Ocena skuteczności usprawniania pacjentów z dyslordozą szyjną z wykorzystaniem testów neurodynamicznych i zabiegów fizykalnych

Zbigniew Śliwiński, Agnieszka Zamczyk, Danuta Lietz-Kijak, Edward Kijak, Małgorzata Starczyńska

Zbigniew Śliwiński, Agnieszka Zamczyk, Danuta Lietz-Kijak, Edward Kijak, Małgorzata Starczyńska – Ocena skuteczności usprawniania pacjentów z dyslordozą szyjną z wykorzystaniem testów neurodynamicznych i zabiegów fizykalnych. FP 2013; 13(2); 15-21

Streszczenie
Wstęp. Celem pracy była ocena skuteczności kompleksowego postępowania fizjoterapeutycznego usprawnianie pacjentów dyslordoza szyjną materiał i metody badania objęto grupę 40 osób, u których stwierdzono zmiany zwyrodnieniowe w obrębie szyjnego odcinka kręgosłupa. Grupa badana stanowiąca 20 osób została poddana serii zabiegów fizykalnych (biostymulacja laserowa i galwanizacja) oraz serii zabiegów mobilizacji i poizometrycznej relaksacji mięśni z ćwiczeniami izometrycznym. W grupie kontrolnej pacjenci korzystali tylko zabiegów fizykalnych (laser i galwanizacja). Oceny rezultatów zastosowanych terapii dokonano wykorzystując testy neurodynamiczne. Wyniki. Z przeprowadzonych badań wynika że terapia zabiegami fizykalnymi połączonymi z neuromobilizacją i poizometryczna relaksacją mięśni z ćwiczeniami izometrycznym stanowi ważny element w terapii leczenia dyslordozy szyjnej. Przemawia za tym fakt zmniejszenia się średniego bólu odczuwanego przez pacjentów oraz zwiększenie ruchomości kręgosłupa szyjnego. Wnioski. Terapia dyslordozy szyjnej z wykorzystaniem zabiegów fizykalnych (biostymulacja laserowa i galwanizacja) połączona z neuromobilizacją i poizometryczna relaksacją mięśni daje lepszy efekt terapeutyczny niż usprawnianie tylko z wykorzystaniem metod fizykalnych. Kompleksowe postępowanie fizjoterapeutyczne przyczyniło się do zmniejszenia natężenia bólu oraz do poprawy ruchomości kręgosłupa w odcinku szyjnym.

Słowo kluczowe
dyslordoza szyjna, zabiegi fizykalne, testy neurodynamiczne,, usprawnianie, fizjoterapia, cervical hypolordosis, physical treatments, neurodynamical tests, improving, physiotherapy

Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists

Łukasz Kopacz, Danuta Lietz-Kijak, Artur Perz, Elżbieta Kubala, Paulina Strzelecka, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, D. Lietz-Kijak, A. Perz, El. Kubala, P. Strzelecka, E. Kijak, Z. Śliwiński, M. Kiljański: Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists. Fizjoterapia Polska 2015;15(3);36-44

Abstract

Introduction. Dentists, due to the conditions of their work, are exposed to many loads both physical and psychological. Considering the ergonomics of work, health status of this professional group should be considered primarily in terms of diseases of the spine, especially the cervical. This applies to all items in the work, both independently, as well as in team techniques, where apart from monotypy and monotony, there is always forced posture, and large static load, that contributing to a lot of degenerative arthritis changes of the cervical spine disorders, which are the result of the above-mentioned degenerations. Material and method. The study were conducted in the Department of Propedeutics and Dental Physicodiagnostics of the Pomeranian Medical University. The study group consisted of 36 fifth-year students of dentistry at the Faculty of Medical-Dentistry, Pomeranian Medical University in Szczecin with chronic pain of the cervical spine. Group of examined persons was subjected to the treatment with Kinesiology Taping method,  in which were used muscular and ligaments technique , accordance with the methodology. In the study has been used diagnostic survey method – a questionnaire. To assess the degree of feeling pain by the subjects were used a visual analogue scale VAS in the horizontal format in the range of 0-10.
Results. Considering the range of motion of the cervical spine flexion, the Kinesiology Taping method has improved in this movement, and extension range in the cervical spine improved more than the range of flexion. Taking the scope of the movement of the bend into the side, as well as the turn of the cervical spine in the test group were significantly improved, both in motion toward the right as and left. Examined in terms of assessing the level of the declared values of pain on VAS observed a significant reduction of this disease. Conclusion. Kinesiology Taping application also favorably influenced the range of motion of the cervical spine, while improving comfort work. Kinesiology Taping method applied among young dentists had a positive effect on the declared value of pain on the VAS, which transfers into a reduction. Considering the sex of patients, in the group of women has significantly improved the range of extension, while in men the range of flexion.

Key words:
Kinesiology Taping, pain, spine

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Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method

Marek Wiecheć, Agnieszka Chudzik, Zofia Śliwińska, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński

M. Wiecheć, A. Chudzik, Z. Śliwińska, D. Lietz-Kijak, E. Kijak, Z. Śliwiński: Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method. Fizjoterapia Polska 2015;15;(3);24-34

Abstract

Introduction. The lower back pain syndromes can be defined as a series of ailments associated mainly with the lumbosacral section of a spine. The intervertebral discs disorders and degenerative processes are being  considered the major cause of these syndromes. A lower back pain may also be caused by the anatomical structures of a spine. The treatment of a lumbosacral pain is always a complex procedure. It includes kinezytherapy, physiotherapy and aims to reduce the pain, strengthen the muscular corset, restore the range of movement, muscle strength, and to re-educate patients in the areas of the correct posture patterns and the physical activities. Materials and Methods. In the research participated 38 patients with the diagnosed lumbar degenerative disc disease. The patients had been divided into 2 groups – control group and study group. All the participants, before they took part in the research, had been subjected to various forms of treatment and had been taking pain and anti-inflammatory medications. The study group had undergone treatment according to the McKenzie method, while the control group had  applied the Maigne syndrome exercises. Both groups were treated with the physiotherapeutic procedures. After completing the exercises, each group filled out a questionnaire regarding the treatment. Objective: To determine the impact of treatment according to the McKenzie method on changes in the functional status of patients with the lumbar degenerative disc disease. Conclusions. The research has shown, that the application of the McKenzie method yielded positive results in terms of the increased range of movement within the lumbosacral spine section, in all patients. McKenzie method exercises do have an impact on the peripheral joints of the spine. The physiotherapy treatment according to the McKenzie method, applied in the study group, resulted in a reduction of pain in the l-s spine section, in 100% of patients. The Maigne method application in patients with the diagnosed lumbar degenerative disc disease, only in a mild way alters the patients’ sensation of the lower back pain.

Key words:
lumbar intervertebral discs, McKenzie method therapy, therapy by Maigne

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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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