Author: Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski

Sacro-lumbar orthosis in lower back pain syndromes – literature review

Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski


Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski – Sacro-lumbar orthosis in lower back pain syndromes – literature review. Fizjoterapia Polska 2022; 22(3); 164-168

DOI: https://doi.org/10.56984/8ZG142R1m

Abstract
Purpose of study. The purpose of this study is to analyze the effect of sacral-lumbar orthoses on the occurrence of pain in patients with low back pain (LBP) and the effects of these orthoses on the muscles that stabilize the trunk based on the available literature.
Methods. For the purpose of this study, the following databases were searched: Pubmed, Scopus, ScienceDirect, Medline, and others using the Google Scholar search engine using the following keywords: low back pain, lbp exercise, low back pain epidemiology, low back pain orthosis, low back pain therapy, LBP treatment, lumbar sacral orthosis.
Results. 26 of the 92 articles searched by the above method were analyzed in relation to the subject of the use of sacral-lumbar orthoses in patients with spinal pain syndrome. The analysis did not show that wearing a corset negatively affects muscle strength. Most current studies recommend using a corset in combination with exercise and/or pharmacotherapy for LBP.
Conclusion. There are not enough studies to conclusively determine the effect of lumbar sacral orthoses on the sensation of pain in the lumbar spine. Among the main limitations of the analyzed studies are difficulty in measuring pain, as pain is a subjective sensation, and the significant number of possible causes of LBP, which are sometimes difficult to specify.

Key words:
sacral-lumbar orthosis, spinal pain syndrome, lower back pain

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Effect of myofascial release on spinal adjustment in treatment of postural scoliosis: A randomized controlled clinical trial

Ahmed Mohamed Fathi Elshiwi, Saud Mashi Alrawaili, Raghad Mudawi Yahya Asiri, Sara Awad Gharama Alasmri, Ghada Mohamed Rashad Koura


Ahmed Mohamed Fathi Elshiwi, Saud Mashi Alrawaili, Raghad Mudawi Yahya Asiri, Sara Awad Gharama Alasmri, Ghada Mohamed Rashad Koura – Effect of myofascial release on spinal adjustment in treatment of postural scoliosis: A randomized controlled clinical trial. Fizjoterapia Polska 2022; 22(3); 156-163

Abstract
Background. Scoliosis is lateral curvature of the normal vertical line of the spine. Myofascial pain syndrome is a chronic regional pain, caused by trigger points in skeletal muscle.
Purpose. To assess the effect of myofascial release (MFR) on spinal adjustment in treatment of postural scoliosis.
Methods. A randomized controlled clinical trial. Thirty Egyptian female students were assigned randomly in to two groups. The control group received therapeutic exercises (stretching and strengthening exercises of the back) for 6 weeks (n = 15), and the experimental group received MFR and the same exercises for 6 weeks (n = 15). The following parameters including pain level assessed by visual analog scale (VAS), functional disability assessed by Oswestry disability index (ODI), lumbar range of motion (flexion, extension, and side bending to the convex side) and Cobb’s angle assessed by X-ray were measured before and after 6 weeks of treatment.
Results. The results showed significant improvements in pain level, functional disability, and lumbar range of motion in all directions in the study group compared with those in the control group (p < 0.05); however, the Cobb’s angle showed no significant differences between the two groups after treatment (p < 0.05).
Conclusion. Myofascial release is an effective method for spinal adjustment in treatment of postural scoliosis.

Keywords
myofascial release, spinal adjustment, postural scoliosis

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Efficacy of Acapella versus Power Lung on relieving dyspnea after coronary artery bypass graft

Shymaa Yussuf Abo-zaid, Zeinab Mohammed Helmy, Mahmoud Khairy, El-sayed Essam El-sayed Felaya


Shymaa Yussuf Abo-zaid, Zeinab Mohammed Helmy, Mahmoud Khairy, El-sayed Essam El-sayed Felaya – Efficacy of Acapella versus Power Lung on relieving dyspnea after coronary artery bypass graft. Fizjoterapia Polska 2022; 22(3); 150-154

DOI: https://doi.org/10.56984/8ZG142Sbq

Streszczenie

Purpose. This study was conducted to compare the efficacy of Acapella versus Power lung on relieving dyspnea after coronary artery bypass graft (CABG) surgery.
Methods. Sixty patients of both sex who underwent CABG surgery with age ranged from 40-50 years old participated in this study, They were randomly assigned into two equal experimental groups (n = 30), group (A) and group (B), (Group (A) received Acapella while Group (B) received Power Lung, each device conducted through a supervised session of three sets each one of 10 repetitions, two times daily from first day postoperative until the seventh day, in addition to routine physiotherapy program, Modified Borg scale was assessed for all patients before the beginning and after the end of this study.
Results. there was a significant decrease in Modified Borg Scale score in both groups (A) and (B) by 44.07 % and 23.09 % respectively. Between-groups analysis showed a significant difference between both groups in favor of group (A) (p < 0.001).
Conclusion. Acapella and Power Lung were most effective devices for improving dyspnea post CABG surgery with superiority for Acapella device.

