Author: Włodzisław Kuliński, Barbara Dulnik

Kinezyteraphy in the cerebral palsy – clinical aspects

Włodzisław Kuliński, Barbara Dulnik

W. Kuliński, B. Dulnik – Kinezyteraphy in the cerebral palsy – clinical aspects. Fizjoterapia Polska 2019; 19(3); 106-116

Abstract
Background. Cerebral palsy (CP) is a motor and postural disorder resulting from permanent brain damage that occurred at an early stage of development. It is the most common cause of disability in children, who grow up to become adults, but their functional performance decreases over time.
Aim. To present the importance of kinesiotherapy in CP patients.
Material and methods. The study included 20 patients (12 women and 8 men aged 20 to 60 years) with CP who participated in motor rehabilitation sessions conducted at the Occupational Therapy Workshop in Sędek and the Comprehensive Rehabilitation and Health Promotion Centre in Raków. Their clinical presentation was dominated by manifestations of motor and postural abnormalities caused by upper motor neuron and corticospinal tract damage. A diagnostic survey was used as the research method. The study used a survey questionnaire that collected information about problems associated with everyday life and functioning of the study patients and assessed their rehabilitation programme.
Results. The results emphasise the role of kinesiotherapy in the rehabilitation of patients with CP. Systematic motor rehabilitation contributed to an improvement in their physical fitness and everyday functioning.
Conclusions. Physiotherapy allows patients to achieve their maximum functional level and prevents the development of complications associated with CP.

Key words:
cerebral palsy, kinesitherapy

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Impact of Electronic Balance Training on Postural Instability in Postmenopausal Women: a Randomized Controlled Trail

Reham Ebrahim Mohammed, Hamada Ahmed Hamada, Amel Mohamed Yousef, Khadega Sayed Abdul Aziz, Ghada Mohamed Koura, Rafik Radwan

Reham Ebrahim Mohammed, Hamada Ahmed Hamada, Amel Mohamed Yousef, Khadega Sayed Abdul Aziz, Ghada Mohamed Koura, Rafik Radwan – Impact of Electronic Balance Training on Postural Instability in Postmenopausal Women: a Randomized Controlled Trail. Fizjoterapia Polska 2019; 19(3); 100-105

Abstract
Purpose. Determination of Electronic Balance Board effect on Balance in Women in their postmenopausal period was the aim of this study. Subjects and Methods. Our study design was a randomized, single blind controlled trial. A total of 40 sedentary, medically stable women in their postmenopausal stage complained of poor life quality. The range of the participated women ranged between 50 to 65 years that were randomly allocated into 2 equal number groups: group (A), that participate in the electronic balance board training program in addition to balance rehabilitation program and aerobic exercise, and group (B), which received balance rehabilitation program and aerobic exercise. Each group received 3 sessions weekly for one month. The stability index, AP index and ML index was recorded before and after the intervention. Results. There were a significant reduction in overall stability index, AP index and ML index in group A in compared to group B at the stage of post treatment. Conclusion. A program of four weeks’ electronic balance board besides balance rehabilitation program and aerobic exercise yield improvement in the balance of the Biodex Balance System than a balance rehabilitation program alone in treating problems of postmenopausal balance.

Key words:
Balance, Electronic balance, Aerobic exercises, Menopause

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Athlete’s Heart – New Take on Old Diagnosis

Anna Wizner, Mariola Szulik

A. Wizner, M. Szulik – Athlete’s Heart – New Take on Old Diagnosis. Fizjoterapia Polska 2019; 19(3); 92-99

Abstract
The article describes the issues concerning patients that practise sports and want to familiarize themselves with the mechanisms that influence cardiac muscle while doing physical activity (amateur or competitive) as well as physiotherapists that are familiar with the physiology of the physical effort and the adaptation of circulatory system to the activity including structural changes in heart, and who want to broaden their knowledge on that issue. Often, the latter share their professional knowledge with their patients, therefore it is crucial to remember such information. The topic depicted in the article is absolutely actual because it is acknowledged that a healthy lifestyle is the lifestyle of the 21st Century and a regular physical effort or lack of thereof is the most crucial factor that influences the state of a healthy individual and their length of life.

