Tag: Elżbieta Miller

Comparison of effectivnes local and whole body cryotherapy in chronic pain

Elżbieta Miller

Elżbieta Miller – Comparison of effectivnes local and whole body cryotherapy in chronic pain. Fizjoterapia Polska 2006; 6(1); 27-31

Abstract

Background. The purpose of this articele was comparison effectiveness of analgesic local and whole body cryotherapy in the case of chronic pain – difficult interdisciplinary problem.
Material and methods. The research involved 16 patients with chronic pain last 2 years and connected with degeneration changes. The studied groups differd in form of cryotherapy, both had kinezytherapeuthic treatment in the same range. The results were obtained by McGill questionnaire which rely on score in intensity of pain scale (0-10) and functional pain estimate (choosen basic life functions) in scale (1-4). The patients were tested three times: once before treatment, after the end of 20 sessions and again 2 weeks after the end of first procedure. Results and Conclusions. Whole body cryotherapy is more effective in chronic pain. However the study confirmed decreased of pain both in group treated by local and whole body cryotherapy.

Key words:
chronic pain, local cryotherapy, whole body cryotherapy
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Early post stroke rehabilitation after heart transplantation

Elżbieta Miller, Zbigniew Śliwiński, Anna Cabak

Elżbieta Miller, Zbigniew Śliwiński, Anna Cabak – Early post stroke rehabilitation after heart transplantation. Fizjoterapia Polska 2007; 7(3); 351-354

Abstract
Brain stroke is the leading cause of disability, and usually affects people after 60. At this age, the risk of concomitant diseases, affecting not only the cardiovascular system is high. The number and intensity of the diseases are often contraindications for early post stroke rehabilitation. Patients after brain stroke and heart transplantation are rare cases. The aim of the study was to present the effectiveness of early post-stroke rehabilitation in case of the 53-year-old man who underwent heart transplantation in 2000, due to congestive cardiomyopathy. The patient was examined 4 times during the 3rd, 6th, 9th and 15th week after the stroke. The test examined muscle strength in Lovett scale and the grade of muscle tone in Ashworth scale. A functional test was performed in Barthel scale and the extent of requiring care and attention — in Rankin scale. The paper presents an individual diagram of physiotherapeutic procedures divided into two stages: the early stage (0-6 weeks) and the transient stage (6-9 weeks), adjusted to the patient’s actual neurological and cardiological state. Basic recovery after physiotherapeutic treatment was obtained before the 9th week. Patients after heart transplantation can be successfully treated by rehabilitation. A substantial progress in medicine obligates to exchange information about rehabilitation treatment of patients with untypical concomitant diseases.
Key words:
brain stroke, heart transplantation, post stroke rehabilitation
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Aerobic training enhances cognition and functional status in depressive multiple sclerosis patients. A case-control study-pilot study.

Marta Niwald, Justyna Redlicka, Elżbieta Miller

M. Niwald, J. Redlicka, E. Miller – Aerobic training enhances cognition and functional status in depressive multiple sclerosis patients. A case-control study-pilot study. Fizjoterapia Polska 2018; 18(2); 96-102

Abstract

Background: The objectives of this study were to assess the effects of aerobic training (AT) on depression, cognition and functional status in 2 groups of multiple sclerosis (MS) patients: with depression syndrome (MS-D) and without depression (MS).
Objectives: a sample of 31 individuals with MS and 28 MS-D performed 30 minutes of AT using lower-extremity ergometer 3×10 min each day, with a 60-minute break for 6 weeks. Both groups were matched for the age and sex.
Material and methods: all examined parameters were assessed before and after AT series with use of Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), Activities of Daily Living (ADL) scale and the Expanded Disability Status Scale (EDSS). We analyzed the drop-out rate as a measure of feasibility.
Results: In both groups, the AT session induced a significant improvement in reducing depression (BDI) and cognition impairment (MoCA). However, the changes observed in MS-D patients were significantly greater than those observed in MS patients, especially in BDI and MoCA. There were no statistically significant correlations of EDSS, MOCCA, BDI, ADL, age or gender.
Conclusions: AT appears to be an effective and simple tool for improving cognition and functional status in patients with MS. This study indicates that aerobic training is feasible and could be beneficial for patients with progressive MS.

Key words:
Aerobic training, Multiple Sclerosis (MS), cognition, depression

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Analysis of the effect of comprehensive rehabilitation with stabilometric platform on body balance in patients with multiple sclerosis and after stroke

Justyna Redlicka, Jan Niedzielski, Elzbieta Miller

J. Redlicka, J. Niedzielski, E. Miller – Analysis of the effect of comprehensive rehabilitation with stabilometric platform on body balance in patients with multiple sclerosis and after stroke. FP 2017; 17(4); 18-23

Abstract

Objective. The objective was to evaluate the effect of a comprehensive rehabilitation program on body balance in patients with multiple sclerosis (MS) and after cerebral stroke.
Materials and methods. Tests were performed at the NeurorehabilitationWard of Dr K.Jonscher Municipal Hospital no. 3 in Lodz on randomly selected patients with MS and after stroke. The group included 50 subjects – 30 men and 20 women, aged 32 to 76 years. All the patients were examined twice for body balance with the use of a computerized stabilometric platform. The following parameters were analyzed: the mean number of all sways, the mean number of sways forwards and backwards, as well as to the left and right. All the sway parameters were measured both with eyes closed and open. The results obtained after rehabilitation were compared to those from before the introduction of rehabilitation.
Results. A course of comprehensive rehabilitation of MS patients resulted in a significant reduction of sways with eyes closed (p < 0.001), however less significant with eyes open (p < 0.2). Similarly, a marked improvement was observed in post-stroke patients in the mean number of sways with eyes closed (p < 0.001), whereas with eyes open, the results were not statistically significant (p < 0.02).
Conclusions. Comprehensive rehabilitation has a significant effect on the body balance of patients with MS and after stroke. In the trial with the use of a stabilometric platform, better results after a course of rehabilitation were noted inpost-stroke patients.

Key words:
stabilometric platform, balance, stroke, multiple sclerosis

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The impact of stroke on the power and shortening velocity of the muscles – preliminary report

Joanna Kostka, Andżelika Fajkowska, Elżbieta Miller

J. Kostka, A. Fajkowska, E. Miller – The impact of stroke on the power and shortening velocity of the muscles – preliminary report. FP 2017; 17(2); 16-22

Abstract

Aim: The aim of the study was to determine the difference in power and muscles shortening velocity in patients with a history of stroke and those who have not undergone a stroke as well as to evaluate the determinants of the power and muscles shortening velocity.
Material and Methods: A total of 62 people were enrolled in the study, including 31 patients (9 women and 22 men) after stroke hospitalized in Neurological Rehabilitation Department and 31 people matched for age and sex who did not suffer a stroke. Personal, anthropometric and diseases related data were collected. Muscle power (Pmax) and optimal shortening velocity of the muscles (Vopt) were evaluated by performing two 8-second tests on a Monark type bicycle ergometer.
Results: A significant difference in Pmax and Vopt between groups (p < 0.001) was noted. The average Pmax score in stroke patients was 211.22 W ±134.12, and in the control group 378.76 W ±167.52, and Vopt respectively 58.48 ±18.53 and 78.41 ±17.8 rep./ min. Relationship between age and Pmax as well as Vopt was also obtained.
Conclusions: Stroke reduces power and muscle shortening velocity. Power deficit in relation to people who have not suffered a stroke is over 44%, and velocity rate over 25%. The Pmax and Vopt level are affected by age.

Key words:
hemiplegia, muscles, power, shortening velocity

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The effect of magnetic field on the signal transduction

Natalia Cichoń, Joanna Saluk, Sergiusz Miller, Elżbieta Miller

The effect of magnetic field on the signal transduction. FP 2014; 14(1); 50-58

Abstract

The therapy using the magnetic field has been known for centuries. Today it is a technique widely used in practice due to low harmfulness, wide applicability and good clinical outcomes with relatively low outlay. The biological effect of the magnetic field is related, inter alia, with analgesic and anti-inflammatory effect. The analgesic activity is primarily based on the endogenous opioid system. The magnetic field regulates opioid analgesic by affecting the calcium channels, and Ca2+ concentration. Furthermore, the magnetic field enhances the immune system affecting the inflammatory reactions. One of the mechanisms of anti-inflammatory effect of magnetotherapy may also be an antioxidant activity. The confirmation of the analgesic and anti-inflammatory effect of the magnetic field are clinical trials conducted in various institutions in the world. Have been documented, among others, studies which used magnetic therapy in the treatment of carpal tunnel syndrome, diabetic neuropathy and fibromyalgia. The aim of this study is to present the current state of knowledge on the mechanisms of action of analgesic and anti-inflammatory magnetic field.

Key words:
magnetic fields, analgesia, inflammation

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Individualised low frequency magnetic field therapy, using the example of the de Quervain syndrome

Marcin Machnia, Natalia Cichoń, Elżbieta Miller

M. Machnia, N. Cichoń, E. Miller: Individualised low frequency magnetic field therapy, using the example of the de Quervain syndrome. FP 2015;15(4);116-122

Abstract
Background. The paper presents a case of treatment of the de Quervain syndrome with low frequency electromagnetic field (PEMF), following a procedure different from those applied to date. A patient with de Quervain syndrome diagnosed in her left hand, had been treated in the typical fashion for several months (immobilisation, pharmacotherapy, physiotherapy, kinesitherapy) without any significant improvement.
Due to the absence of the expected therapeutic effect in terms of manual skills, or abatement of pain, the patient was subjected to PEMF therapy with the use of biofeedback, in order to determine the parameters of the therapy. The therapeutic procedure involved using the ONDAMED device, generating an impulse imitating the functional potential of neural cells with a smooth adjustment of parameters (induction, frequency, time), allowing the use of biofeedback of pulse measured on the radial artery. The diagnostic and therapeutic procedure resulted, after 4 weeks, in an improvement of hand function and cessation of pain. The result of treatment and manner of treatment described in the paper encourage further study into the effect of magnetic impulses of waveforms similar to the functional potential of neural cells and the use of biofeedback in targeted magnetotherapy.

Key words:
PEMF, biofeedback, ONDAMED, magnetotherapy, tendovaginitis

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