Author: Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly

Influence of selected designed paradigm in cervical radiculopathy: A randomized controlled trial

Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly

Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly – Influence of selected designed paradigm in cervical radiculopathy: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 138-142

Abstract

Purpose. To evaluate the effect of neural mobilization with or without mechanical intermittent traction on neck and arm pain, as well as functional disability in patients with unilateral cervical radiculopathy. Materials and methods. Thirty patients suffering from unilateral cervical radiculopathy were randomly assigned into two equal groups. Group (A) received only neural mobilization for 4 weeks (n = 15), while group (B) received neural mobilization plus mechanical intermittent traction for 4 weeks (n = 15). All patients in both groups were evaluated pre- and post-treatment with visual analogue scale (VAS) to assess neck and arm pain intensities, and neck disability index to assess functional disability. Results. Comparing both groups post-treatment showed that there was a_statistically significant reduction in neck and arm pain intensities, as well as functional disability (p < 0.05) in favor of group (B). Conclusions. Neural mobilization plus mechanical intermittent traction yield greater reduction in neck and arm pain intensities, as well as functional disability than neural mobilization alone in cervical radiculopathy patients.

 

Key words:

cervical radiculopathy, neural mobilization, intermittent cervical traction, neck pain, arm pain, functional disability

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The use of pedobarography in physiotherapeuticprocedures – analysis of educationstandards, fields of application – and reality; part 2

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – The use of pedobarography in physiotherapeuticprocedures – analysis of educationstandards, fields of application – and reality; part 2. Fizjoterapia Polska 2020; 20(4); 122-136

Abstract

Diagnosis of human body posture and assessment of functionality, in physiotherapeutic procedures, is mainly carried out by viewing methods and by photogrammetric or videogrammetric methods, which do not provide angular measurements, anthropometric, time-space measurements, etc. Highly specialized imaging tests are medical procedures, which significantly affects their availability. Also, in terms of their economics, application and invasiveness. Thus, their purpose is significantly limited in the initial diagnostics process, and in particular in current physiotherapeutic assessment.
In the world, for over 30 years, gait, balance, selected biomechanics parameters and body functionality have been evaluated by pedobarography. However, other scientific studies of the authors indicate that the method is very little known in Poland by medical staff. Despite the fact that it has been included in the list of guaranteed benefits since 2011, no procedures for its implementation have been specified. An important aspect of pedobarography is the consistency of its directions of use with the standards of training the profession of a physiotherapist. The obvious and logical conclusion is that the lack of knowledge in the area of the method does not allow its development. An important issue is to assess whether education standards are directly consistent with the directions of pedobarography in the rehabilitation process.

Key words:

rehabilitation, physiotherapy, posture tests, gait tests, feet, foot defects, pedobarography, orthopedics, rehabilitation, neurology

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Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial

Mohamed Ali Elshafey, Mohamed Serag, Mohamed Samy Abdrabo

Mohamed Ali Elshafey, Mohamed Serag, Mohamed Samy Abdrabo – Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 114-120

DOI: https://doi.org/10.56984/8ZG1A45D5

Abstract

Background. Surgical repair for anorectal malformation in children had post-operative unsatisfactory results as children still suffering from faecal incontinence. Objective. The effect of Biofeedback in treating children fecal incontinence after anorectal malformations repair was investigated. Methodology. A randomized controlled trial design was conducted in the Pediatric hospital, Mansoura University. Forty-eight children with postsurgical anorectal malformations repair were assessed for eligibility. Forty children (twenty-two boys and eighteen girls) underwent simple randomization into two matched groups, control and study group. The anal function was assessed by Anorectal manometry and faecal incontinence was evaluated by Baylor social continence scale. Measurements were done before and after two months of intervention, and after four months of follow-up. Result. There was statistically significant improvement in maximal resting anal pressure, maximal voluntary contraction pressure, voluntary contraction time, the threshold of rectal sensation, maximal tolerable rectal volume and Baylor social continence scale (P < 0.05) for biofeedback group after two months of intervention and four months of follow-up in comparison with conservative treatment. Conclusion. Biofeedback improved faecal incontinence after ARM repair and had an intermediate follow up effect in conjunction with conservative interventions.

