Tag: 理疗

Physiotherapy in patients after myocardial infarction

Włodzisław Kuliński, Sylwia Pająk

W. Kuliński, S. Pająk – Physiotherapy in patients after myocardial infarction. Fizjoterapia Polska 2019; 19(4); 6-22

Abstract
Background. Myocardial infarction is a serious social and health problem of modern society. Cardiac rehabilitation is a very important part of management in this group of patients.
Aim. To assess the efficacy of rehabilitation and its effects on cardiovascular and respiratory performance in patients after myocardial infarction.
Materials and methods. The study assessed a group of 30 patients who participated in 3-week day-care cardiac rehabilitation at the District Health Care Institution in Starachowice.
The effectiveness of rehabilitation was analysed using an original study card, divided into two parts (history taking and physical examination). The first part included personal and medical history and a scale for subjective assessment of exertion during daily activities, similar to the Borg scale. The other part included daily blood pressure and pulse measurements taken before and 5 minutes after cycle ergometer training. Dependent variables were verified before rehabilitation and after 15 days of rehabilitation.
Results. After rehabilitation, patients showed permanent cardiovascular adaptation to more intense exercise, reflected by reduced systolic and diastolic blood pressure values and a lower heart rate.
Conclusions. 1. Cardiac rehabilitation helped improve physical performance in patients after myocardial infarction. 2. Systolic pressure was reduced as early as after the first training and permanent cardiovascular adaptation to more intense exercise was seen in study patients, which was reflected by normal blood pressure and pulse values. 3. Rehabilitation had a positive influence on patient functioning in everyday life.

Key words:
myocardial infarction, physiotherapy

 

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Selective Dorsal Rhizotomy (SDR) – neurosurgical method in treatment of spasticity in CP: the current state of knowledge

Monika Wolska, Marek Kiljański, Witold Rongies

M. Wolska, M. Kiljański, W. Rongies – Selective Dorsal Rhizotomy (SDR) – neurosurgical method in treatment of spasticity in CP: the current state of knowledge. Fizjoterapia Polska 2019; 19(2); 66-75

Abstract
Spasticity constitutes one of the main symptoms of Cerebral Palsy (CP), which has a negative influence on children’s activity, their participation in daily life, and it also impacts their functioning in the society. Chronic spasticity leads to the development of structural lesions in the muscles and in the connective tissue, and it contributes to an intensification of atrophy, rigidity, and finally contractures resistant to pharmacological treatment. Worsening comfort of life and problems with taking care of children with CP constitute other aspects, which justify searching for methods of permanent and effective treatment of spasticity.
The selection of an optimal treatment method for every patient depends on the following: location and extent of the injury, clinical symptoms, patient’s age, and available treatment methods. Selective dorsal rhizotomy (SDR) is a method of surgical treatment of spasticity in children with CP. The procedure is irreversible, and it permanently reduces spasticity. There are still many controversies regarding qualification for the procedure, indications, or short-term and long-term effects. Over the years, there are more and more international clinical studies which confirm the beneficial effect of the procedure in terms of improving the functional state of the patients. The purpose of this paper was to gather and systematize the knowledge about the procedure itself, the qualification criteria, the applied research tools, and the post-surgery physical therapy protocols, as well as to present the effects of surgical treatment.

Key words:
Selective Dorsal Rhizotomy, SDR, physical therapy, spasticity, CP

 

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The influence of the massage on a bowel movement

Dagmara Gąbka, Sandra Grzesik, Aleksandra Skomudek, Katarzyna Bogacz, Jan Szczegielniak

D. Gąbka, S. Grzesik, A. Skomudek, K. Bogacz, J. Szczegielniak – The influence of the massage on a bowel movement. Fizjoterapia Polska 2019; 19(2); 6-17

Abstract
Aim. One of the most serious civilisation diseases is constipation. Constipation is an infrequent defecation – lower than two times a week or solid stools extracted with the feeling of incomplete bowels with a large effort put in the process. The aim of the presented dissertation is the evaluation of the one – off abdominal massage influence on reduction of constipation. It was examined whether under the influence of massage the symptoms of constipation was reduced, how long it took to wait for the results and how long the effects lasted.
Materials and methods of survey. The study covered 20 women who suffered from a spastic type of habitual constipation. Among examined women constipation was diagnosed on the basis of the questionnaire that refers to occurrence of constipation. The patients were undergone the one – off massage lasting an hour.
Results. Conducted surveys have shown that the one – off massage has a positive effect in the form of reduced troublesome symptoms and the increase of defecation frequency. The treatment is effective, the results are visible but it is a short – term phenomenon lasting for two weeks.
Conclusions
1. The pain and tension of the abdominal muscles, false tenesmus, intensified thirst, the lack of appetite, bloating, bowel cramps – colic, the feeling of fullness in stomach have been reduced. General weakness and depression have subsided.
2. After a single abdominal massage the improvement of defecation amount has been observed among 85% of patients.
3. The effect of the massage in the form of increased defecation amount has lasted for a week.
4. The difficulties during defecation process after the massage have decreased considerably and systematically.

Key words:
constipation, classic belly massage, physiotherapy

 

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Judo as an alternative rehabilitation method in multiple sclerosis

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

Abstract
Objective. To evaluate the efectiveness of training judo as a part of a physiotheraphy programme in MS patients
Materials and methodology. 4 female RR-MS patients, aged between 32 and 49, have taken part in a 8-week programme. Their condition was evaluated twice – before and after the therapy. Two surveys have been carried out: one prepared by the authors of the study and Multiple Sclerosis Impact Scale (MSIS-29). In order to evaluate the functional state the following methods have been used: Functional Reach Test, 10 m TW (Time Walking) test and the Lovett test (for the following muscles: rectus femoris, biceps femoris, rectus abdominis, deltoideus).
Results. After the therapy the most persisting ailments decresed considerably. The functional tests showed better results and the patients had a better phycological disposition.
Conclusions. Judo training improved both functional and psychogical condition of the patients in the rehabilitation group. The programme proved to be an alternative form of physiotherapy for MS patients.

Key words:
multiple sclerosis, physiotherapy, judo, physical activity

 

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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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