Key words:
acapella, power lung, dyspnea, modified Borg scale, coronary artery bypass graft surgery

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Coaching as a tool to motivate physiotherapists to improve their professional qualifications

Damian Durlak


Damian Durlak – Coaching jako narzędzie motywowania fizjoterapeutów do podnoszenia kwalifikacji zawodowych. Fizjoterapia Polska 2022; 22(3); 144-148

Abstract
Introduction. Professional development is crucial for specialists in all fields. Physiotherapists also should take care of their professional and educational development. Coaching is able to help them set and achieve goals.
Objectives. This article was focused on characterization of coaching and its possible use among physiotherapists.
Methods. Review of the literature was used, consisting of articles about coaching among medical professionals.
Results. The vast majority of articles emphasize coaching’s positive qualities and effectiveness in medical professionals’ professional, educational and personal development. Few drawback were mentioned – mostly the need to appropriately match time and theme of the meetings with specific medical professions.
Conclusions. Coaching is still not a popular topic around physiotherapists. It should be more widespread, to encourage further development, independently from the level of education or professional experience.

Key words:
physiotherapists, coaching, professional development, competences, qualifications

Refractory error outcome and pachymetric changes of simultaneous versus sequential intracorneal ring segment implantation with femtosecond laser and corneal collagen crosslinking for keratoconus in Egyptian patients

Moataz Mohamed Nasrat, Ahmed Medhat Abdelsalam, Mohamed Bassam Goily, Amr A Eldib, Gehan A Hegazy


Moataz Mohamed Nasrat, Ahmed Medhat Abdelsalam, Mohamed Bassam Goily, Amr A Eldib, Gehan A Hegazy – Refractory error outcome and pachymetric changes of simultaneous versus sequential intracorneal ring segment implantation with femtosecond laser and corneal collagen crosslinking for keratoconus in Egyptian patients. Fizjoterapia Polska 2022; 22(3); 138-143

Abstract
Keratoconus is degenerative, non-inflammatory corneal disease. Primary keratoconus treatment is corneal collagen cross-linking (CXL) to stabilize coning. Additional therapy as intra-corneal rings segment (ICRS) required improving visual acuity. This study aimed to evaluate refractive outcomes and pachymetric changes of combined simultaneous ICRS and CXL on one session (Simultaneous) versus two sessions (Sequential). This Prospective Intervention Comparative Study included forty patients (60 eyes) with mild to moderate KC. Patients sorted into 2 groups: Simultaneous group includes 21 KC patients (30 eyes) undergo two procedures (ICRS then CXL) at same session and Sequential group includes 19 KC patients (30 eyes) undergo ICRS then CXL on two sessions with 3-4 weeks. Patients followed up at end of 1st, 3rd and 6th months. Assessment included changes in uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refractive errors sphere and cylinder, and Pachymetry. Improvement of UCVA, Sphere and Cylinder mean in Simulations and Sequential groups occurred at postoperative period at end of 1st; 3rd and 6th month; while BCVA values significantly improvement at postoperative period at end of 3rd and 6th month versus preoperative value. In conclusion, combined ICRS and CXL performed effectively in one or two sessions.

Key words:
corneal collagen crosslinking, ectasia, femtosecond laser, intracorneal ring segments insertion, keratoconus, refractory error, sequential, simultaneous

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Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial

Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed


Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed – Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial. Fizjoterapia Polska 2022; 22(3); 130-137