Key words:

biofeedback, anorectal malformation, faecal incontinence, anorectal manometry

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Physical fitness of elderly women undertaking active forms of recreation

Małgorzata Proszkowiec

M. Proszkowiec – Physical fitness of elderly women undertaking active forms of recreation. Fizjoterapia Polska 2020; 20(4); 102-112

Abstract
Objective. The arm of this study was aimed to assess the level of physical fitness of Polish women aged between 60 and 75. Women from two groups were selected to participate in the testing program: the first involved subjects who systematically undertake various forms of activity, whereas the second one comprised seniors with a sedentary lifestyle. Each group consisted of 30 subjects.
Methods. The research was carried out using an original questionnaire developed by these authors, and the Fullerton Functional Fitness Test.
Results. The level of physical fitness of investigated seniors who lead an active lifestyle was found to be at a much higher level compared to the subjects from the second group. Conclusion. Regularly implemented activities involving repeated movement patterns have a beneficial effect on the development of motor skills. Systematically followed physical activity forms a component of preventive physiotherapy and prevents the occurrence of chronic diseases.

Key words:
ageing process, health, fitness, physical activity, Fullerton Fitness Test

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ffect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran – Effect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 94-101

Abstract
Background. Studying of robotic-assisted locomotor training (lokomat) in spasticity modulation on cerebral palsied hemiplegic children is a strategy for determining its efficacy in reducing spasticity.
Objective. To investigate the efficacy of robotic-assisted locomotor training (lokomat) in spasticity modulation. Methods. Thirty spastic hemiplegic cerebral palsied children of both genders ranged in age from 7 to 14 years contributed in this study, they were being randomly selected from comprehensive rehabilitation center and assigned into two equal groups (15 children each). Control group (A) underwent traditional exercise treatment, while Study group (B) underwent lokomat gait training in addition to traditional exercise program. Lokomat training was performed 3 days/week for 4 weeks with up to 45 minutes of training per session. The 3-D kinematics gait analysis was carried out before and after intervention and used as an indicator for improvement and reduction of spasticity.
Results. there was a statistically significant improvement in the study group in comparison to control group. Conclusion. Lokomat gait training is an effective additional tool for physical therapy program in treatment of hemiparetic C.P. children as it plays an important role in decreasing spasticity and improving patient gait pattern.

Key words:
cerebral palsy, spasticity, 3-D measurement, Lokomat gait training

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The impact of weight of school supplies transported by pulling with the left or right hand on body posture features in the frontal plane of 7-year-old students of both sexes

Mirosław Mrozkowiak

M. Mrozkowiak – The impact of weight of school supplies transported by pulling with the left or right hand on body posture features in the frontal plane of 7-year-old students of both sexes. Fizjoterapia Polska 2020; 20(4); 78-92

Abstract
Introduction. The analysis of a student’s environment involves a set of stressors in the field of human ecology, including not only genetic but also epigenetic factors.
Material, method. Body posture examinations were carried out in a group of 65 students aged 7, using the moiré projection method in eight positions: 1 – habitual posture, 2 – posture after 10 minutes of pulling a container with school supplies with one hand, 3 – one minute after removing the load, 4 – two minutes after removing the load. Physical fitness was measured using the Sekita test, supplemented with an endurance test. The significance of differences between measurements 1 and 2 was analysed to determine the impact of load and its correlation with physical fitness, to study its impact on the value of differences in body posture features. Conclusions. 1. Transport of school supplies by pulling a container with the left or right hand causes significant changes in the values of selected body posture features of girls and boys. It should be assumed that these changes will be even greater the heavier the weight of the container, the longer the transport time and the greater the intensity of physical effort. Therefore, this method of transporting school supplies by first-grade students should not be recommended. 2. The level of general physical fitness has a diversified impact on the scope of changes in body posture features as a result of the adopted method of transport of school supplies. Among boys, the impact is significant, and among girls only when pulling with the right hand. Taking into account individual abilities, among boys, the value of posture features is affected by speed, power, endurance and agility, and among girls, additionally by strength.

