Author: Sarah A. Monir, Wadida H. Elsayed, Ashraf N. Moharram

Cervical stabilization exercises on forward head posture and cervical myofascial pain syndrome: A randomized controlled trial

Sarah A. Monir, Wadida H. Elsayed, Ashraf N. Moharram


Sarah A. Monir, Wadida H. Elsayed, Ashraf N. Moharram – Cervical stabilization exercises on forward head posture and cervical myofascial pain syndrome: A randomized controlled trial. Fizjoterapia Polska 2022; 22(2); 130-135

Abstract
Purpose of the study. The aim of this study was to investigate the effect of cervical stabilization exercises on Forward head posture and cervical myofascial pain syndrome.
Methods. fifty participants with Cranio-vertebral angle (CVA) less than 50° and cervical myofascial pain syndrome (age from 20-35 years), from both genders were included in this study and randomly assigned into two groups: control group A received postural correction exercises while study group B received cervical stabilization exercise and postural correction exercise, three sessions per week for four weeks. Cranio-vertebral angle (CVA), pressure pain threshold (PPT) of the upper fibers of trapezius both sides were measured pre-treatment and post treatment.
Results. within-group analysis showed that there was a significant increase of CVA and PPT right and left sides post treatment at groups A, and B as (p < 0.05). In-between-group analysis showed no significant change in pre values of all variables as (P > 0.05) while post-treatment there was a significant increase in post values of all variables in both groups, also there was significant difference of the mean values of the “post treatment” test between both groups with (p < 0.05) and this significant difference in favour to group B.
Conclusion. cervical stabilization exercises are considered to be an effective method for FHP correction and thus improving cervical myofascial pain syndrome.
Key words:
cervical stabilization exercises, forward head posture, myofascial pain syndrome
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Postural stability of children born prematurely in the perinatal risk group

Katarzyna Kniaziew-Gomoluch, Andrzej Szopa, Tomasz Łosień, Zenon Kidoń, Małgorzata Domagalska-Szopa


Katarzyna Kniaziew-Gomoluch, Andrzej Szopa, Tomasz Łosień, Zenon Kidoń, Małgorzata Domagalska-Szopa – Postural stability of children born prematurely in the perinatal risk group. Fizjoterapia Polska 2022; 22(2); 118-129

Abstract
Introduction. With advances in neonatal care, children born prematurely have a greater chance of survival, but their organ immaturity puts them at increased risk for central developmental disorders. The most common risk factors for such disorders are neonatal respiratory distress syndrome (RDS) and intraventricular hemorrhage (IVH grade III, IV).
Object. Based on the assumption that early central motor disorders are accompanied by impaired postural control, we compared measures of postural stability in infants born prematurely and at high risk for central motor disorders, i.e.: 1) IVH stage III or IV; or 2) RDS with infants born prematurely with normal brain ultrasound results and no perinatal burden (control group).
Materials and Methods. For this purpose, in a group of 76 prematurely born infants qualified for the SYNAGIS program, a posturometric examination was performed in a supine position using a stabilographic platform (device designed and manufactured in the Department of Biomedical Electronics of the Institute of Electronics of the Silesian University of Technology in Gliwice).
Results. Analysis of stability measures in individual subgroups showed that in both groups of infants with perinatal risk (IVH and RDS), the values of all evaluated posturometric parameters were lower than those presented by infants without perinatal stress.
Conclusions. 1. Evaluation of stability measures  in the supine position is an original proposal for the evaluation of postural control of infants born prematurely in the first months of life.
2. Differences in stability measures between children born prematurely with the risk of central disturbances due to hypoxia (RDS) or intraventricular hemorrhage (IVH) and their peers without perinatal stress with normal head ultrasound results may indicate the appearance of postural control development disorders in the former.
Key words:
prematurely born children, perinatal risk factors, infant postural control disorders, posturometry, stabilographic platform
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Comparing the effect of different acupoints stimulating methods on nerve conduction velocity in diabetic neuropathy: A randomised controlled study

