Pain relief and increase of physical function by womac scale in patients with osteoarthritis after two weeks of physical exercise

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Brenda

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Brenda – Pain relief and increase of physical function by womac scale in patients with osteoarthritis after two weeks of physical exercise. Fizjoterapia Polska 2004; 4(1); 52-57

Abstract

Background. The most common reason of visiting physician among patients with OA is pain and loss of mobility of the join. Clinical experience suggests effectiveness of physical exercise in decreasing of pain and individual patient improvement in motion. This investigation was made to indicate influence of well prepared program of physical exercise on pain relief and functional ability.Material and methods. 21 women with symptomatic knee and lumbar/sacral (LS)spine OA, mean age 55 years (±4,9 years), were enrolled for two weeks exercise program. Before and after treatment patients filled out the WOMAC questionnaire to assess level of pain and global disease activity.Results and Conclusions. This study showed significant improvement of physical function and decreasing of level of pain according to patient and physician assessment after two weeks with physical exercise program in patients with OA of the knee.

Key words:
osteoarthritis (OA), physical exercise
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Subjective pain and physical fitness in female osteoarthritis patients treated with magnetotherapy and kinesitherapy

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Świetlik

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Świetlik – Subjective pain and physical fitness in female osteoarthritis patients treated with magnetotherapy and kinesitherapy. Fizjoterapia Polska 2004; 4(2); 151-156

Abstract

Background. Osteoarthritis is one of the leasing causes of disability, as it occurs in over 10% of the adult population. To date there is no effective treatment modifying the course of this disease. There is experimental evidence, however, that under the influence of an electromagnetic field there is repair of cartilage and bone tissue, reduction of pain and inflammation, and healing of ligaments and tendons, which leads to improved mobility and function in the affected joints.Material and methods. We studied 29 women with idiopathic osteoarthritis of the knee and lumbar spine, with an average age of 63,4 +/- 10,4 years, treated twice a day for two weeks with a pulsating low-frequency magnetic field (5 mT, 25 Hz, 12 min) and kinesitherapy. The patients were examined before and after therapy, using the WOMAC questionnaire to measure the subjective evaluation of pain, stiffness, and difficulty in performing activities of daily living (ADL).Results. After treatment with a pulsating magnetic field and kinesitherapy, there was a statistically significant reduction in pain complaints, and a reduction of difficulties in certain ADL. There was statistically significant improvement as assessed by both the patients and the physicians.Conclusions. Our results indicate that magnetotherapy and kinesitherapy hale a positive impact on reducing pain and disability in patients with osteoarthritis.

Key words:
extremely low frequency magnetic field (ELF-MF), physicotherapy
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The impact of local cryotherapy on motor capacity in patients with rheumatoid arthritis

Wojciech Romanowski, Anna Straburzyńska-Lupa, Agnieszka Romanowska, Zbigniew Świetlik, Roman Lorenc

Wojciech Romanowski, Anna Straburzyńska-Lupa, Agnieszka Romanowska, Zbigniew Świetlik, Roman Lorenc – The impact of local cryotherapy on motor capacity in patients with rheumatoid arthritis. Fizjoterapia Polska 2004; 4(4); 355-360

Abstract

Background. The aim of our study was to assess the impact of local cryotherapy on the motor capacity of patients with rheumatoid arthritis (RA). Material and methods. 74 women with RA and synovitis of the knee were divided into two groups: the first was treated with local cryotherapy, and the second with an impulse electromagnetic field. Muscle strength, the 50-meter walking test, and joint mobility were estimated. Results. In both groups statistical improvement was achieved in the measured parameters. Conclusions. Local cryotherapy is an effective method of treatment for patients with RA.

Key words:
impulse electromagnetic fields, joint mobility, muscle strength
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