DOI: https://doi.org/10.56984/8ZG1420LR

Abstract
Objective. To study if different cervical mobilizations have a long-term effect on pain relief and strengthening of external rotators and abductors in rotator cuff tendinitis. Method. Seventy-five patients with rotator cuff tendinitis were recruited from outpatient clinic, with age ranged from 25 to 40 years. Group A: C5-6 antero-posterior cervical mobilization and ultrasound therapy. Group B: C5-6 lateral glide cervical mobilization and Ultrasound. Group C: C5-6 Postero-anterior cervical mobilization and US. The Visual Analogue Scale measured pain severity level and Lafayette Manual Muscle Tester measured shoulder external rotators and abductors isometric muscle strength. Results. The Wilcoxon test revealed a statistically significant difference in shoulder external rotators, abductors strength, and pain reduction between pre, immediate post-mobilization, 10 minutes post-mobilization, and 30 minutes post-mobilization within the three groups. But, the immediate post-mobilization and 10 minute post-mobilization median values of external rotators were statistically significant differences among the three groups, while the 30 minute post-mobilization median values of external rotators were not. For Abductors: Among the three groups, there were no statistically significant differences in abductors’ immediate post-mobilization, 10 minute post-mobilization, or 30 minute post-mobilization, but there were statistically significant differences in pain scores immediate post-mobilization, 10 minute post-mobilization, and 30 minute post-mobilization. Conclusion. The study found that all three kinds of cervical mobilization are useful in reducing pain and strengthening the external rotators and abductors muscles and that the most effective method is antero-posterior in treating rotator cuff tendinitis.

Key words:
lateral glide, antero-posterior mobilization, postero-anterior glide, muscle strength, rotator cuff tendinitis

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Early physical rehabilitation in left ventricular assist device recipients

Katarzyna Gubała, Mariusz Stachowiak, Joanna Foik-Potęga, Karina Drżał, Agnieszka Biełka, Miłosz Cimcioch, Agnieszka Gaponik, Piotr Przybyłowski, Michał O. Zembala


Katarzyna Gubała, Mariusz Stachowiak, Joanna Foik-Potęga, Karina Drżał, Agnieszka Biełka, Miłosz Cimcioch, Agnieszka Gaponik, Piotr Przybyłowski, Michał O. Zembala – Early physical rehabilitation in left ventricular assist device recipients. Fizjoterapia Polska 2022; 22(3); 122-129

Abstract
Background. Left ventricular assist devices represent a significant advance in therapy of patients with end-stage heart failure. Early rehabilitation of patients implanted with left ventricular assist device is crucial and should be implemented as soon as possible. The aim of this study was to evaluate outcomes and establish algorithm for early cardiac rehabilitation in patients with end-stage heart failure implanted with continuous-flow left ventricular assist devices (CF-LVAD).
Methods. The study was designed as prospective, single center, observational study and included 68 patients who underwent early stage physiotherapy after CF-LVAD implantation in our institution in years 2017-2020. Therapeutic sessions took place in Intensive Care Unit and in Cardiac Surgery Unit. An algorithm of physiotherapeutic sessions included early mobilizations and transfers , breathing and circulatory exercises and finally training on a bicycle ergometer.
Results. The mean total hospitalization time of the studied group was 34.5 days. A significant statistical correlation between age and the result obtained in bicycle training was noted (p = 0.0007) as well as for the relationship between age and gaining independence (p = 0.03) and between time of first upstanding and total hospital stay (p = 0.001). We found no statistically significant correlations between BMI and the result obtained in the cycling training (p = 0.64).
Conclusions. In CF-LVAD recipients starting physical therapy as soon as possible is safe, effective and contributes to significant shortening of total hospital stay. Younger patients achieve better results in bicycle training and 6 minutes walking test.

Key words:
cardiac rehabilitation, continuous – flow left ventricular assist device, heart failure, mechanical circulatory support

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Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study

Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan


Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan – Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study. Fizjoterapia Polska 2022; 22(3); 116-121

Abstract
Background. Low back pain (LBP) is common after cesarean delivery. So, this study was conducted to assess and compare the intensity of subacute LBP and disability among women who underwent cesarean delivery with different anaesthetic types.
Methodology. This retrospective cohort study was conducted to 38 women “26 of them underwent cesarean delivery, assessed after 6 to 12 weeks from delivery, they were classified into: [epidural anaesthetic group (Group A) n = 6, spinal anaesthetic group (Group B) n = 13, general anaesthetic group (Group C) n = 7], they were either primiparous or multiparous who did not receive anaesthesia for at least one year prior to the last delivery, the other 12 women were the control group (Group D) who didn’t experience pregnancy or anaesthesia”.
Results. The mean values of visual analogue scale (VAS) in Group A, Group B, Group C, and Group D were 5.00 ± 1.67, 4.62 ± 1.12, 5.14 ± 1.21, and 2.17 ± 0.71, respectively. The ANOVA test revealed a significant difference in VAS (P = 0.0001; P < 0.05) among the four groups. while the post-hoc test revealed non-significant differences (P = 1.000; P > 0.05) between the three anaesthetic groups. Also, the mean values of Oswestry Disability Index (ODI) in the same four groups were 26.00 ± 16.68, 27.00 ± 11.72, 30.00 ± 6.87, and 25.00 ± 9.33, respectively. The ANOVA test revealed non-significant difference in ODI (P = 0.838; P < 0.05) among the four groups.
Conclusion. Epidural, spinal and general anaesthesia for cesarean delivery are associated with increased intensity of subacute LBP, but without significant differences between these anaesthetic types. However, they do not increase the disability.