Key words:
backpack, body posture, projection moiré, physical fitness

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Hand Grip Strength and Fine Motor Skills in Autism Spectrum Disorders

Rajeswari Muthusamy, Ramachandran Padmanabhan, Binu Ninan, Sailakshmi Ganesan

Rajeswari Muthusamy, Ramachandran Padmanabhan, Binu Ninan, Sailakshmi Ganesan – Hand Grip Strength and Fine Motor Skills in Autism Spectrum Disorders. Fizjoterapia Polska 2020; 20(4); 72-77

Abstract

Background. Autism spectrum disorder (ASD) is primarily considered as psychiatric disorder but physical features are associated with it. Motor impairments are manifested as both delays and deficits, with delays found in gross motor, fine motor and speech domains and deficits found in praxis, coordination and gait. Gross motor functions develop overtime but fine motor is still found to be delayed even at the age of three years. Hand Grip Strength (HGS) is reduced in ASD which might be one of the factors for dependent functional fine motor task. The extent of muscle weakness and its impact on fine motor skills (FMS) is not clear which would provide an insight into the child’s physical limitations and plan of care. Aim. The aim of the study was to find the extent of muscle weakness in hand and impact of hand grip strength on fine motor skills in ASD children. Materials and Methods. This cross sectional study was carried out in 65 ASD children who met the inclusion criteria. Subjects were recruited from Vidyasudha – Centre for children with special needs. Children diagnosed as ASD with Childhood Autism Rating Scale were included in the study. Level of the FMS was assessed by Peabody Developmental Motor Scale (PDMS-2) and grip strength was quantified with Martin Vigorimeter. Results. Unpaired t test analysis showed statistically significant change of HGS between normative values of Martin Vigorimeter in Indian population and ASD children with p < 0.05. Pearson’s correlation showed strong positive correlation between fine motor skills and hand grip strength with r value of > 0.7 and p ≤ 0.05. Conclusion. The result concludes that there is significant weakness in hand grip strength with positive correlation of fine motor skills in ASD children. The result insists routine assessment of muscle strength and use of Martin Vigorimeter for assessing hand grip strength in ASD children followed by strengthening exercises to improve activities of daily living and attain functional independency.

Key words:
Autism Spectrum Disorder, Fine motor skills, Hand grip strength, Peabody Developmental Motor Scales, Martin Vigorimeter
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The influence of demographic characteristics on the use and assessment of the effectiveness of rehabilitation

Damian Durlak

D. Durlak – The influence of demographic characteristics on the use and assessment of the effectiveness of rehabilitation. Fizjoterapia Polska 2020; 20(4); 58-70

Abstract
Introduction. Properly selected treatment and rehabilitation plan is essential for patient’s quick recovery. Beside the exact disease, patient’s demographics might also be important, influencing how he or she would like to undergo the rehabilitation and after finishing it – how he or she will judge the effects.
Aim. The aim of this study was to find if there exist a correlation between patient’s demographics and his or her usage and judgement about effects of the rehabilitation.
Methods. Author’s survey form was used, consisting of 11 questions about usage and judgement of the effects of rehabilitation and 6 questions about demographics. Survey was conducted on 121 patients from Masovian Specialist Hospital in Radom between January and February 2020.
Results. Correlation was found for only part of the studied relations, pointing that there exists a relation between demographics and usage and judgement of effects of rehabilitation.
Summary. Individuals planning and prescribing rehabilitation should not only take the specific injury or disability into consideration, but also patient’s demographics to help them as much as possible to quickly gain the full physical ability.

