Tag: Ewa Trzęsicka

Assessment of the effectiveness of medical massage in patients with low back pain

Waldemar Andrzejewski, Krzysztof Kassolik, Anna Karaś, Grzegorz Karaś, Ewa Trzęsicka

Waldemar Andrzejewski, Krzysztof Kassolik, Anna Karaś, Grzegorz Karaś, Ewa Trzęsicka – Assessment of the effectiveness of medical massage in patients with low back pain – research report. Fizjoterapia Polska 2006; 6(2); 150-156

Abstract

Background. Low back pain is a very often reported disorder in physiotherapist’s office. Medical massage is one of the most popular method to treat this kind of problem. The main difference between medical and classical massage depends on its methodology. In medical massage it is crucial to include the structural relationship between soft tissues. In order to find an effective treatment method therapist must treat patients as a whole, as a number of connected with each other structures. To assess the effectiveness of medical massage in people with low back pain problems. Material and methods. Twenty eight patients with low back pain have taken part in the research. Anamnesis was taken from all the patients, they also had a palpation examination to evaluate the intensity of pain in tissues. The evaluation was taken before the treatment, after the sixth and the last procedure of medical massage. Patients had one set consisting of 10 procedures. Time duration of each procedure was between 40-70 minutes. It was supposed that the painful area means disorder with an increased tension in this place. Structures which had bigger tenderness were massaged. Subjects were in prone or lying on their side position in order to maintain relaxed conditions. Classical techniques were used: stroking, petrissage, kneading, and vibration by the same therapist in all subjects. Results. There has been a significant decrease in both number of painful areas and pain intensity reported by patients. Conclusion. Medical massage is an effective therapeutic method to work on patients with low back pain. The effectiveness of massage was observed after six procedures, and after the sixth massage patients reported only slight pain.

Key words:
low back pain, medical massage, pain evaluation
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Medical massage as a rational treatment following facial skeleton surgery

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka, Marek Kiljański

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka, Marek Kiljański – Medical massage as a rational treatment following facial skeleton surgery. Fizjoterapia Polska 2007; 7(1); 87-92

Abstract

The main aim of postoperative management following surgery of the facial skeleton is to prevent potential postoperative complications. As a result of disruption of the continuity of tissue, there is swelling within the operated area, as well as subcutaneous extravasation of blood and hyperaesthesia of facial skin. The authors have developed an approach to reduce or completely eliminate those inconveniences and thus shorten convalescence time using medical massage. Initially, normal superficial sensitivity of facial skin is restored by stroking from the medial line of the face towards the ear concha, starting from the lower jaw line and ending in the forehead. Next, the peristaltic movement in lymphatic vessels diverting lymph within the head and neck is stimulated by moving the skin over deeper lying tissues within the physiological range of skin mobility. Circular movements are made with a brush for 2-4 min., and slight pressure is applied to the skin over the haematoma area in order to accelerate the resorption of subcutaneous discoloration ensuing from extravasation of blood. The last stage of the treatment is aimed at reducing pain and tenderness in the operated area. We use vibration of < 1 mm amplitude and frequency of 50-100 Hz, which guarantees analgesia for 2-3 hours. The treatment reduces postoperative discomfort afflicting patients already during the first 24 hours after surgery.

Key words:
massage therapy, oedema, hypersensitivity
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Anatomical grounds for the use of the tensegrity principle in massage

Krzysztof Kassolik, Waldemar Andrzejewski, Ewa Trzęsicka, Gregory Charlton

Krzysztof Kassolik, Waldemar Andrzejewski, Ewa Trzęsicka, Gregory Charlton – Anatomical grounds for the use of the tensegrity principle in massage. Fizjoterapia Polska 2007; 7(3); 332-343

Abstract
On the level of cells, tissues and organs alike, the structure of the human body enables the maintenance of constant spatial arrangement. This is possible owing to collagen, the most prevalent protein of the system. It is the basic building block of connective tissue, including the musculo-fascio-ligamentous system. The maintenance of proper spatial structure of the body relies on the maintenance of a balanced tonus of collagen, and thereby, of connective tissue. This balance is generated mainly by the resting tonus of skeletal muscles, which also contain collagen. On this basis, anatomical analysis of structural dependence at the musculo-fascio-ligamentous level has been performed, in accordance with the principle of tensegrity, on four fundamental systems. Each of these systems comprises structurally linked muscles, fasciae and ligaments forming an extensive pathway for the transmission of tensions over a large area of the body. Vessels and nerves course through these structures at particular points. Disorders may ensue as a result of persistently elevated resting tone of muscles and fasciae. The most common conditions of the motor system which can be a consequence of disturbances in the distribution of tensions within those four pathways are also given in the paper. This attempt at analysis of the anatomical structure of the human body according to the tensegrity principle ensures a better understanding of abnormal functioning of the body. Other benefits can include increased effectiveness of massage therapy in some conditions and better insight into structural and functional connections between various elements of the kinetic system on the one hand and vessels or nerves on the other.
Key words:
massage, tensegrity, anatomy
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Efficacy of medical massage after facial skeleton surgery

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka – Efficacy of medical massage after facial skeleton surgery. Fizjoterapia Polska 2007; 7(4); 425-430

Abstract
Background. Appropriate physical therapy procedures, including medical massage, can be used as a therapeutic adjunct inpatients after facial skeleton surgery. Material and methods. 18 patients hospitalised for facial skeleton surgery participated in the study. The age range was 19-52 years. All patients had lymphoedema and dysaesthesia with hyperaesthesia. Blood extravasations were noted in two patients. The mean extent of oedema on the operated side was 120% compared to the healthy side and the mean intensity of pain was 5.6 degrees. Massage was performed every day (on average 4-5 procedures, 15 min. each), beginning during the first 24 hours after surgery and continuing until discharge. Changes in the size of oedema and haematoma were assessed together with any changes in the intensity of pain. The assessments were based on photographic documentation and an 11-degree scale of pain intensity. Changes in the size of swelling were measured with two scales: absolute (measured from the base of the nose to the point of maximum oedema, before and after the procedure) and relative (only the change in swelling was measured). Results. Mean oedema size after the rehabilitation programme was 103%, corresponding to an absolute reduction of 17.8%. The relative change in lymphatic swelling was 88.5%. Pain and tenderness were reduced by 4.9 degrees (87%) to 0.75 degrees. The haematomas were completely absorbed. Conclusions. Medical massage had a positive effect on the convalescence of facial skeleton surgery patients.
Key words:
massage therapy, oedema, hypersensitivity
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