Key words:
effort, sport, heart, circulatory system

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Effect of Manual therapy over conventional treatment among chronic degenerative joint disease of the knee – A Prospective Comparative study

A D Gopalswami, S.Senthil Kumar, S. Venkatesan

A D Gopalswami, S.Senthil Kumar, S. Venkatesan – Effect of Manual therapy over conventional treatment among chronic degenerative joint disease of the knee – A Prospective Comparative study. Fizjoterapia Polska 2019; 19(3); 82-90

Abstract
Background. Degenerative Joint Disease (DJD) of knee is a musculoskeletal disorder that affects about 22% to 39% of population in India. The physical impairments among DJD patients poses a significant challenge to clinicians in order to manage and restore their functional capabilities. The disease has been well managed with conventional physiotherapy and exercises. The potential benefits of such physiotherapy lasted for short term.
Aim. Thus, the primary aim was to find the efficacy of less explored methods of treating muscular deficits such as Muscle Energy Techniques (MET) and structured exercise program. The primary objectives of the study were to analyze the effectiveness of MET and joint mobilization in relieving pain severity, improving knee joint ROM and muscle strength.
Material and methods. One hundred patients diagnosed to have tibiofemoral joint degeneration with a grade 2 or 3 on Kellgren and Lawrence scale, were allocated in to Experimental Group (EG) and Comparative Group (CG). EG had received manual therapy in the form of joint mobilization, MET, strengthening exercises and patient education whereas CG had received the referred treatment program (Interferential therapy) along with strengthening exercises and patient education for a period of two weeks.
Results. The analyses of outcome variables for Pain (VAS), knee joint Range of Motion (ROM), Muscle Power and Isometric muscle strength of Quadriceps and Hamstrings was done. Choice of statistical tests (Wilcoxon signed rank test and Mann Whitney U test) was used based on the type of variables.
Conclusions. In a disease specific program, inclusion of manual therapy as a part of treatment regimen would be an effective management for knee osteoarthritis patients. Such an intervention may possibly delay or reduce the need for joint replacement.

Key words:
Degenerative Joint Disease, Manual therapy, Muscle energy technique, Exercise program

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The degree of adaptation of the urban infrastructure of Rzeszów to the needs of people with disabilities in the opinion of respondents with mobility dysfunction in a wheelchair

Ewa Puszczałowska-Lizis, Patrycja Birek, Agnieszka Stanuch-Omorczyk

E. Puszczałowska-Lizis, P. Birek, A. Stanuch-Omorczyk – The degree of adaptation of the urban infrastructure of Rzeszów to the needs of people with disabilities in the opinion of respondents with mobility dysfunction in a wheelchair. Fizjoterapia Polska 2019; 19(3); 68-81

Abstract
Introduction. Assistance to a person with a disability should be directed both at improving their functional status as well as at the adaptation of the living space. The aim of the study was to analyze the opinion of people with mobility disabilities on the accessibility of buildings and public places in the city of Rzeszów.
Material and methods. A total of 104 residents of Rzeszów, including 44 females and 60 males with mobility dysfunctions in a wheelchair, were surveyed using a diagnostic survey method. The research tool was a questionnaire. The data were analyzed based on the Mann Whitney U test, Kruskal-Wallis test, and then subjected to Dunn posthoc test with Bonferroni adjustment.
Results. Statistically significant differences in the subjective assessment of the degree of adaptation of the category of buildings and public places to the needs of people with disabilities were found (p = 0.029). People with different levels of education had different opinions about adaptation of shopping malls (p = 0.032) and restaurants and pubs (p = 0.005).
Conclusions. The respondents considered cultural and entertainment facilities to be the best adapted, followed by public institutions, and public transport was rated the lowest. People with secondary education rated the adaptation of shopping malls, restaurants and pubs the best, while the respondents with vocational education rated the availability of shopping malls better than people with secondary education; people with higher education assessed the adaptation of restaurants and pubs better than people with vocational education.

Key words:
disabled, social activity, barriers

 

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Effect of Acupuncture and diet modification on amenorrhea in female athlete triad: A single blind Randomized Controlled Trial

Hala Mohamed Emara, Azza Barmoud Kassab, Amr Hazim Abbassy, Hend Reda Sakr

Hala Mohamed Emara, Azza Barmoud Kassab, Amr Hazim Abbassy, Hend Reda Sakr – Effect of Acupuncture and diet modification on amenorrhea in female athlete triad: A single blind Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(3); 62-67

