Tag: 康复

Evaluation of the impact of shockwave therapy on the functioning of a patient with a lower calcaneal spur

Agata Pętek-Podymniak

 

Agata Pętek-Podymniak – Evaluation of the impact of shockwave therapy on the functioning of a patient with a lower calcaneal spur –  Fizjoterapia Polska 2024; 24(4); 6-12

DOI: https://doi.org/10.56984/8ZG01A8M5X1

Abstract
Introduction. A common cause of heel pain is the presence of a calcaneal spur. This condition may disrupt the posterior superficial fascia chain and can also lead to problems in distant areas of the body. Among the physical methods used, shockwave therapy is often applied. The aim of the study was to assess the effectiveness of shockwave therapy and its effect on the tension of the gastrocnemius muscle, which is part of the posterior fascia chain.
Materials and Methods. A 52-year-old female patient diagnosed with a left lower calcaneal spur underwent a series of six radial shockwave therapy sessions, performed twice a week. The method for assessing the therapy’s effectiveness involved measuring pain on the Visual Analogue Scale (VAS) and changes in tissue temperature before, immediately after, and five minutes post-therapy. Electromyographic (EMG) examination was used to assess the tension of the gastrocnemius muscle.
Results. An average decrease in temperature was observed immediately after the treatment (from 25.3°C to 24.45°C). After five minutes, the temperature increased to 27.05°C compared to the initial measurement. The resting tension of the gastrocnemius muscle, as measured by EMG, decreased as follows: channel 1: from 0.6 µV to 0.4 µV, channel 2: from 4.3 µV to 3.2 µV. Pain decreased from a level of 7 to 2 on the VAS scale.
Conclusions. Shockwave therapy is an effective solution for alleviating pain in the case of a calcaneal spur. The reduction of resting tension in the gastrocnemius muscle leads to a decrease in elevated tension within the posterior myofascial chain, which may help reduce the risk of secondary pathologies in distant areas along the chain.
Key words
calcaneal spur, shockwave therapy, rehabilitation
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Virtual reality training combined with physical therapy program for children with tibial eminence fracture: a randomized controlled trial

Amira. H. Mohammed, Samah. M. Sheha, Nader. I. Elsayed, Amira M. El-Gendy, Nehad A. Abo-zaid

Amira. H. Mohammed, Samah. M. Sheha, Nader. I. Elsayed, Amira M. El-Gendy, Nehad A. Abo-zaid – Virtual reality training combined with physical therapy program for children with tibial eminence fracture: a randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 383-391

DOI: https://doi.org/10.56984/8ZG5608E5F

Abstract
Background. Tibial eminence fracture is an injury referred to the interarticular portion of the neighbouring plateau of the tibia. Non-operative treatment is recommended for type I and II. The study aimed to investigate the effect of virtual reality (VR) training combined with a physical therapy program (PTP) in the management of children after tibial eminence fractures. Methods. Forty eight children suffering from tibial eminence fracture (type I and type II). Their age ranged from 7 to 14 years old. The control group (G1) received only a physiotherapy program (PTP) and the experimental group (G2) received the same PTP plus virtual reality (VR) in form of Wii Sport Training. Both groups received the treatment protocol for six successive months (3 sessions per week). Participants were assessed before and after the treatment for six successive months. The outcomes were range of motion (ROM) of knee joint using goniometry, knee pain using the visual analogue scale (VAS) and balance by Pediatric Balance Scale (PBS). Results. Post-treatment, there was a a statistically substantial difference in pain, PBS, knee flexion and extension ROM in both groups (P-value < 0.05). Also, there was a statistically substantial difference in PBS and knee flexion ROM between the two groups (P-value < 0.05), favouring the VR group. Conclusions. These findings from this study reveal the value of physical therapy combined with VR in the rehabilitation of children with tibial eminence fractures. Virtual reality used in conjunction with PTP enhances those children’s knee range of motion and body stability.
Key words
tibial eminence fracture, physical therapy, virtual reality
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Post-operative rehabilitation and return to sport criteria following anterior cruciate ligament reconstruction – a survey of physiotherapists in the United Arab Emirates

