Author: Paulina Handzlik, Katarzyna Karkoszka, Joanna Czesak

Body mass index, postural stability and the risk for falls in women over 60

Paulina Handzlik, Katarzyna Karkoszka, Joanna Czesak

P. Handzlik, K. Karkoszka, J. Czesak – Body mass index, postural stability and the risk for falls in women over 60. Fizjoterapia Polska 2020; 20(3); 76-83

Abstract
Objective of the study. The aim of the study was to assess postural stability and the risk for falls in women over 60, as well as to evaluate the correlation between body mass index, postural stability and the risk for falls.
Material and methods. The research was conducted on a group of 74 women aged 60 to 85 who participated in a rehabilitation stay at a sanatorium. The subjects were divided into classes based on the value of the BMI. Specialistic balance assessment tests were used to evaluate balance. Postural stability and the risk for falls were determined using the Functional Reach Test (FRT) and the Romberg’s test. A stabilometric platform was applied to assess balance using the analysis of COP parameters, while the FRT test was used to evaluate the ability to maintain balance while leaning out and to assess the risk for falls.
Results. The analysis of the results of Functional Reach Test showed no significant effect of body mass index on balance. The analysis of the results of the Romberg’s test revealed statistically significant influence of the body mass index on some parameters.
Conclusions. Body mass index did not have a significant impact on the results of the FRT test. The analysis of the outcomes showed that overweight and obese people have a greater problem with maintaining balance in the presence of a disturbing factor. For those over the age of 60, this may be an additional factor increasing the risk for falls.
Key words:
postural stability, risk for falls, women, BMI
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Dynamic Limit of Stability and Ankle Joint Function Following Neuromuscular Training of Unstable Ankle Joints

Abeer R. Ibrahim, Amira A. A. Abdallah

Abeer R. Ibrahim, Amira A. A. Abdallah – Dynamic Limit of Stability and Ankle Joint Function Following Neuromuscular Training of Unstable Ankle Joints. Fizjoterapia Polska 2020; 20(3); 68-75

DOI: https://doi.org/10.56984/8ZG140A83

Abstract
Purpose. This study investigated and correlated between the dynamic limit of stability and functional level of the ankle joint in patients with unilateral chronic ankle instability after receiving neuromuscular training.
Material and Methods. Forty patients of both sexes were examined. They were assigned into two equal groups; experimental (Group A) and control (Group B). The Biodex Balance system was used for assessing the dynamic limit of stability and the ankle joint functional assessment tool (AJFAT) was used for assessing the functional level of the ankle joint before and after a 4-week period during which Group A received neuromuscular training.
Results. Mixed Design MANOVArevealed that the dynamic limit of stability test duration decreased and the AJFAT score increased significantly in Group A after training compared with before (p < 0.05). Similarly, the dynamic limit of stability test duration decreased and the AJFAT score increased significantly in Group A compared with Group B after training (p < 0.05). Pearson correlation showed significant strong negative correlation between the dynamic limit of stability test duration and AJFAT score in Group A (p < 0.05).
Conclusion. Improvement in dynamic stability and functional joint stability level was perceived with neuromuscular training. This improvement reflects the ability of training to enhance ankle joint sensorimotor capabilities.
Key words:
Neuromuscular training, Dynamic stability, Ankle joint function, Chronic ankle instability
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hysiotherapeutic treatment in a patient after the first implantation of an artificial heart in Poland – SynCardia Total Artificial Heart (TAH)

Katarzyna Gubała, Agnieszka Gaponik, Mariusz Stachowiak, Joanna Foik-Potęga, Izabela Copik, Jacek Waszak, Małgorzata Jasińska, Remigiusz Antończyk, Michał Zembala

K. Gubała, A. Gaponik, M. Stachowiak, J. Foik-Potęga, I. Copik, J. Waszak, M. Jasińska, R. Antończyk, M. Zembala – Physiotherapeutic treatment in a patient after the first implantation of an artificial heart in Poland – SynCardia Total Artificial Heart (TAH). Fizjoterapia Polska 2020; 20(3); 54-66