Abstract
Purpose. Determination of the effect of acupuncture and diet modification using soy products on amenorrhea in female athlete triad.
Methods. Sixty female athletes were selected from Sports Medicine Specialized Center in Nasr City. The range of their ages is from 17 to 25 years, and the index of their body mass < 20 Kg/m2, they were all gymnastics players. They were randomly allocated into three equal number groups, Group A: Twenty patients undergone sessions of acupuncture 30 minutes, 3 times weekly for 12 weeks. Group B: Twenty patients took soy diet from organic origin (phytoestrogen) daily for twelve weeks as 100 milliliter soy milk and 100-gram soy bean. Group C: Twenty patients received both acupuncture therapy and soy in diet for twelve weeks. Assessment of all participants prior and after the treatment program through hormonal analysis was done to show the levels of Estradiol 2 (E2), FSH and LH for the three groups.
Results. The statistical analysis revealed E2, FSH & LH showed a significant increase post treatment in Group C rather than Group B.
Conclusion. Acupuncture and phytoestrogen as soy products seems to be a successful, safe, and effective alternative manner to treat amenorrhea in female athlete triad.

Key words:
Acupuncture, soy products, phytoestrogen, amenorrhea, female athlete triad

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Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems

Krzysztof Czupryna, Olga Nowotny-Czupryna, Joanna Szymańska, Renata Szczepaniak

K. Czupryna, O. Nowotny-Czupryna, J. Szymańska, R. Szczepaniak – Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems. Fizjoterapia Polska 2019; 19(3); 54-61

Abstract
There is a strong relation between the type and severity of the disease/disability, the effects of treatment and/or improvement on one hand, and the quality of life on the other. In the case of a disabled child, this relation also includes members of the family. The criterion of a reduced quality of family life is the limitation of its participation in social life assessed in the area of 6 aspects, i.e.: communication, interpersonal relations with the child, mobility, self-care, domes-tic life and social life. The aim of the work is to present everyday problems in the area of the above mentioned aspects of a family with a disabled child in connection with the necessity to acquire new competences by its members.

Key words:
quality of life, disability, limitations of family in social life

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Effect of Visceral Decongestion of True Pelvis on Primary Dysmenorrhea

Atef Mohamed Atef, Hala Mohamed Emara, Hossam El Din Hussein Kamel

Atef Mohamed Atef, Hala Mohamed Emara, Hossam El Din Hussein Kamel – Effect of Visceral Decongestion of True Pelvis on Primary Dysmenorrhea. Fizjoterapia Polska 2019; 19(3); 46-52

Abstract
Background. Primary dysmenorrhea has a profound psychosocial impact not only on girls but also on their families as it has an effect on their performance of the daily living activities and decreases their ability to maintain an independent life style.
Purpose. This study was conducted to detect the effect of visceral decongestion technique of true pelvis on primary dysmenorrhea.
Subjects. Fifty girls with primary dysmenorrhea diagnosed by gynecologist selected randomly from Said Galal University Hospital in Cairo, Al Azhar University participated in this study. Their ages were ranged from 16 to 25 years old and their body mass index was ranged from 18.5 to 25 kg/m2. Girls with gynecological diseases that may cause secondary dysmenorrhea such as; Endometriosis, Adenomyosis, Fibroids, Polybs and Pelvic inflammatory diseases, married or non-virginal girls were excluded from the study. This study was conducted from May 2017 to August 2018. Design. pre and post experimental study. They were divided into two equal groups, group A treated by NSAIDS (Brufen 400 mg), two tablets per day during menstruation only for three months; group B treated by the same medical treatment as in group A in addition to visceral decongestion technique for true pelvis, three sessions per week before the expected day of menstruation by two days till end of the menstruation. All patients received four sessions in one month for three menstrual cycles.
Methods. Visual analogue scale (VAS) and serum cortisol level were used to measure pain intensity and Doppler ultrasound used to measure the vascularity of the uterus for both groups A and B pre-treatment and post-treatment of 1st, 2nd and 3rd menstrual cycle. Results. In group A there was no statistical significant decrease in the mean value of VAS, cortisol level, RI of left and right uterine artery of pre-treatment values of 2nd and 3rd menstrual cycle when compared with its corresponding value of 1st menstrual cycle. While there was significant decrease of post-treatment values of group A, pre and post treatment values of group B. There was significant difference in pre-treatment and post-treatment values of VAS, cortisol level, RI of left and right uterine artery between both groups A and B (more decrease in group B pre-treatment and post-treatment).
Conclusion. Visceral decongestion of true pelvis can be used as a treatment in reducing severity of pain, reducing serum cortisol level and increasing blood supply to the uterus in primary dysmenorrhea.

