The effect of deep electromagnetic stimulation of pelvic floor muscles on low back pain in female patients with stress urinary incontinence

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

Abstract
Objective. The goal of the study was to assess the effect of deep electromagnetic stimulation of pelvic floor muscles on low back pain in women with stress urinary incontinence.
Material and methods. The study was conducted in a group of 85 women with chronic low back pain and coexisting urinary incontinence who underwent 10 deep electromagnetic stimulation sessions of the pelvic floor. The assessment of the effectiveness of the therapy was performed on the basis of the VAS scale, the assessment of the activities of daily living and changes in the severity of symptoms associated with urinary incontinence.
Results. A statistically significant reduction in the severity of low back pain was reported according to the VAS scale – Me (IQR) respectively: 5 (4-7) before vs. 3 (1-4) after the therapy. Functional mobility and ability to perform everyday activities improved statistically significantly. There was also observed a statistically significant reduction in the incidence of urinary incontinence episodes (0% of patients without episodes of incontinence before therapy vs. 47.1% of patients after the treatment) and a decrease in the urine output. However, the obtained effects of the therapy were not long-lasting. In half of the patients, both the analgesic effect and the improvement of urinary incontinence symptoms lasted at most 2 months (IQR: 1-3 months in the case of low back pain and IQR: 1-2 months in the case of stress urinary incontinence).
Conclusions. 1. Deep electromagnetic stimulation of pelvic floor muscles decreases low back pain and reduces symptoms of stress urinary incontinence. 2. The improvement effect is not long-lasting.

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Key words:
low back pain, urinary incontinence, pelvic floor muscles, electromagnetic stimulation

Comparison of Physical Capacity in Swimming and Non-swimming Children Aged 10-12

Aleksandra Kruk, Joanna Spurek, Marek Kiljański

Aleksandra Kruk, Joanna Spurek, Marek Kiljański – Comparison of Physical Capacity in Swimming and Non-swimming Children Aged 10-12. Fizjoterapia Polska 2018; 18(3); 36-44

Abstract
Objective. The supreme objective of this study was to compare the physical capacity of swimming children and the children that do not do any physical activity, aged 10-12.
Materials and methods. The research was conducted among 60 children, of whom 30 swim regularly and the other half do not exercise physically at all. The research subjects included 13 girls and 17 boys aged 10-12. The study used a questionnaire as well as two exercise tests: Ruffier test and 6-minute march test.
Results. It was noted in the endurance tests that swimming persons had better results than the persons who do not do sports. The Ruffier test demonstrated that the physical performance of swimmers was better at almost every level. The 6-minute march test demonstrated that swimmers are able to cover a longer distance with a smaller effort than the physically passive persons. When analysing the results from the statistical point of view, one may note a relationship between the regularity of physical activity and the degree physical capacity.
Conclusions. The capacity of the children who are physically active is greater than of those who are not. The results are also affected by ways of spending free time and the amount of time devoted daily to activity.

Key words:
physical capacity, swimming, movement, physical activity

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Body posture in children practicing handball

Katarzyna Michalak, Natalia Dobrowolska, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska

Katarzyna Michalak, Natalia Dobrowolska, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska – Body posture in children practicing handball. Fizjoterapia Polska 2018; 18(3); 30-35

Abstract
Purpose. The purpose of the study was to establish the influence of practicing handball on body posture of children and to determine any possible asymmetry connected with regular training of this discipline.
Material and methods. The study was conducted among 40 12-year-old children (15 girls and 25 boys) training handball in Students Sport Club Anilana, Sobolowa 1 street, Lodz for at least 3 years. Children undergone body posture assessment according to Kasperczyk’s Point Method.
Results. In the studied group no significant deviations from correct posture were found in terms of head, shoulders, shoulders, chest, abdomen, lumbar lordosis, spine alignment and knees. Only one of the studied children presented significant change in the alignment of thoracic kyphosis and three – in the alignment of foot.
Conclusions. Training handball for at least 3 years enabled to maintain and fix correct body posture among 12-year-olds and did not cause any significant postural asymmetry.

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Key words:
body posture, sports training, adolescents

Efficacy of selected physiotherapeutic procedures in the treatment of lumbar spine pain

Tomasz Miśkiewicz, Zbigniew Dudkiewicz, Robert Irzmański, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

Tomasz Miśkiewicz, Zbigniew Dudkiewicz, Robert Irzmański, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska – Efficacy of selected physiotherapeutic procedures in the treatment of lumbar spine pain. Fizjoterapia Polska 2018; 18(3); 12-28