Abstract
Introduction. The gold standard in the treatment of extreme heart failure is heart transplantation. However, due to the insufficient number of donors, access to this method is limited. Therefore, the implantation of mechanical circulatory support devices is becoming more and more common. One of them is a completely artificial heart – SynCardia Total Artificial Heart (TAH), dedicated to patients with left and right ventricular failure. Due to the invasiveness of the TAH implantation procedure, it is necessary to immediately implement rehabilitation in order to mobilize the patient as soon as possible so that the patient gains independence.
Objective. To determine the benefits and safety of physiotherapeutic treatment carried out in a patient after implantation of the first completely artificial heart in Poland.
Basic assumptions. Physiotherapeutic treatment was carried out in accordance with the standards of cardiac rehabilitation, but with particular attention to the individualisation of the entire process based on the patient’s current clinical condition.
Conclusions. The performed physiotherapeutic treatment was a beneficial and necessary element of the coordinated treatment of the patient after TAH implantation, allowing for the reduction of postoperative complications and for the patient to regain independence.
Key words:
heart failure, mechanical circulatory support, artificial heart, cardiac rehabilitation

kardiologiczna

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Effect of Lumbar Stabilization Exercises versus Kinesio Taping on Non-Specific Low Back Pain in Post-Menopausal Women. A randomized Controlled Trial

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Magda Ramadan Zahran

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Magda Ramadan Zahran – Effect of Lumbar Stabilization Exercises versus Kinesio Taping on Non-Specific Low Back Pain in Post-Menopausal Women. A randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 46-52

Abstract
Purpose. This study aimed to investigate and compare the effect of lumbar stabilization exercises versus Kinesio taping on pain intensity level, functional disabilities, and lumbar range of motion (ROM) on non-specific LBP in post-menopausal women. Materials and Methods. 60 post-menopausal women diagnosed with chronic non-specific LBP participated in this study. Their ages ranged from 50 to 60 years. They were randomly assigned into three groups equal in numbers.  Group A received traditional physical therapy only. Group B received lumbar stabilization exercises and traditional physical therapy. Group C received Kinesio taping technique and traditional physical therapy. All patients received the treatment 3 times per week for 6 weeks. The pain was measured by visual analogue scale (VAS), functional disability was measured by the Oswestry disability index (ODI), and lumbar ROM was measured by a double inclinometer. Results. The group A, B, and C revealed significant decreases in VAS score, ODI score, and significant increases in lumbar flexion and extension ROM post=treatment. Group B and C showed significant decreases in VAS score, and ODI score, and significant increases in lumbar flexion and extension ROM when compared to group A. However, there were no significant differences between group B and group C in all variables post=treatment. Conclusions. Both lumbar stabilization exercises and Kinesio taping have beneficial and similar effects in reducing pain, improving functional ability, and increasing ROM in postmenopausal women with non-specific LBP.
Key words:
Lumbar stabilization, Kinesio taping, Non-specific low back pain, Post menopause
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The role of physical therapy in the treatment of dysfunctions and diseases of the temporomandibular joints

Barbara Ziemlańska, Hanna Sobczak, Adam Polcyn, Barbara Drogoszewska

B. Ziemlańska, H. Sobczak, A. Polcyn, B. Drogoszewska – The role of physical therapy in the treatment of dysfunctions and diseases of the temporomandibular joints. Fizjoterapia Polska 2020; 20(3); 36-44

Abstract
Diseases of the temporomandibular joints (TMJ) constitute an interdisciplinary problem with many symptoms related to the masticatory muscles and the structures that make up the joint.
Pain is the main reason why patients seek help from specialists. Due to the specificity of the area and the complicated structure, the temporomandibular joint is exposed to various types of dysfunctions. Most diseases or dysfunctions of the temporomandibular joint (85–90%) are treated conservatively. Physical therapy plays an important role in the process of restoring fitness and improving the quality of life. It is an increasingly appreciated method of treating disorders within the masticatory system, also due to the problematic area for radical (surgical) procedures.
Key words:
temporomandibular joints, physiotherapy, masticatory muscles, dysfunctions of TMJ
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Impact of Aerobic Exercise on Visceral Adiposity Index in Pre-Diabetic Obese Men: A Randomized Controlled Trial

Magdy Mostafa Ahmed, Essam Qotb Abd allatif, Mohammed Naeem Mohamed, Ehab Kamal Zayed

Magdy Mostafa Ahmed, Essam Qotb Abd allatif, Mohammed Naeem Mohamed, Ehab Kamal Zayed – Impact of Aerobic Exercise on Visceral Adiposity Index in Pre-Diabetic Obese Men: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 32-35

