使用TENS及干扰电流治疗下脊柱疼痛患者的效果评估

Paulina Wójcik, Joanna Kałuża-Pawłowska, Patryk Kiljański, Marek Kiljański

P. Wójcik, J. Kałuża-Pawłowska, P. Kiljański, M. Kiljański
– Assessment of the effectiveness of therapy using TENS and interferential currents in patients with low back pain. Fizjoterapia Polska 2019; 19(1); 22-29

摘要
前言。下脊柱疼痛为运动系统失调最常见的问题之一,属于严重的医疗问题,其出现的频繁程度也成为社会及经济问题。下脊柱疼痛治疗属综合性治疗,包括运动疗法、物理疗法等,目的在减轻疼痛、炎症并增加肌肉张力。
材料及方法。共60名下脊柱疼痛患者参与试验,受试者均分成两组,每组30人。该二组均接受包括激光治疗和磁疗在内的物理治疗,第一组另外接受TENS治疗,第二组则接受干扰电流治疗,试验中使用问卷调查、视觉模拟量表疼痛评估及斯考伯试验。
目的。试验目的在比较TENS及干扰电流对减轻下脊柱疼痛及增加其运动范围的影响。
结果。所使用的物理治疗对病患的健康状态有益,统计测试显示患者的疼痛减轻及脊椎活动范围获得改善。
结论。TENS电流为治疗下脊柱疼痛的较有效方法,实验结果显示使用TENS电流能有效增加脊椎活动范围,该组中所有受试者均感觉到疼痛减轻。

关键词:
腰椎、疼痛、TENS电流、干扰电流

 

 

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不同频率的静电场按摩对肩胛骨特定骨骼肌张力的影响

Patryk Kiljański, Joanna Kałuża-Pawłowska, Krzysztof Gieremek, Marek Kiljański

P. Kiljański, J. Kałuża-Pawłowska, K. Gieremek, M. Kiljański – The effect of massage with an electrostatic field of different frequency on the tension of selected skeletal muscles of the shoulder girdle. Fizjoterapia Polska 2018; 18(4); 138-158

 

摘要
研究目的。该研究的目的在显示静电场按摩是否对斜方肌上部的静息张力降低有影响。
材料和方法。共20名年龄在23-29岁间的男性与女性加入研究,其生活方式各不相同,受试组中有做休闲运动者、长时间在电脑前工作者或阅读书籍者,也有非全职工作者,其共同特性为生活方式活跃。
测量肌肉张力时使用“Szirmai“肌张力测量器,进行静电场按摩治疗时使用Physiomed品牌的深度振荡仪器,按摩分两阶段进行,两阶段分别使用50 Hz (测试1) i及150 Hz (测试2) 等不同频率。测试间隔为2-3周。
结果和结论。研究结果显示50 Hz及150 Hz频率的静电场按摩对肌肉张力下降有影响,而50 Hz及150 Hz的按摩对肌肉张力降低无统计学上的显著差异。

关键词:
按摩、肌肉张力、频率、深度振荡

 

 

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水球选手的运动伤害特性

Joanna Kałuża-Pawłowska, Iwona Serwin, Robert Serwin, Marek Kiljański

J. Kałuża-Pawłowska, I. Serwin, R. Serwin, M. Kiljański – Characteristics of injuries and injuries of water polo players. Fizjoterapia Polska 2018; 18(4); 94-101

摘要
前言。运动伤害通常被称为损伤,为进行运动性质的体能活动时可能经历的,主要发生在训练和比赛期间,因而造成运动伤害,导致被暂时或完全排除体育活动的参与。研究目的。研究目的在评估水球选手受伤发生的特性。材料和方法。该研究以作者设计的诊断调查法为基础,在教练和选手同意下进行。问卷包括20个开放性问题及受访者资料的问题,这些问题涉及其受伤情况及理疗方式。该研究涵盖52名15至30岁间的波兰体育俱乐部选手,加入水球训练的时间超过5年。结果 参与研究的选手的职业生涯中受伤次数在15以下,然而100%的选手至少都受伤过一次,选手最常受伤的状况为水中训练时,达75%,可惜受伤的球员中高达42%未接受物理治疗师的协助。受试水球选手最常遭受的伤害为肩关节损伤,达35.1%,手指受伤为26.4%,手腕17.5%而手肘占10.5%。
结论
1. 受伤最常发生在水中训练时,此意味球员的热身不足且运动方式不正确
2. 身体最容易受伤的部位为肩关节、手腕和手指
3. 水球是一种接触性游戏,容易造成关节囊、韧带拉伤及这些身体部位肌肉伤害的运动。
4. 提高意识并接受专业理疗将使运动员更快回到受伤前的状态并避免再度受伤。