Key words:
demographics, rehabilitation, effectiveness, usage

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Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis – Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 50-56

Abstract
Purpose. This study aimed to evaluate and compare the impact of muscle energy technique and core stability exercises on lumbar lordosis angle, pelvic inclination angle, and lumbar range of motion (ROM) in adults with asymptomatic hyperlordosis. Materials and methods. Sixty subjects with documented lumbar hyper-lordosis, aged 18-30, had a lumbar lordosis angle > 58.5 ° with a body mass index of ˂ 29.9 kg/m2, were assigned randomly into three groups. Group (A) underwent muscle energy technique in addition to postural correction exercises, group (B) received core stability exercises along with postural correction exercises, while group (C) got a postural correction exercise only. The intervention was administered for 12 weeks, three days a week. Plain X-ray and double inclinometers were used respectively for the assessment of lumbar lordosis and pelvic inclination angles and lumbar flexion and extension ROM. Results. All groups reported a substantial decrement in both lumbar lordotic and pelvic inclination angles as well as a marked increment in lumbar flexion and extension ROM following intervention relative to baseline. Differences between groups were noteworthy with respect to lumbar lordotic angle, pelvic angle of inclination and lumbar flexion ROM with significant enhancements in favor of group A and B compared to group C, however, there was no difference between groups regarding lumbar extension ROM. Conclusions. Both muscle energy technique and core stability exercises are equally effective in correcting hyperlordosis and pelvic tilting, as well as in increasing lumbar flexion and extension ROM through improving lumbopelvic stability and pelvic symmetry in adults with asymptomatic hyperlordosis.

Key words:
Muscle energy technique, core stability exercises, hyperlordosis

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Evaluation of manual dexterity after treatment with botulinum type A(B), selected kinesitherapeutic methods: a case study

Sebastian Głowiński, Karol Łosiński, Agnieszka Grochulska, Gabriela Płotka, Adam Hałaburda

S. Głowiński, K. Łosiński, A. Grochulska, G. Płotka, A. Hałaburda – Evaluation of manual dexterity after treatment with botulinum type A(B), selected kinesitherapeutic methods: a case study. Fizjoterapia Polska 2020; 20(4); 40-48

Abstract
Introduction. Botulinum treatment involves the reduction of spasticity in patients qualified for this type of treatment. The main aim of this treatment is to increase the quality of life by improving functionality. In some situations, however, objective tests indicate a deterioration of movement parameters, and at the same time the patient reports improved performance of basic self-care activities. In this case, the decision to continue the therapy depends on the patient’s subjective feelings.
Material and methods. The study concerns a 20-year-old patient with right-sided spastic paresis resulting from the surgical treatment of left thalamic haemangioma in 2008. The patient was qualified for botulinum toxin treatment under the NFZ programme in 2019. The above-mentioned therapy was applied in combination with selected methods of neurophysiological rehabilitation. The aim was to maximize the positive effects of the therapy: to improve the range of mobility and reduce associated reactions, with minimal loss of manual activities of the right upper limb. Tests were performed to assess muscle tone according to the Ashworth scale, and precision grip according to the “Guidelines of the National Council of Physiotherapists for Health Services”. Additionally, the range of motion in the hand joints was measured using the vision system. A subjective 10-degree scale was proposed to assess the incidence of associated reactions during everyday activities.
Results. The results obtained indicated discrepancies between the objective results of standard tests and the patient’s subjective evaluation. According to the patient, despite the loss of some of her hard-earned mobility patterns, her quality of life improved.
Conclusion. Botulinum injection combined with physiotherapy slightly increased the range of motion in the hand joints, decreased the associated reactions, and slightly improved manual dexterity.

Key words:
spasticity, rehabilitation, physiotherapy, botulinum

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