Sara Atef Ali, Cecilia Ferreira Aquino, Achraf Ammar, Ashokan Arumugam

Sara Atef Ali, Cecilia Ferreira Aquino, Achraf Ammar, Ashokan Arumugam – Post-operative rehabilitation and return to sport criteria following anterior cruciate ligament reconstruction – a survey of physiotherapists in the United Arab Emirates – Fizjoterapia Polska 2024; 24(2); 344-355

DOI: https://doi.org/10.56984/8ZG5608IV0

Abstract
Background. The rehabilitation and return to sport (RTS) criteria used after anterior cruciate ligament (ACL) reconstruction seem to vary between physiotherapists in different countries. However, no study has been conducted to investigate the post-operative rehabilitation and RTS criteria following ACL reconstruction used by physiotherapists in the United Arab Emirates (UAE).
Aim. The purpose of this study is to summarize the clinical practice and RTS criteria used by physiotherapists treating patients following ACL reconstruction in the UAE, and to investigate the factors associated with the commonly used RTS criteria.
Material and methods. An electronic survey questionnaire was distributed to UAE physiotherapists. The questionnaire included questions related to demographic information, clinical practice, and RTS criteria employed by UAE physiotherapists.
Results. A total of 108 physiotherapists voluntarily participated in the study. Approximately only 25% adhered to the established RTS criteria before RTS. About 88% of physiotherapists base their clearance decisions on how well they do in functional assessments like balance checks, hop tests, and running and sprinting biomechanics. A multidisciplinary team decided on the RTS clearance, according to 47% of physiotherapists. The most often utilized RTS criteria did not significantly correlate with parameters including academic standing, years of experience, nationality, specialty certification, or the type of license held by UAE physiotherapists, according to the study.
Conclusion. Most physiotherapists in the UAE were not adhering to the most recommended RTS criteria post-ACL reconstruction in their clinical practice, and none of the evaluated physiotherapist-related factors showed a significant association with RTS criteria following ACL reconstruction.
Keywords
anterior cruciate ligament reconstruction, rehabilitation, clinical decision-making, physical therapy, return to sport criteria
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Rehabilitation impact on the work ability and functional status of hospitalized COVID-19 survivors

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj – Rehabilitation impact on the work ability and functional status of hospitalized COVID-19 survivors – Fizjoterapia Polska 2024; 24(2); 298-302

DOI: https://doi.org/10.56984/8ZG56088XJ

Abstract
Aim. The aim of the work is to determine the rehabilitation impact on the work ability and functional status of the hospitalized COVID-19 survivors. Materials and methods. The study covered 163 probands (101 women; 62 men) from the Prešov Region (Slovakia) that were hospitalized with COVID-19 disease. Age of the subjects ranged from 32 to 62 years. The experimental group contained 87 patients (55 women; 32 men) and underwent inpatient rehabilitation treatment during their stay in the hospital. The control group consisted of 76 patients (46 women; 30 men), who were not provided with the rehabilitation treatment. In all probands we assessed the work ability index (WAI) and a Patient self-report methods for the Post-Covid-19 Functional Status Scale (PCFS). Results. The experimental group of patients after returning to work showed significantly higher work ability (p = 0.005) and functional status (p = 0.001) compared to the control group. Patients with psychologically demanding type of work that underwent rehabilitation treatment had also significantly higher work ability (p = 0.022) and functional status (p = 0.042) compared with the other group. Similar results were recorded among the probands with a combination of both types of work – physically and psychologically demanding (p < 0.001). In the physically demanding type of work the result was not statistically significant between the groups. Conclusions. The inpatient form of rehabilitation for the patients hospitalized with COVID-19 has a beneficial effect on the work ability and functional status after discharge from the hospital.
Keywords
COVID-19, functional status, rehabilitation, work ability
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Number of medical rehabilitation services before, during, and after the COVID-19 pandemic

Damian Durlak

Damian Durlak – Number of medical rehabilitation services before, during, and after the COVID-19 pandemic – Fizjoterapia Polska 2024; 24(2); 223-230