Abstract
Purpose. The aim of this study was to evaluate the effect of aerobic exercise program on visceral adiposity index (VAI) in pre-diabetic obese men. Materials and methods. This study was conducted on 50 obese men (body mass index (BMI) between 30 and 34.9 kg/m²), pre-diabetic (fasting blood sugar (FBS) from 100 to 125 mg/dl) with an age ranged from 40 to 55 years. They were randomly assigned to two groups. Group (A) received only low caloric diet for 14 weeks (n = 25), while group (B) received low caloric diet plus aerobic exercise program for 14 weeks (n = 25). The outcome measures, including anthropometric measures, FBS, lipid profile and VAI, were measured pre- and post-treatment for all patients in both groups. Results. Statistical analysis using pre and post treatment design indicated that there was a significant decrease in anthropometric measurements (weight, BMI, and WC), (p < 0.05), a significant improvement of lipid profile (TG,TC, and LDLc), (p < 0.05) and significant decrease in VAI in both groups with favorite in group B. Comparing both groups post-treatment showed that there were statistically non-significant differences regarding anthropometric measures, FBS and lipid profile (p > 0.05), while there was a statistically significant reduction in VAI (p < 0.05) in favor of group (B). Conclusions. Low caloric diet plus aerobic exercise yield reduction in VAI in pre-diabetic obese men more than low caloric diet alone.

Key words:
Low caloric diet, Aerobic exercise, Visceral adiposity index, Obesity, Pre-diabetic men

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Home-based therapy programmes for children with cerebral palsy aimed at improving spastic hand function

Weronika Cyganik, Jolanta Taczała, Piotr Majcher

W. Cyganik, J. Taczała, P. Majcher – Home-based therapy programmes for children with cerebral palsy aimed at improving spastic hand function. Fizjoterapia Polska 2020; 20(3); 24-31

Abstract
Aim of the study. Presentation of the current state of knowledge regarding the possibility of using home-based therapy to improve spastic hand function in children with cerebral palsy (cp).
Basic assumptions. In current literature we can find descriptions of many methods which are useful in spastic hand therapy at home. The most important of them are: CIMT (Constraint Induced Movement Therapy), H- HABIT (Hand-arm bimanual intensive therapy), Mitii (Move It Improve It), Wii Sports Resort training, You Grabber system, AOT system (Action observation training), Tele UPCAT platform (the UPper Limb Children Action Observation Training) and Tele Reh. Despite methodological differences, all studies have high lighted the importance of the caregiver’s role in home training of children with CP. Continuous support of therapists is vital in ensuring the credibility of the improvement process. Home interventions have a positive impact on mobility and functioning of children in everyday life, and strengthen the bond between the parent/caregiver and the child. The possibility of continuing therapy at home is often of great convenience to families living far from rehabilitation centres.

Key words:
spastic hand, home training, cerebral palsy

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Early Ultrasound Therapy versus Early Active Mobilization after Zone II Flexor Tendon Repair: A Pilot randomized controlled trial

Amr B. Salama, Fatma Alzahraa H. Kamel, Ahmed M. Zarraa, Ashraf A. Khalil, Ashwag Saleh Alsharidah

Amr B. Salama, Fatma Alzahraa H. Kamel, Ahmed M. Zarraa, Ashraf A. Khalil, Ashwag Saleh Alsharidah – Early Ultrasound Therapy versus Early Active Mobilization after Zone II Flexor Tendon Repair: A Pilot randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 18-22

Abstract
Purpose. This study aims to compare the effect of early ultrasound (US) therapy to early active mobilization (EAM) on the outcomes “Range of motion (ROM) and rate of tendon ruptures” of zone II flexor tendon repair. Subjects and Methods. 20 male patients (31 operated digits), who underwent zone II flexor tendon 4-strand repair, were divided randomly into 2 groups: Group (A); 10 patients (15 operated digits) who received early US therapy, and Group (B); 10 patients (16 operated digits) who received EAM. Patients received the treatment (3 sessions/week) from the 3rd day till the end of the 6th week postoperative. Active interphalangeal (IP) joints’ ROM of each operated digit was measured using finger goniometer and Strickland’s Original Scoring System was used to evaluate the ROM outcome at end of the 3rd and 6th postoperative weeks. Tendon ruptures were counted in each group if it occurred. Results. There was a significant improvement in the ROM outcome at end of the3rd and 6th week postoperative in group B compared to group A while no tendon ruptures occurred in either of the groups. Conclusion. The EAM seems to be superior over early US therapy in the improvement of the ROM outcome of zone II flexor tendon repair while both show no tendon ruptures.