Ashraf Ishak Michaiel Youssef, Nagwa Mohamed Badr, Hanan Hosni, Hala Mohamad Ezz el Din Hamed


Ashraf Ishak Michaiel Youssef, Nagwa Mohamed Badr, Hanan Hosni, Hala Mohamad Ezz el Din Hamed – Comparing the effect of different acupoints stimulating methods on nerve conduction velocity in diabetic neuropathy: A randomised controlled study. Fizjoterapia Polska 2022; 22(2); 112-117

Abstract
Purpose. To investigate the effect of needle versus laser acupuncture on nerve conduction velocity on diabetic neuropathies in type two diabetes. Methods. Fifty-five patients of both genders with age ranged from 40-60 years were diagnosed with lower extremities diabetic polyneuropathy. Patients were divided randomly into two equal groups; Group (A) (control group) treated by needle acupuncture and group (B) treated by laser acupuncture at same acupoints. All patients in both groups received two sessions per week for 6 weeks. The measurement variables were the tibial motor nerve conduction velocity (NCV) and sural sensory NCV, they were measured bilaterally, pre- and post-treatment for all patients. Results. At the acupuncture group only there was significant increase in NCV of tibial and sural nerves in both sides at post treatment in compare to pre treatment. Conclusion. acupuncture has a significant effect on improving the motor and sensory nerves function in patients with diabetic polyneuropathy. So it may be considered an appropriate safe and nonpharmacological complementary treatment option for type 2 diabetic polyneuropathy.
Key words:
acupuncture, nerve conduction velocity, diabetes mellitus, diabetic polyneuropathy
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ssessment of the impact of the corrective-compensatory exercises and the elements of Vojta therapy on the angle of trunk rotation in children with idiopathic scoliosis – preliminary study

Michał Olba, Anna Mickiewicz


Michał Olba, Anna Mickiewicz – Assessment of the impact of the corrective-compensatory exercises and the elements of Vojta therapy on the angle of trunk rotation in children with idiopathic scoliosis – preliminary study. Fizjoterapia Polska 2022; 22(2); 102-110

Abstract
Introduction. Scoliosis is a term encompassing a group of heterogeneous diseases in which changes in the shape and position of the spine, chest and torso occur. The term idiopathic scoliosis refers to the patients with structural scoliosis with an undetermined cause. Scoliosis, which is defined as idiopathic, must fulfil the following criteria: to be characterized by a three-dimensional spinal deformity and a Cobb angle of 10 degrees or more.
The measurement of angle of trunk rotation (ATR) is one of the basic parameters used in the assessment of the effectiveness of treatment in patients with idiopathic scoliosis.
In the conservative treatment of idiopathic scoliosis, which is characterized by a Cobb angle of less than 25º, Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) recommends mainly scoliosis-specific exercises (SSE). Some authors show in their scientific reports that also by using the corrective and stabilizing exercises, not only SSE exercises, the asymmetry of the torso is diminished, the angular values of the curvature are reduced and the functioning of patients with idiopathic scoliosis improves.
The International Vojta Society indicates idiopathic scoliosis as one of the areas of application of this therapy. Nevertheless, there is a limited number of scientific reports on the applicability and effectiveness of Vojta therapy in the treatment of idiopathic scoliosis.
Aim of the study. The aim of this study was to evaluate the impact of applied corrective-compensatory and corrective-compensatory exercises in the combination with the elements of Vojta therapy on the value of ATR in the group of children aged 10-12 years, diagnosed with idiopathic scoliosis with a low Cobb angle value (10-19º).
Material and methods. A total number of 30 children aged 10-12 years, diagnosed with idiopathic scoliosis with a low Cobb angle (10-19º), who were patients of the rehabilitation clinic, participated in the study. Children were randomly assigned to two experimental groups. The first group (group K), consisting of 15 persons, took part in a 3-week rehabilitation programme and participated daily only in corrective-compensatory exercises. The second group (group KV), also consisting of 15 persons, joined daily the corrective-compensatory exercises for 3 weeks and additionally received Vojta therapy 3 times per week. In all children the ATR was measured before and after therapy.
Results. The results of the statistical analysis did not show any significant differences in the ATR values measured in group K (children who received only corrective-compensatory exercises) before and after the rehabilitation programme (p = 0.306). There were statistically significant differences observed in the ATR measured in the KV group (children who received corrective-compensatory exercises and the elements of Vojta therapy) before and after the rehabilitation programme (p = 0.005). There were no statistically significant differences observed between the two studied groups in the values of the ATR measured before (p = 0.069) or after the rehabilitation programme (p = 0.774).
Conclusions. 1. A significant reduction in the value of the ATR was observed in the group of children with idiopathic scoliosis with a low Cobb angle who received corrective-compensatory exercises in combination with the elements of Vojta therapy.
2. No significant changes in the value of the ATR were observed in the group of children with idiopathic scoliosis with a low Cobb angle who received only corrective-compensatory exercises.
Key words:
scoliosis, angle of trunk rotation, Vojta therapy
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Low back pain and other work-related musculoskeletal disorders among Jordanian physical therapists from Hashemite University