Abstract
Aim of the study. The aim of the study was to evaluate the effectiveness of selected sets of physiotherapeutic procedures for pain in the lumbosacral segment caused by degenerative disease.
Materials and Methods. The study involved 45 patients with pain syndromes within the lumbosacral spine, who underwent a series of physiotherapy treatments. The subjects were divided into four groups. Three groups were divided depending on the applied sets of physiotherapy treatments, while the fourth group (comparative) were those taking only non-steroidal anti-inflammatory drugs (NSAIDs) for the duration of a series of treatments in the remaining groups. The patients were examined using the questionnaire of their own questionnaire, the SF-36 questionnaire (vol.2) of the short questionnaire version (Poland version), Lovett test, Laitinen scale and diagnostic tests (Laseque, Bragard, Thomayer). The tests were carried out immediately before the treatment series and two weeks after its completion.
Results. The subjects were aged 45-65. 71.1% were women and 28.9% were men. 13.3% of people were physically active. Spinal osteoarthritis was the cause of pain in all patients participating in the study. In the research group, a statistically significant difference was found between the results of the severity of pain, the level of muscle strength and the quality of life measured before physiotherapy and 2 weeks after its completion. In 90% of people participating in the procedures, an increase in muscle strength was obtained, whereas in the control group only in 6%. The improvement of the ranges of mobility in the discussed section of the spine concerned 46.6% of the subjects participating in the treatment series. In the comparison group, none of the patients improved their range of motion.
Conclusions. Physiotherapeutic treatments have a positive effect on the reduction of pathological symptoms of the lumbosacral spine. They have a positive effect on improving the quality of life, muscle strength, ranges of mobility and reducing or completely removing pain. Regardless of the applied set of physiotherapeutic treatments, they worked better than the intake of non-steroidal anti-inflammatory drugs by patients.

Key words:
physiotherapy, degenerative disease, lumbosacral segment, non-steroidal anti-inflammatory drugs

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Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention

Włodzisław Kuliński

W. Kuliński – Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention. Fizjoterapia Polska 2018; 18(3); 6-10

Abstract
Introduction. The first cases of the disease known as acquired immune deficiency syndrome (AIDS) were described in 1981. According to the WHO, more than 35 million people worldwide have been diagnosed with HIV since then. The number of HIV-infected individuals in Poland is estimated at 35 000. The disease is associated with changes involving, among others, the central and peripheral nervous system and the musculoskeletal system. Patients are referred for physical treatment due to lower limb paresis, disturbed sphincter function and coordination as well as acute articular pain.
Material and methods. The paper presents physical treatment and rehabilitation conducted in HIV-infected patients with these problems. The principles of preventing HIV infection in the staff of the Division performing the procedures are also described together with HIV infection prophylaxis.
Conclusion. The principles of prevention and timely preventive measures may help the staff avoid HIV infection.

Key words:
HIV/AIDS infection, physiotherapy, principles of prevention

 

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Medycyna Fizykalna i Rehabilitacja na kongresie w Łodzi

Rehabilitacja pacjentów z chorobą nowotworową oraz terapia obszaru dna miednicy – to tylko niektóre z tematów jakie znalazły się w programie tegorocznego Kongresu Medycyny Fizykalnej i Rehabilitacji w Łodzi. Wydarzenie gromadzące kilkuset lekarzy oraz fizjoterapeutów odbędzie się w dniach 20-23 września przy okazji 26 edycji międzynarodowych targów REHABILITACJA.

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Aerobic training enhances cognition and functional status in depressive multiple sclerosis patients. A case-control study-pilot study.

Marta Niwald, Justyna Redlicka, Elżbieta Miller

M. Niwald, J. Redlicka, E. Miller – Aerobic training enhances cognition and functional status in depressive multiple sclerosis patients. A case-control study-pilot study. Fizjoterapia Polska 2018; 18(2); 96-102

Abstract

Background: The objectives of this study were to assess the effects of aerobic training (AT) on depression, cognition and functional status in 2 groups of multiple sclerosis (MS) patients: with depression syndrome (MS-D) and without depression (MS).
Objectives: a sample of 31 individuals with MS and 28 MS-D performed 30 minutes of AT using lower-extremity ergometer 3×10 min each day, with a 60-minute break for 6 weeks. Both groups were matched for the age and sex.
Material and methods: all examined parameters were assessed before and after AT series with use of Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), Activities of Daily Living (ADL) scale and the Expanded Disability Status Scale (EDSS). We analyzed the drop-out rate as a measure of feasibility.
Results: In both groups, the AT session induced a significant improvement in reducing depression (BDI) and cognition impairment (MoCA). However, the changes observed in MS-D patients were significantly greater than those observed in MS patients, especially in BDI and MoCA. There were no statistically significant correlations of EDSS, MOCCA, BDI, ADL, age or gender.
Conclusions: AT appears to be an effective and simple tool for improving cognition and functional status in patients with MS. This study indicates that aerobic training is feasible and could be beneficial for patients with progressive MS.

Key words:
Aerobic training, Multiple Sclerosis (MS), cognition, depression

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