Key words:
early ultrasound therapy, early active mobilization, flexor tendon repair

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Presentation and analysis of the types of scales monitoring the progress of physical therapy in patients with low back pain

Joanna Adamska, Tomasz Maicki, Rafał Trąbka, Karolina Pawełkowska, Magdalena Wilk-Frańczuk

J. Adamska, T. Maicki, R. Trąbka, K. Pawełkowska, M. Wilk-Frańczuk – Presentation and analysis of the types of scales monitoring the progress of physical therapy in patients with low back pain. Fizjoterapia Polska 2020; 20(3); 6-17

Streszczenie
Background. LBP is a serious health problem in modern society. Epidemiological studies in many countries indicate that LBP occurs in 85% of the population and is the main cause of physical disability in people under 45 years of age. At the moment, there is a lack of standard of management and monitoring of the progress of physiotherapy in patients with lumbar spine pain. To assess the effectiveness of therapy, researchers use different scales, norms and tests.
Goal. The aim of the study was presentation and analysis various ways of assessing the progress of physiotherapy in people with low back pain.
Material and methods. Publications were searched in the PUBMED search engine by entering keywords low back pain, manual therapy, randomized trial. 98 publications were found meeting the criteria in which various scales were used to assess the progress of therapy in patients with LBP. These were the scales of pain, disability, quality of life, depression, sleep quality, and fear of moving. The inclusion criteria were: publications from the last 5 years, human studies. Publications in English from databases made available online by the Jagiellonian University Medical Library were taken into account. Review and meta-analysis articles, theoretical considerations, surgical and pharmacological treatment of LBP were rejected. The publication regarding coccidium and cervical and thoracic pain was also rejected. The duration of the discomfort was not significant in the search.
Results. The authors used the VAS scale (36 times), the NRS, NPRS scales (36 times) from the pain scales, the ODI scale (38 times) and the RMDQ scale (38 times) from the scales of disability. Quality of life scales SF36 (14 times), EQ-5D (10 times), depression scales CESD10 (2 times), BDI (2 times), sleep quality PSQIQ (4 times), fear avoidance FABQ (12 times), TSK (7 times).
Conclusions. The scales of pain and disability are most commonly used, but scales measuring quality of life, sleep quality, depression and kinesiophobia also appear in research.

Słowa kluczowe:
pain scales, VAS scale, NPRS scale, ODI scale

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Neuromuscular electrical stimulation therapy on controlling dysphagia in spastic cerebral palsy: A randomized controlled clinical trial

Amira Farag El-Sheikh, Amira Mohamed El- Tohamy, Bosina Mohamed Abd El-Aziz, Manal Salah El-Din. Abd El-wahab

Amira Farag El-Sheikh, Amira Mohamed El- Tohamy, Bosina Mohamed Abd El-Aziz, Manal Salah El-Din. Abd El-wahab – Neuromuscular electrical stimulation therapy on controlling dysphagia in spastic cerebral palsy: A randomized controlled clinical trial. Fizjoterapia Polska 2020; 20(2); 194-198

Abstract
Purpose. The purpose of this study was to evaluate the effectiveness of neuromuscular electrical stimulation (NMES) on controlling dysphagia in children with spastic cerebral palsy. Methods. Forty children, with age ranging from 2 to 5 years with a diagnosis of spastic cerebral palsy, they had dysphagia with level four or more in functional oral intake scale. They were randomly assigned into two groups of equal number, the study group that was treated by NMES in addition to selected oromotor exercise home program, whereas the control group was treated by placebo effect of NMES and the same oromotor exercise home program. Feeding level progress was evaluated by functional oral intake scale, weight gain and height were measured pre and post 2 months of the treatment. Results. A statistically insignificant difference was recorded before treatment (P > 0.05) between the study and control group, while a significant difference was recorded in each group after treatment in all measured variables. Comparing between both groups regarding feeding level progress there was significant difference (P < 0.05), but no statistically significant difference between both groups regarding weight gain and height (P < 0.05). Conclusions. The results of this randomized controlled study showed that NMES has more effect on feeding level progress than oromotor exercise home programme but no effect on weight gain and height, so the study suggests that oromotor exercise home Programme with NMES is superior to oromotor exercise home Programme alone for treating dysphagia in children with spastic cp.

Key words:
dysphagia, neuromuscular electrical stimulation, spastic cerebral palsy

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