Shaden A.Al-Bustanji, Mohannad Hawamdeh, Saad M.Al-Nassan, Zaid M.Mansour


Shaden A.Al-Bustanji, Mohannad Hawamdeh, Saad M.Al-Nassan, Zaid M.Mansour – Low back pain and other work-related musculoskeletal disorders among Jordanian physical therapists from Hashemite University. Fizjoterapia Polska 2022; 22(2); 96-101

DOI: https://doi.org/10.56984/8ZG0DE24g

Abstract
Purpose. Physical therapists (PTs) have direct patient contact, they susceptible to Work-related musculoskeletal disorders (WRMDs), its prevalence among PTs in Jordan has not been reported yet. The significance of this study relies on providing descriptive data about the PTs musculoskeletal disorders in Jordan. Method. A web-based online survey (Google Forms) was used to create the survey; it contained a cover letter, a consent form and a hyperlink that directed the participants to the survey. The questionnaire was based on the Standardized Nordic Questionnaire with some modifications. It was administered to 50 PTs through e-mail messages, 46 PTs returned completed surveys (92% response). The data were analyzed using SPPS version 20 at alpha level of 0.05. Results. Reported 12-month prevalence of WRMDs among Jordanian PTs was 71.7%. WRMDs was significantly higher in female PTs (p = 0.038). The low back 6o.6% was significantly the most commonly affected body part (p > 0.001), followed by the neck 48.5% with (p = 0.002).. More than fifty percent of the PTs with WRMDs were found to be younger than 34 years 51.1%. Treating large number of patients “more than ten” in a day was reported by most 42.4% of the respondents. PTs who had worked at general hospital had high WRMDs prevalence 66.6%. Conclusions. The prevalence of low back pain (LBP) and other WRMDs among PTs in Jordan is relatively high. It affected their performance of daily activities at home and away from home, it is also contributed sometimes to their sick leaves.
Key words:
physical therapist, low back pain, prevalence, risk factor, Jordan
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Assessment of general movements and its relation to gestational age in preterm infants

Aneta Skworc


Aneta Skworc – Assessment of general movements and its relation to gestational age in preterm infants. Fizjoterapia Polska 2022; 22(2); 88-95

