A new type of cervical traction generating mechanical pulsations (vibration) in the comprehensive treatment of patients with cervical spondylosis

Krzysztof Gieremek, Edward Saulicz, Zbigniew Śliwiński, Monika Grygorowicz, Aleksander Socha, Janusz Kubacki

Krzysztof Gieremek, Edward Saulicz, Zbigniew Śliwiński, Monika Grygorowicz, Aleksander Socha, Janusz Kubacki – A new type of cervical traction generating mechanical pulsations (vibration) in the comprehensive treatment of patients with cervical spondylosis. Fizjoterapia Polska 2003; 3(2); 99-105

Abstract
Background. The objective of the present study was to evaluate the therapeutic effectiveness of a new type of vibration traction (Glisson type) as compared to traditional cervical traction (Glisson type) in patients diagnosed with degenerative disc disease or spondylarthrosis of the cervical spine. Material and methods. Two groups of ambulatory patients treated for spondylosis of the cervical spine were included in this study. The study group (n=35) and the control group (n=33) were subjected to the standard comprehensive treatment (massage therapy, short wave diathermy, infrared therapy, electrotherapy using Bernard’s current, ultrasound therapy). The cervical traction set used in the study group was additionally equipped with a device generating vibration (frequency 100 Hz, amplitude 0,2 mm), installed just above the cervical loop. Results. The statistical analysis (Chi2 = 9,672, for a = 0,046) revealed considerable correlation between the type of cervical traction used and the results of the treatment, indicating higher effectiveness of vibration traction. Statistical analysis also proved increased range of motion in the cervical spine in the all planes, as well as improved left and right hand grip function. Conclusions. The study proved that the treatment of cervical traction (Glisson type) equipped with additional vibration device was well tolerated by patients. The use of this type of traction resulted in sooner subsidence of existing symptoms such as pain, increased muscle tone and hypersensitivity to touch of cervical spine musculature.

Key words:
Glisson traction, wibration massage, cervical spondylosis

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Isokinetic measurements – areas of application in physiotherapy

Monika Grygorowicz, Janusz Kubacki, Bogdan Bacik, Krzysztof Gieremek, Anna Polak

Monika Grygorowicz, Janusz Kubacki, Bogdan Bacik, Krzysztof Gieremek, Anna Polak – Isokinetic measurements – areas of application in physiotherapy. Fizjoterapia Polska 2006; 6(3); 238-244

Abstract
The aim of the paper is to present the concept of isokinetic exercises, which was introduced by Hislop and Perrine in 1967 for the first time. No article was found in Polish literature that in consolidated way would discuss mentioned subject. Hence, in support to numerous foreign scientific reports, authors have decided to present the isokinetic exercise to Polish physiotherapists and medical doctors. Thisle et al define isokinetic exercise as dynamic muscle contraction with controlled and holded speed of movement (iso-steady kinetic-movement) performed with specific devices used to that kind of exercises. isokinetic tests are a very precise diagnostic tool that enable an estimation of degree of soft tissues damage. General use of isokinetic strength measurement in clinical practice is based on its obvious validity and reliability in qualification of state and neuromuscular function. Followers of isokinetic tests confirm that it gives possibilities of precise assessment of muscle properties as well as objectification of results. Results enable very precise diagnostic of tested muscles in different biomechanical conditions of performing movement. Tests allow functional muscle assessment through comparison of contralateral, ipsilateral work, with confrontation with corresponding data or with results in control groups. Moreover, graphical presentation of dependence between recorded parameters in every point of tested range of movement is possible. It favors isokinetics in using it to diagnostic in postinjured states of movement system. The areas of application and rules of performance isokinetic testing were described in this article. The main biomechanical parameters which are used in analysis of muscle dynamic properties were discussed additionally.

Key words:
isokinetic exercises, peak torque, biomechanical indicators, dynamic conditions

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim