Tag: degenerative disease

The efficacy of ultrasound and electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease

Marta Szlachta, Anna Polak, Beata Błaszczyk, Agnieszka Kluszczyńska-Galas, Janusz Kubacki, Piotr Król

Marta Szlachta, Anna Polak, Beata Błaszczyk, Agnieszka Kluszczyńska-Galas, Janusz Kubacki, Piotr Król – The efficacy of ultrasound and electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease. Fizjoterapia Polska 2009; 9(3); 211-222

Abstract
Background. The study aimed to evaluate the efficacy of ultrasound and Ketonal (ketoprofen) electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease. Materiał and methods. Forty-six persons randomly assigned to two groups were investigated. Group A consisted of 23 per-sons aged 53-72 years. Group B comprised 23 patients whose age ranged from 54 to 60 years. The knee joint rangę of motion and muscle strength were assessed in all patients immediately before treatment and on completion ofa course of physical thera-py Group A was treated with ultrasound (1 MHz; 0.5-1.0 W/cm2; 20%; 1-3 min/cm2), while Group B was subjected to electropho-nophoretic treatment (0.1 mA/cm2; 1 MHz; 0.5-1.0 W/cm2; 20%; 1-3 min/cm2; 2% Ketonal). A total of 10 procedures were admini-stered to each patient over two weeks. Results. The knee-joint rangę of motion and strength ofthe knee flexors and extensors improved significantly in both groups after treatment in comparison to baseline values. There was no statistically significant inerease in the muscle strength ofthe knee rotators. An inter-group comparison of treatment effects showed that the ranges of the passive and active flexion, passive and active extension and strength of the flexor and extensor muscles of the knee joint had inereased morę significantly in group B than in group A. Conclusions. The treatment applied in both comparative groups was effective. Electrophonophoresis led to slightly better treatment outeomes than ultrasound.
Key words:
degenerative disease, ultrasound, electrophonophoresis, knee joint
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Evaluation of therapeutic effectiveness of diathermy in patients with degenerative disease of the lumbar spine

Agnieszka Przedborska, Jan W. Raczkowski, Małgorzata Misztal

Agnieszka Przedborska, Jan W. Raczkowski, Małgorzata Misztal – Evaluation of therapeutic effectiveness of diathermy in patients with degenerative disease of the lumbar spine. Fizjoterapia Polska 2021; 21(2); 70-76

Abstract
Introduction. Diathermy is one of the stimuli used in treatment of degenerative spine disease. Endogenous heat alleviates the symptoms of the disease. Diathermy treatments differ due to wave size and electromagnetic vibration frequency. Objective. Evaluation of the effectiveness of diathermy generated by short waves and radio waves in the treatment of patients with degenerative disease of the lumbar spine. Material and methods. The research was carried out on a group of 68 people with degenerative disease of the lumbar spine, divided into two groups. The study group consisted of 36 people who underwent therapy with radio waves using the Thermo TK device. The comparison group consisted of 32 people who underwent shortwave diathermy treatments. Therapeutic effectiveness was evaluated on the basis of pain assessment according to the VAS scale and the Laitinen pain scale as well as the range of motion measured with the Schober test and the Thomayer test. Results. In both groups, a statistically significant (p <0.0001) pain reduction after therapy according to the Laitinen pain scale was observed (Me (IQR) before and after therapy , respectively: in the study group: 6.5 (5-9) scores vs. 4 (3-5.5) scores and in the comparison group: 6 (5-8) scores vs. 4 (3-5) scores) and according to the VAS scale – in the study group: 6 (5-7.5) scores vs. 4 (3-4) scores and in the comparison group: 6 (5-7.5) scores vs. 3 (3-5) scores. The Thomayer test and the Schober test results also improved significantly in each group. Conclusions. Regardless of the wavelength generating endogenous heat, both treatments reduce pain and improve the range of motion of the lumbar spine in patients with degenerative spine disease.
Key words:
spine, degenerative disease, diathermy, radio waves
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高频电流在膝关节骨性关节炎患者治疗中的应用

Agnieszka Przedborska, Ewa Pomorska, Marcin Świątczak, Małgorzata Staniszewska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, E. Pomorska, M. Świątczak, M. Staniszewska, M. Misztal, J. W. Raczkowski – Application of high frequency currents in treatment of patients with knee osteoarthritis. Fizjoterapia Polska 2018; 18(4); 112-121

摘要

前言。内源性热源于膝关节骨性关节炎患者治疗中广泛使用，技术的发展促成高频电流新方法的应用。
研究目的在评估治疗膝关节骨性关节炎患者的各种应用方法中，使用高频电流的有效性。
材料及方法。该研究针对111名膝关节骨性关节炎患者进行，将其分为二组，研究组中有61名，他们接受使用Thermo TK 设备的高频电流治疗。对照组中有50人，他们接受短波透热治疗。疗效根据VAS量表、莱蒂宁量表、膝关节周长和活动范围进行评估。
结果。两组经治疗后均确认根据莱蒂宁量表（治疗前后的中数（四分位间距IQR）：研究组：7（6-8）分对3（2-6）分，对照组：8（6-10）分对3.5（2-7）分）所测量的疼痛减轻具统计学意义（p<0.0001）。此外，在研究组中观察到具统计学意义（p=0.0031）的止痛药使用频率降低。治疗后，两组根据VAS量表测量在平坦表面行走和上楼梯时的疼痛症状缓和具统计学意义（p<0.0001），膝关节周长也减少（p<0.0001），而屈曲运动范围却显著增加（p<0.0001）。两组的镇痛效果持续时间类似。
结论。1. 无论何种类型的应用，高频电流都能减轻骨性关节炎患者的疼痛并改善其膝关节运动范围。2. 两组治疗的镇痛效果均不持久。

关键词：
膝关节、骨关节炎、高频电流

 

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腰椎骶椎间疼痛进行选择性理疗疗程的有效性

摘要
研究目的：研究目的在评估因骨关节炎所引起的腰锥骶椎间疼痛的选择性理疗疗程的有效性。
材料及方法：共45名腰锥骶椎间疼痛的患者参与研究，他们将接受一系列的理疗疗程。受试者将分成四组，其中三组将根据其施用的理疗疗程分组，而第四组（对照组）受试者将只服用非类固醇消炎药，时间为其他组别的疗程延续时间。病患将通过自己的简单版问卷表SF-36（第二卷）接受研究，共计11个问题，此外也使用洛维特测试及莱蒂宁量表及诊断测试（Laseque、Bragard、Thomayer）。研究于系列疗程开始前及疗程结束两星期后进行。
结果：受试者年龄在45-65岁之间，其中71.1%为女性，28.9%为男性，13.3%为体能活跃者。脊柱骨关节炎是所有受试患者产生疼痛的原因，在研究组中，其物理治疗前和结束两周后所测量的疼痛严重程度、肌肉力量水平和生活质量的结果在统计上有着显著差异。90%参与疗程者的肌肉力量增加，而对照组中只有6%的人士增加。46.6% 接受疗程者在所提到的脊柱部分活动范围获得改善，而对照组中无患者在活动范围上获得改善。
结论：理疗疗程对腰椎骶椎的病状控制具正面作用，在改善生活质量、肌肉力量、活动范围以并减少或完全消除疼痛上能有效作用。无论采用哪一种理疗疗程，其作用都比单单服用非类固醇消炎药要好。

关键词：
理疗、骨关节炎、腰椎骶椎段、非类固醇消炎药

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