observed that the degree of improvement in the above listed factors in group B, in which the additional local cryotherapy was applied, was statistically significantly higher than in group A, in which the treatment was not used.

Key words:
cryotherapy, degenerative knee joint disease, physiotherapy

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The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis

Łukasz Kopacz,  Anna Lubkowska, Iwona Bryczkowska,
Danuta Lietz-Kijak, Zbigniew Śliwiński

Ł. Kopacz,  A. Lubkowska, I. Bryczkowska, D. Lietz-Kijak, Z. Śliwiński – The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis. FP 2015; 15(1); 6-14

Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients.
Material and method. The study group consisted of 50 of the patients. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before treatment was collected interview regarding comorbidities and examined pain according to VAS. In all patients performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis.
In assessing the two groups studied, both in the group with a diagnosis of osteoarthritis of the knee, as well as polyarticular osteoarthritis, and made a series of treatments local cryotherapy declared value level of pain on the VAS decreased. Considering the improvement by gender, it can be concluded that in women with a diagnosis of osteoarthritis of the knee improvement was much greater.
Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, gonarthrosis, knee joint

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Therapeutic value of local cryotherapy in symptomatic treatment of patients with shoulder joint pain syndrome

Łukasz Kopacz, Żaneta Ciosek, Karolina Kot, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, Ż. Ciosek, K. Kot, D. Lietz-Kijak, E. Kijak, Z. Śliwiński, M. Kiljański: Therapeutic value of local cryotherapy in symptomatic treatment of patients with shoulder joint pain syndrome. FP 2015;15(4);54-62

Abstract

Introduction. The aim of this study was to determine the effects of the cryotherapy treatment on the mobility of the shoulder joint of the patients with osteoarthritis. We took into consideration the motion of flexion and extension. Additionally, the potential changes in the pain complaints were analyzed.
Material and methods. We examined 54 patients in the study, including 31 women and 23 men. They were put through the local cryotherapy on the shoulder joint 15 times daily. Before participating, all patients gave their informed consent to take part in the study and they were asked to rate their pain in the Visual Analogue Scale (VAS). The range of motion in the shoulder joint of every patient was measured  by goniometer before and after cryotherapy.
Results. All patients who underwent the series of cryotherapy had significant improvement of flexion and extension in the shoulder joint. Taking into consideration the general analysis of pain rated in the VAS score by the participants, we observed a significant reduction in the values of VAS indicated by the patients after the series of treatments.
Conclusions. Local cryotherapy is a reliable method that reduce pain and improve range of motion in the patients with pain syndrome of the shoulder joint.

Key words:
cryotherapy, shoulder joint, cold therapy

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