Key words:
neuraxial anaesthesia, general anaesthesia, cesarean delivery, subacute period, low back pain

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Post-COVID-19 rehabilitation in the post-hospitalization period – case study

Michał Polawski, Wiktor Obręcki, Magdalena Kościelniak, Rafał Trąbka


Michał Polawski, Wiktor Obręcki, Magdalena Kościelniak, Rafał Trąbka – Post-COVID-19 rehabilitation in the post-hospitalization period – case study. Fizjoterapia Polska 2022; 22(3); 102-115

DOI: https://doi.org/10.56984/8ZG142HN3

Abstract
Aim of the research work. The main goal of the research work was to show an author’s plan of physiotherapeutic intervention for people suffering of COVID-19 in the post-acute stage. The therapeutic procedure highlighted pulmonary rehabilitation, aerobic and resistance training and patient’s education.
Case study. The research work was performed on a 62-year old woman, who was diagnosed with infection by SARS-CoV-2 virus. The patient was admitted to ICU with acute ARDS in a heavily severe condition. The medical history showed obesity, chronic ischemic heart disease, arterial hypertension and cardiac arrest (2011). The patient was admitted to the rehabilitation unit in the post-acute stage of infection, and was using passive oxygen therapy with oxygen flow set to 4 l/min. During the qualification for therapy the patient was tested using a questionnaire which consisted of clinical tests such as 6MWT, MRC, 30CST and FIM scale. Furthermore, the lungs were examined using spirometry. Identical measurements were being used every 2 weeks of the therapy process. After 8 weeks of physiotherapeutic procedure there was a significant increase of score in 6-MWT which upgraded by 750%. Systematic improvement was also visible in dyspnoea and fatigue, which completely surceased after finishing the therapeutic process. Functional state of the patient improved considerably which is shown by 30CST score, improved by 380%. Spirometry score analysis shows FVC, FEV1 and Tiffeneau-Pinelli index improve respectively by 40%, 53% and 9.6%.
Summary. The therapeutic program based on pulmonary rehabilitation, aerobic and resistance training and patient’s education looks very promising. Implemented procedure contributed to the patient’s relatively quick recovery to a pre-COVID-19 state. Patient’s physical and pulmonary efficiency were noticed, exertional tolerance increased, dyspnoea and fatigue gave way which all combined led to improved functional efficiency. Pulmonary system function was also enhanced which was demonstrated by spirometry.

Key words:
SARS-CoV-2, COVID-19, physiotherapy, rehabilitation

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Academic cognitive stress of undergraduate medical students during COVID-19 pandemic

Lamiaa K. Elsayyad, Hashma S. Aljaad, Shahad M. Aburas, Raghad I. Almatani, Haneen A. Al­Shehri, Amjad G. Al­Thagafy, Sara S. Alshehri, Hatem H. Allam


Lamiaa K. Elsayyad, Hashma S. Aljaad, Shahad M. Aburas, Raghad I. Almatani, Haneen A. Al­Shehri, Amjad G. Al­Thagafy, Sara S. Alshehri, Hatem H. Allam – Academic cognitive stress of undergraduate medical students during COVID-19 pandemic. Fizjoterapia Polska 2022; 22(3); 94-100

Abstract
Purpose of the study. To investigate the level of academic stress among Taif University medical students during the COVID-19 pandemic and to determine its sources. Also, to declare the difference between male and female students in this concern.
Methods. The current study was conducted at Taif University, from January 15 to March 1, 2021. The target population was undergraduate medical students. The Perception of Academic Stress Scale (PAS) was the used tool to evaluate academic stress and its sources. Four-hundred thirty-three students participated in the study, 177 (39.9%) males and 256 (60.1%) females.
Results. The total score of PAS indicated mild to moderate stress. Perceptions of workload were the highest significant source of stress (moderate to severe). Pressure to perform and time restraints were the second sources of stress with a non-significant difference between them, while they resulted in significantly higher stress than the academic self-perception which demonstrated the lowest level of stress. There were non-significant differences between males and females in all four domains and the total score.
Conclusion. Taif University medical students have mild to moderate academic stress. Perception of workload represents the main source of stress. There was no significant difference between the male and female sections.

Key words:
Academic stress, medical students, COVID-19

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