Tag: Małgorzata Misztal

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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针对不同部位以深度电磁刺激治疗腰椎骶部疼痛的有效性评估

Agnieszka Przedborska, Małgorzata Kilon, Agnieszka Leszczyńska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, M. Kilon, A. Leszczyńska, M. Misztal, J. W. Raczkowski – Assessment of the effectiveness of deep electromagnetic stimulation in the treatment of low back pain depending on the area of application. Fizjoterapia Polska 2019; 19(2); 148-156

摘要
简介。与骨盆底肌肉张力降低相关的中枢稳定机制紊乱有可能是腰椎疼痛综合征产生的原因。研究目的在评估对脊椎疼痛妇女的腰椎骶部或骨盆底肌肉进行深度电磁刺激的效用。
材料和方法。共109名脊椎骨关节炎女性患者参与研究，分为两组进行。研究组中有45名女性，治疗周期包括对骨盆底肌肉进行10次的深度电磁刺激。对等组中有64名女性，其治疗应用部位在腰部周围。以VAS量表为基础评估治疗的有效性及运动功能和自理能力的评估。
结果。观察到两组均在以VAS量表为基础的脊椎疼痛上显著降低 – Me（IQR）为：研究组在治疗前5 (4-7)及治疗后2 (1-3)，而对等组在治疗前6 (4-7)及治疗后3 (2-4)。移动和日常活动能力也获得显著改善，然而获得的治疗效果不持久，研究组中半数患者的镇痛效果最多维持2个月（IQR: 1-4），对等组则最多4个月（IQR: 2-6）。
结论。无论应用的部位为何，深度电磁刺激可减轻患腰椎骶骨综合症女性的疼痛并改善其步态功能和自理能力。2. 对腰椎骶骨周围施以治疗将使镇痛时间持续较久。

关键词：
腰椎疼痛、骨关节炎、骨盆底肌肉、电磁刺激

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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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骨盆底肌肉的深层电磁刺激对压迫性尿失禁患者腰骶部不适的影响

Agnieszka Przedborska, Małgorzata Kilon, Małgorzata Misztal, Jan W. Raczkowski

Agnieszka Przedborska, Małgorzata Kilon, Małgorzata Misztal, Jan W. Raczkowski – The effect of deep electromagnetic stimulation of pelvic floor muscles on low back pain in female patients with stress urinary incontinence. Fizjoterapia Polska 2018; 18(3); 46-54

摘要
研究目的。研究目的在评估骨盆底肌肉的深层电磁刺激对压迫性尿失禁女性患者腰骶部不适的影响。
材料及方法。该研究针对85名患慢性腰骶部疼痛综合征及尿失禁的女性进行，施以10次疗程系列的骨盆底深层电磁刺激，治疗的有效性评估以VAS量表、日常生活功能评估及尿失禁症状的严重程度变化为基础。
结果。治疗后可发现以VAS – Me(IQR) 量表为基础的脊柱疼痛严重程度在统计上显著减少，治疗前为5（4-7），治疗后为3（1-4），其移动能力及日常活力在统计上也有显著改善。尿失禁发生的频率在统计上显著减少且尿量也减少。所获得的疗效不具持久性，半数女性患者在止痛效果和尿失禁症状改善上只持续最多两个月（腰骶部疼痛的IQR：1-3个月，尿失禁症状的IQR：1-2个月）。
结论。1. 骨盆底肌肉的深层电磁刺激对腰椎骶椎部疼痛的缓和及压迫性尿失禁症状减少具有影响。2. 改善效果并不持久。

关键词：
腰椎疼痛、尿失禁、骨盆底肌肉、电磁刺激

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Impact of the deep electromagnetic stimulation on the level of the pain sensation in patients with the rheumatoid arthritis

Agnieszka Przedborska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, Ma. Misztal, J. W. Raczkowski – Impact of the deep electromagnetic stimulation on the level of the pain sensation in patients with the rheumatoid arthritisFP 2016;16(1);74-81

Abstract
Introduction. Treatment of the rheumatoid arthritis includes the simultaneous actions against the pain, the inflammation and to regulate the muscle tension. The search for new and effective methods of treatment is continuously under way. There appeared this new physical method of deep electromagnetic stimulation. The objective of this study is to evaluate the effectiveness of the treatment of pain with the deep electromagnetic stimulation method, in the rheumatoid arthritis disorder cases.
Materials and Methods. The research has been conducted on a group of 50 patients with the rheumatoid arthritis, who have undergone a series of 10 deep electromagnetic stimulation treatments, applied to the most painful joints. Evaluation of the effectiveness and efficiency of the therapy has been done on the basis of the VAS scale, the Laitinen scale, the assessment of duration of the morning stiffness, and the subjective assessment of the result of the treatment made by the patients.
Results. After the series of treatments, the statistically significant (p <0.0001) reduction of the pain intensity has been found, measured with the VAS and the Laitinen scale  (the respective median (IQR): 8 (7-8) before the treatment vs 4 (3-5) after the treatment in the VAS scale, and 10 (8-12) before the treatment vs 6 (4-8) after the treatment in the Laitinen scale. Also observed, has been the statistically significant (p <0.0001) reduction of the duration of the morning stiffness, respectively 108±27 minutes before the treatment vs 67±34 minutes after the treatment.
The factors significantly affecting the result of the treatment were: age, BMI and the severity of the disorder.
Conclusions. Deep electromagnetic stimulation is an effective therapy method in patients with the rheumatoid arthritis, it significantly reduces the intensity of pain, the amount of painkiller medications being taken, and the duration of the morning stiffness.

Key words:
rheumatoid arthritis, pain, deep electromagnetic stimulation

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