DOI: https://doi.org/10.56984/8ZG5608I6Q

Abstract
Introduction. The COVID-19 pandemic affected all sectors of the economy in most countries. The healthcare system, in particular, felt its impact. Due to the imposed restrictions and limitations, the question arises whether significantly fewer patients used the necessary healthcare services during the pandemic. Objective. This article aims to present how the number of people using rehabilitation and physiotherapy services has changed over the past 6 years. Additionally, the values of the provided services in individual years are presented. Materials and methods. The study utilized data from the National Health Fund reports for the years 2017–2022. Information regarding rehabilitation services was included. Results. The collected data indicate that in 2020 there was a significant decrease in the number of people using some rehabilitation or physiotherapy services. A significant increase in the value of certain services between 2021 and 2022 can also be observed. Conclusions. Significant declines in the number of people using rehabilitation or physiotherapy services were observed only for certain types of healthcare services and exclusively in 2020. It is unknown how many people wanted to use these services but were unable to do so.
Keywords
rehabilitation, COVID-19 pandemic, healthcare services
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The feasibility and effect of robot-assisted gait training frequency on gait functions in children with cerebral palsy – A single blinded, randomized pilot study

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim – The feasibility and effect of robot-assisted gait training frequency on gait functions in children with cerebral palsy – A single blinded, randomized pilot study –  Fizjoterapia Polska 2024; 24(1); 297-303

DOI: https://doi.org/10.56984/8ZG2EF8iRS

Abstract
Introduction. The aim of this study is to investigate the feasibility and the effect of Robot-assisted gait training (RAGT) frequency on gait functions in children with diplegic cerebral palsy (CP). We hypothesized that RAGT with the increased frequency (4 times a week) will result in greater improvements than RAGT with the common frequency (2 times a week).
Material and methods. Fourteen participants with diplegic CP were assigned to two groups that received only RAGT at different frequencies. The treatment group (TG) received 24 sessions while the control group (CG) received only 12 sessions over 6 weeks. Gross motor function measure (GMFM) D, GMFM E, walking distance (6 minute-walk test), speed (10 meter-walk test), balance (Pediatric balance scale), and the quality of gait (Edinburgh visual gait score) were assessed. Data was collected twice, before and after RAGT intervention period. Also, the feasibility was assessed by the safety and the rates of recruitment, compliance, and adherence.
Result. There was significant improvement in GMFM D, GMFM E, walking distance, balance, and the quality of gait in both groups (p < 0.05). Walking speed has been significantly improved only in TG. The difference in the quality of gait is greater in TG (p < 0.01) compared to CG (p < 0.05). The recruitment rate was 70%. 100% of recruited participants complied with and adhered to the intervention. No adverse events were reported.
Conclusion. RAGT with the increased frequency could induce greater improvement in gait functions than RAGT with the common frequency in children with diplegic CP.
Keywords
rehabilitation, robotics, walking, cerebral palsy
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Sensory integration of the vestibular system as a component of complex rehabilitation of a child with hearing loss

Maria Dąbrowska, Maciej Biernacki

 

Maria Dąbrowska, Maciej Biernacki – Sensory integration of the vestibular system as a component of complex rehabilitation of a child with hearing loss. Fizjoterapia Polska 2023; 23(4); 140-143

DOI: https://doi.org/10.56984/8ZG20AA4A

Abstract
Introduction. The vestibular system is one of the most important human sensory systems, morphologically connected with the auditory system. The fetus starts responding to sound at around 16 weeks of development and its inner ear begins developing at 4 weeks. Proper receiving and processing of sound dictates development and comprehension of speech. The organ of hearing can be damaged during fetal development, birth or in the postnatal period. The damage to the organ of hearing affects the sensory systems’ integration. Training of sensory integration can be successfully introduced as a part of integrated rehabilitation of a child with hearing loss.
Purpose. The work describes Sensory Integration used in speech and hearing therapy. Examples of hearing exercises have been included. The therapy was conducted in years 2019-2021 in Polish Association of the Deaf Toruń and Bydgoszcz facilities.
Rehabilitation of the organ of hearing. The organ of hearing can be damaged during fetal development, birth or in the postnatal period. The rehabilitation of the organ of hearing begins as soon as the damage is recognized. The child, after being supplied with hearing aids or an cochlear implant, sometimes before that, is referred for speech and hearing therapy. In the process of widely understood rehabilitation, if complex action is required, included are physiotherapy and Sensory Integration- which was done at Polish Association of the Deaf Toruń and Bydgoszcz facilities.
Sensory Integration in children with hearing loss. In children with hearing loss parallel to speech, pedagogical and psychological therapies conducted are other such as Sensory Integration, physical therapy or other forms of rehabilitation individually chosen depending on the needs of the child.
Conclusion. Hearing exercises in accordance with the concept of Sensory Integration applied parallel to other forms of therapy can be used as a part of complex rehabilitation of a child with hearing loss.
Key words:
sensory integration, rehabilitation, physical therapy in children, hearing loss
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Clinico-hemodynamic and psycho-cognitive parallels of internal picture of health correction in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction

Roxolana Nesterak, Igor Vakalіuk, Jacek Łuniewski, Jan Szczegielniak

R. Nesterak, I. Vakalіuk, J. Łuniewski, J. Szczegielniak – Clinico-hemodynamic and psycho-cognitive parallels of internal picture of health correction in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction. Fizjoterapia Polska 2019; 19(3); 158-166

Abstract
Aim. The aim of this research was to determine the clinical-hemodynamic and psychologic-cognitive parallels of correction of internal picture of health in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction.
Materials and methods. The study included 141 patients with STEMI. They were divided into the following groups: 63 patients with the use of conservative treatment, and 78 patients with invasive treatment tactics – percutaneous coronary intervention (PCI). Depending on the applied methods of restorative treatment and rehabilitation, each group of patients was divided into subgroups. Patients of the first subgroup were given traditional treatment; in the second subgroup of patients, in addition to traditional treatment, the training with optimization of the IPH in the form of the “Program of clinical-psychological rehabilitation of cardiological patients by optimisation of the internal picture of health” was used.
Results. The use of the “Program of clinical-psychological rehabilitation of cardiologic patients by optimization of the internal picture of health” increases the clinical efficacy of post-infarction period management, increases tolerance to physical activity measured in 6MWT, reduces manifestations of myocardial ischemia, and in general, increases the quality of life in patients with ST-segment elevation myocardial infarction.
Conclusions. “Program of clinical-psychological rehabilitation of cardiologic patients by optimization of the internal picture of health” can be effectively used in clinical practice.

Key words:
myocardial infraction, rehabilitation, psychology

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Evaluation of the effectiveness of massage therapy in combination with other rehabilitation treatments in the treatment of back pain syndrome

Monika Molga, Damian Durlak

M. Molga, D. Durlak – Evaluation of the effectiveness of massage therapy in combination with other rehabilitation treatments in the treatment of back pain syndrome. Fizjoterapia Polska 2019; 19(2); 46-58

Abstract
Objective. The objective of the study was to evaluate the effectiveness of classic massage therapy in combination with other rehabilitation treatments and its influence on the reduction of pain intensity in people diagnosed with back pain syndrome.
Material and method. The study was conducted using a questionnaire form at the HIPOKRATES clinic in Krakow. The study involved 150 people who underwent massage therapy, and physiotherapy and kinesitherapy treatment recommended by a physician. To assess the effectiveness of massage therapy in combination with other treatments, the degree of pain intensity was determined in all patients using the VAS visual analog scale before and after completed rehabilitation. The questions also concerned the duration of back pain, knowledge of the principles of ergonomics, use of other treatments besides massage therapy, the time after which the pain was reduced and the duration of positive effects, the effects of massage therapy combined with other rehabilitation treatments, and well-being.
Results. On average, in people using rehabilitation, pain symptoms began to decrease after the fourth treatment. After a series of treatments, most of the respondents experienced improved functioning in everyday life, and pain and increased muscle tone decreased. The patients’ well-being improved considerably, and the dose of painkillers taken was reduced.
Conclusions. Massage therapy in combination with kinesiotherapy and physiotherapy is an effective form of therapy for the treatment of back pain syndrome.

Key words:
back pain, massage therapy, rehabilitation

 

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