Key words:
Visceral decongestion, True pelvis, Primary dysmenorrhea

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Implementation of manual physiotherapeutic activities as an important element of supporting surgical treatment in congenital malformations of the bite and temporomandibular joints – case report

Szymon Tyszkiewicz, Marta Tyndorf, Krzysztof Dowgierd

S. Tyszkiewicz, M. Tyndorf, K. Dowgierd – Implementation of manual physiotherapeutic activities as an important element of supporting surgical treatment in congenital malformations of the bite and temporomandibular joints – case report. Fizjoterapia Polska 2019; 19(3); 38-45

Abstract
Introduction. Surgical procedures used to treat congenital craniofacial malformations may give rise to complications, resulting in impaired function of the stomatognathic system. Reconstructive correction of subsequent defects may require multi-disciplinary skills, including those of maxillofacial and microsurgery, orthodontics, speech therapy and physiotherapy. The purpose of reconstruction to restore function can be divided into two stages: firstly the establishment of correct anatomical relationships in the facial skeleton and secondly the restoration of function of individual structures of the stomatognathic system, together with the stabilisation of both function and appearance. The latter is fundamentally associated with supportive physiotherapy.
Aim of the study. The aim of the study was to determine the effectiveness of physiotherapy in the process of restoring motor functions in the stomatognathic system in a patient treated for disorders of the masticatory apparatus.
Material and methods. The article presents an account of supportive physiotherapy utilised in the healing process. The case study presented is that of a patient with congenital ankylosis of the temporomandibular joints. The patient presented in the maxillofacial department for surgical joint treatment and with associated in activity in the musculature of this region. Initial treatment involved bilateral arthroplasty with prosthetic arthroplasy, after which it was possible to proceed to restoration of functional speech. The provision of physiotherapy over a timescale of six months achieved reduction of oedema, development of the expected range of movement, reduction of pain and the achievement of deglutition.
Results. Results were maintained through continuation of therapeutic procedures, since periods of reduced activity are associated with loss of function. In order to increase functional capacity and achieve stability, the patientis to undergo microtransplantation (cable grafts) and orthodontic treatment to achieve full centricocclusion. Speech therapy and physiotherapy will also be continued.
Conclusions: Supportive physiotherapy should be a key element of treatment of patients after maxillofacial procedures, regardless of whether this is due to injury, congenital malformation ororthognathic procedures.

Key words:
arthroplasty, ankylosis, dental physiotherapy, temporomandibular joint

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Long-term effects of vacuum massage on postburn hypertrophic scar thickness: a single blind randomised controlled study

Mahmoud Elshazly, Ahmed Mahmoud Kadry

Mahmoud Elshazly, Ahmed Mahmoud Kadry – Long-term effects of vacuum massage on postburn hypertrophic scar thickness: a single blind randomised controlled study. Fizjoterapia Polska 2019; 19(3); 32-37

DOI: https://doi.org/10.56984/8ZG13F46E

 

Abstract
Background. Burn victims develop hypertrophic scar as a progression to burn wound healing. Physical therapy intervention may help, as adjuvant therapy, in solving this problem.
Objective. The aim was to study the effectiveness of vacuum therapy on the post burn scar in addition to conventional physical therapy.
Design, Setting, and Participants. Randomized, single-blind, superiority, parallel, controlled, clinical trial in patients with hypertrophic scar post-burn in the lower limb, age between 20 and 40 years, selected form Out-Patient Clinic of burn and surgery in the South Valley University Hospitals between October 2017 and May 2018. 48 patients were randomized into either study or control group, using block randomization (study group n=24 and control group n=24). Interventions: conventional physical therapy in form of friction massage and lower limb muscles stretching was conducted for the control group and vacuum treatment in addition to conventional physical therapy was conducted for the study group. Treatment frequency was 3 sessions per week for 4 weeks. Outcomes: assessment of scar thickness using ultrasonography and assessment of scar severity by modified Vancouver Scar Scale (mVSS) were the main outcomes.
Results. 42 patients were analysed (study group n = 22 and control group n = 20) with follow up measure after 4 weeks showed significant improvement in scar sickness with 22% and 34% percentage of improvement and 56% and 62% improvement in mVSS within groups control and study groups respectively, with no significant difference between both groups in before or after treatment measures.
Conclusion. Adding vacuum therapy to conventional physical therapy treatment program is effective but not superior to the conventional physical therapy intervention alone, in the form of friction massage and stretching, in the treatment of lower limb hyper trophic scar

Key words:
hypertrophic scar, postburn scar, vacuum therapy, friction massage

 

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