关键词:
水球、运动伤害、运动理疗

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肩部不适的骨关节炎患者所选用的理疗疗程有效性比较。

Magdalena Staniek, Marek Kiljański, Joanna Kałuża-Pawłowska, Patryk Kiljański

M. Staniek, M. Kiljański, J. Kałuża-Pawłowska, P. Kiljański – Comparison of the effectiveness of certain physical therapy treatments in shoulder pain in patients with degenerative lesions. Fizjoterapia Polska 2018; 18(4); 6-13

摘要
研究目标。研究目的在评估对肩部不适的骨关节炎患者施以激光治疗的有效性,特定疗程的参数如:疼痛程度、健康状况的主观评估、通过治疗前后的肩关节活动范围测量(屈曲、伸展、外展)所表示的灵活度及根据洛维特量表所表示的肌肉力量等特定疗程的影响被列入评估中。
材料及方法。研究材料由50人组的病患组成,其年龄在60-85岁之间,他们的诊断统一,即退行性骨关节炎。研究于凯尔采县立医疗服务中心进行,所有病患均分为两组,每组25人。第一组有17名女性及8名男性,而第二组有15名女性及10名男性。第一组进行三种理疗疗程,包括:超声波、磁疗及低温疗法,而第二组额外进行激光治疗。
结果。结果显示理疗疗程对两组的研究参数进展有显著影响,未进行激光治疗的病患组在主观的健康状态改善评估上具较大差异。第二组受试者在依VAS量表计算的疼痛减轻和外展及伸展等活动范围改善上都比前一组有更好的结果。其他研究参数如:屈曲程度及肌肉力量等在受试两组中的改善程度一样。统计上的显著差异只在于另外进行激光治疗的病患组的外展范围改善上。
结论。研究工作显示出下列理疗疗程的有效性,如:结合激光治疗或无激光治疗的低温疗法、超声波、磁疗等,于患退行性骨关节炎者肩部不适的部位进行。使用医疗激光治疗为较有效的治疗方法。

关键词:
退行性骨关节炎、肩部、肩带、医疗激光、激光治疗

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The impact of myofascial manipulation on gout remission duration

Iwona Serwin, Joanna Kałuża-Pawłowska, Marek Kiljański

I. Serwin, J. Kałuża-Pawłowska, M. Kiljański – The impact of myofascial manipulation on gout remission duration. FP 2017; 17(3); 38-50

Abstract

Purpose. The purpose of this study was to demonstrate the impact of myofascial manipulation on the frequency of gout attacks in patients undergoing conservative treatment for joint lesions.
Materials and methods. The study included 30 gout patients, who were suffering from restricted joint mobility and pain symptoms in the foot and the big toe, and who experienced recurrent gout attacks 3-4 times a year on average. The participants were randomly distributed into two groups: the experimental group and the control group. All of the participants underwent a 10-day physical therapy regimen in form of low-frequency magnetic field therapy and therapeutic ultrasound. The experimental group was additionally treated with myofascial manipulation of the lower extremity.
Results. Analysis of results has revealed that myofascial manipulation of the lower extremity used in the experimental group has improved the functional mobility of gout patients with lesions of foot joints.
Conclusion. Study participants, whose physical therapy regimen included myofascial manipulation (apart from the magnetic field therapy and therapeutic ultrasound), showed improved gait quality, increased tissue elasticity, decreased frequency of gout attacks, and prolonged remission duration from 3-4 months to 10-12 months.

Key words:
Gout, myofascial manipulation, prolonged remission duration

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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 profile of patients referred for systemic rehabilitation

Karol Wojciechowski, Marek Kiljański, Joanna Kałuża-Pawłowska, Jan Szczegielniak

K. Wojciechowski, M. Kiljański, J. Kałuża-Pawłowska, J. Szczegielniak – The profile of patients referred for systemic rehabilitation. FP 2015; 15(1); 48-56

Abstract

The aim of the paper is to create a_profile for patients referred for systemic rehabilitation treatment in inpatient care. The efficiency of the rehabilitation used for these patients has also been analysed.
The research material consisted of data provided by 24 Systemic Rehabilitation departments providing inpatient care, which have agreements with the Łódzki Regional Branch of the National Health Fund. All services were performed in 2013.
The analysis of the provided research material indicated that a_significant number of patients undergoing systemic rehabilitation in stationary conditions included patients in the 46-85 age group (89.48% of all respondents). The analysis of the provided research material indicated that “other spondylosis” was the most commonly reported diagnosis for patients aged between 46-75 years. The analysis of hospital discharge cards from the rehabilitation departments indicated that the discharge mode “Patient referred for further treatment in outpatient therapy” and “Completion of the therapeutic or diagnostic process” constituted approximately 50% of the total reported discharges.

Key words:
systemic rehabilitation, profile of patients, efficiency of rehabilitation

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