Abstract
Introduction. The task of contemporary neonatology is not only to save the lives of children born prematurely, but also to provide them with the highest possible quality of life. One of the methods of assessing the quality of general movement patterns is the Prechtl method, which enables early identification of immaturity or damage to the central nervous system. Aim. Dynamic assessment of the type and quality of GMs (General Movements) in preterm infants to determine the indications for early neurodevelopmental support and to determine the relationship between the occurrence of maternal and neonatal perinatal risk factors, and the type and quality of general movements. Material and method. Assessment was conducted in 90 infantsborn between 28 and 36 weeks gestational age. Dominant cases (57 cases) were infants brn between32 and 36 weeks GE. Most cases (48) received low Apgar score at 1 minute (≤ 7), including two born in very severe condition. The study included three GM assessments: I –up to 14 day post-natally, II at term and III between12 and 15 weeks corrected age. The analysis included gestational age, general condition of the newborn in Apgar score. Results. There is a close correlation with the gestational age of a preterm newborn, and the occurrence of damage to the nerve centers and the finding of abnormal global movements.It was confirmed that gestational age is important variables affecting the occurrence of abnormal general movements.
Key words:
general movements, preterm infants, perinatal risk factors, neurodevelopmental physiotherapy
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Effect of pilates exercises on stress urinary incontinence in post-menopausal women: A randomized control trial

Wafaa M. Ghoniem, Amel M. Youssef, Said A. Mohamed, Mohammed F. Abo Elinin, Marwa Esmael Hasanin


Wafaa M. Ghoniem, Amel M. Youssef, Said A. Mohamed, Mohammed F. Abo Elinin, Marwa Esmael Hasanin – Effect of pilates exercises on stress urinary incontinence in post-menopausal women: A randomized control trial. Fizjoterapia Polska 2022; 22(2); 82-87

Abstract
Background and objective. Urinary incontinence (UI) is very common all over the world, especially among women, the current study conducted to investigate the effects of adding Pilates exercises to pelvic floor exercises aiming to manage postmenopausal women stress urinary incontinence. Methods. thirty postmenopausal women with mild to moderate stress urinary incontinence their age ranged from 50-60 years old, were allocated into two equal groups randomly Group A (control) group received pelvic floor muscle exercises from different positions (crock-lying, sitting, and standing) while group B (study) group received both Pilates exercises with pelvic floor exercises. All exercises were performed twice a week, for twelve weeks. Perineometer was used for measuring pelvic floor muscles strength (pneumatic pelvic muscle trainer XFT-0010) and severity of stress urinary incontinence was measured by The Revised Urinary Incontinence Scale (RUIS) before and after treatment program. Results. A significant improve of Squeeze vaginal pressure after in compared to before treatment and significant reduction of Revised urinary incontinence scale after treatments in compared to before treatment in both groups. Moreover, no significant mean values differences in “post” test in-between both groups in the two tested variables. However, a clinically valuable improve was in favour of study group. Conclusion. Pelvic Floor Muscle Exercises (PFE) is effective in improving post-menopausal stress urinary incontinence either alone or with Pilates exercises but doing both types of exercise together is more valuable from the practical point of view.
Key words:
stress urinary incontinence, revised urinary incontinence scale, squeeze vaginal pressure, pelvic floor exercises, pilates exercises
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Analysis of selected risk factors and the level of awareness of urinary incontinence in women

Paulina Handzlik-Waszkiewicz, Kinga Duszka


Paulina Handzlik-Waszkiewicz, Kinga Duszka – Analysis of selected risk factors and the level of awareness of urinary incontinence in women. Fizjoterapia Polska 2022; 22(2); 70-80

Abstract
Objective. Research objective was to analyse selected risk factors for the incidence of urinary incontinence in a randomly selected group of women, as well as the frequency of accompanying symptoms. The level of consciousness and behaviour of women who experienced urinary incontinence were also analysed.
Material and methods. The survey covered 146 women aged 20 to 79, at the day rehabilitation ward at Professor Bogusław Frańczuk’s Lesser Poland Orthopaedic and Rehabilitation Hospital in Krakow. The authors’ questionnaire containing 32 questions and the Oswestry Disability Questionnaire (ODI) were used for the research.
Results. There was a statistically significant correlation between the incidence of urinary incontinence and age in the respondents. In the youngest age group, the mean for the declared urinary incontinence was 46.5, while in the older groups it was over 80. The results also indicate a significant increase in pain in the lumbar spine in the group that experienced urinary incontinence (mean = 20.93) in relation to the rest of the respondents (mean = 12.83).
Conclusions. The problem of incontinence is age dependent, but it is common in all age groups. There is a relationship between the incidence of urinary incontinence and the method of giving birth and perinatal factors. It has also been found that women experiencing urinary incontinence episodes suffer from more pain. The vast majority of women who experience urinary incontinence do not undertake any treatment attempts.
Key words:
urinary incontinence, pelvic floor muscles, incontinence
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Assessing the severity of sarcopenia in cirrhotic patients independent to conventional prognostic scores

Elham Mohamed Sobhy, Heba Mahmoud Mohamed, Heba Ahmed Kamal, Nevien Ezzat Elliethy, Mohammed Sayed Hassan


Elham Mohamed Sobhy, Heba Mahmoud Mohamed, Heba Ahmed Kamal, Nevien Ezzat Elliethy, Mohammed Sayed Hassan – Assessing the severity of sarcopenia in cirrhotic patients independent to conventional prognostic scores. Fizjoterapia Polska 2022; 22(2); 60-69

Abstract
Purpose. To assess the severity of sarcopenia in liver cirrhosis patients by comparing them to control participants and determining its relation to conventional prognostic scores for liver cirrhosis, such as (CTP and MELD) scores.
Methods. This prospective observational study was conducted on 101 cirrhotic patients and 30 healthy participants aged (40–70 y.o.). Mid upper arm circumference (MUAC) and HGS were measured. BMI, Nutrition risk sore (NRS), Child-Pugh and MELD scores were calculated. CT L3 psoas volume, surface area and psoas muscle index (PMI) were measured. Ultrasonography was used to assess mid-upper arm and mid-thigh. Quadriceps muscle index (QMI) was calculated. It was determined how long the patient would be admitted to the hospital.
Results. According to the HGS cutoff established by the Foundation for the National Institutes of Health (FNIH), 87 percent of the patients were sarcopenic.  Psoas muscle index (PMI) was (4.6 for male, 3.19 cm/m
 for female) and Quadricepes muscle index (QMI) cutoff was (1.67 for male, 1.58 cm/m2 for female) based on the FNIH HGS cutoff. CT L3 Psoas and ultrasound parameters showed significant negative correlation with (Child and MELD) scores, duration of hospital stay and NRS. Also, they showed a significant positive correlation with HGS. We found a positive correlation between PMI and QMI with (p < 0.001). AUC in Roc analysis for QMI considering sarcopenia by PMI was 0.9.
Conclusion. Sarcopenia, as measured by CT psoas, ultrasonography, and HGS in cirrhotic patients, is an independent predictor of liver disease severity. USG and HGS are bedside methods that are as sensitive as CT for assessing sarcopenia.
Key words:
Sarcopenia, cirrhosis, CT L3 psoas, ultrasonography, HGS
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Successful public procurement of physiotherapeutic equipment

Damian Durlak


Damian Durlak – Skuteczne zamówienia publiczne na sprzęt fizjoterapeutyczny. Fizjoterapia Polska 2022; 22(2); 54-58

Abstract
Medical facilities purchasing medical equipment under the public procurement procedure are obliged to comply with the regulations specified in legal acts. Due preparation of the specification of the subject of the contract, selection of the appropriate team responsible for the process, and above all, understanding the needs and opinions of physiotherapists who will be using the equipment in the future can significantly affect the success of the entire process. Physiotherapists should be aware of the basics in the field of public procurement in order to be able to support other employees in the adequate preparation of tenders and in the selection of contractors.
Proper cooperation will ensure physiotherapists’ satisfaction working on the suitable equipment, and safe physiotherapeutic conditions for patients.
Key words:
Physiotherapy, public procurement, physiotherapy equipment
Article only in Polish language
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