The usage of physiotherapeutic ozone therapy in periodontal and oral mucosal diseases – a review of the literature, supported by own observations

Diana Masłyk, Małgorzata Mazurek-Mocho, Izabela Barczyk, Natalia Walczuk, Angelika Rusińska, Natalia Sadowska, Maria Pawlak, Michał Rojewski, Danuta Lietz-Kijak

Diana Masłyk, Małgorzata Mazurek-Mocho, Izabela Barczyk, Natalia Walczuk, Angelika Rusińska, Natalia Sadowska, Maria Pawlak, Michał Rojewski, Danuta Lietz-Kijak – The usage of physiotherapeutic ozone therapy in periodontal and oral mucosal diseases – a review of the literature, supported by own observations. Fizjoterapia Polska 2023; 23(5); 197-204

DOI: https://doi.org/10.56984/8ZG20B4l4

Abstract
Introduction. The usage of innovative therapeutic methods in the field of dentistry is con-stantly being researched with a goal to find an effective and safe strategies for the treatment of periodontal and oral mucosal diseases. In recent years, ozone therapy has become a subject of increased interest due to its potential benefits in the field of dental therapy. Ozone, the triatomic gas of oxygen, has gained prominence as an alternative form of therapy that can affect pathological changes within the oral cavity given its antibacterial and antifungal properties.
Purpose of the study. The aim of this literature review is to evaluate the effectiveness of ozone therapy in dental treatment, with particular emphasis on the effect on periodontal and oral mucosal diseases, as well as tissue regeneration and reduction of pathogenic microorgan-isms within the oral cavity.
Materials and methods. A systematic review of international literature published between 2000 and 2023 was conducted. This analysis included electronic databases such as PubMed, Google Scholar and EBSCO with the intention to collect and examine research findings. The selection of scientific papers was made taking into account the diversity of topics, methodological rigor and adherence to the principles of research ethics. In order to identify publications that met the established selection criteria, a multi-stage evaluating process was used, subjecting the chosen papers to critical evaluation.
Conclusions. The usage of ozone therapy is a vast field of scientific research, subject to con-tinuous analysis, where the results are not always unanimous. In recent years, there has been noted a significant involvement of ozone (O3) in the field of periodontics and other dental disciplines. The effects of ozone and its therapeutic potential are a subject of detailed scientific research aimed at understanding the biological mechanisms and confirming the effectiveness of this form of therapy.

Keywords
ozone, ozone therapy, therapeutic applications, oxidants, dental disinfectants, oral medicine, physical therapy in dentistry, periodontal diseases, oral mucosal diseases

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The cooperation between physiotherapist and dentist in treatment of patient with functional disorders of the masticatory system – questionnaire survey

Marta Grzegocka, Małgorzata Marjańska, Małgorzata Kowacka, Konrad Kijak, Helena Gronwald, Piotr Skomro, Adam Andrzej Garstka, Danuta Lietz-Kijak

Marta Grzegocka, Małgorzata Marjańska, Małgorzata Kowacka, Konrad Kijak, Helena Gronwald, Piotr Skomro, Adam Andrzej Garstka, Danuta Lietz-Kijak – The cooperation between physiotherapist and dentist in treatment of patient with functional disorders of the masticatory system – questionnaire survey. Fizjoterapia Polska 2023; 23(5); 69-74

DOI: https://doi.org/10.56984/8ZG20Bm5D

Abstract
Introduction. The experience gained by dentists and physiotherapists in the field of masticatory organ dysfunctions in relation to the body as a whole confirms the belief that the issue of disorders of the masticatory organ motor system is not a local problem. Therefore, the treatment of this type of diseases should not be limited only to the reconstruction of static and dynamic occlusion using conservative, orthodontic or prosthetic methods, neglecting the appropriate mobilization of the musculoskeletal, fascial, osteoarticular chains associated with the cervical section and further sections of the spine. Limiting the diagnosis and therapy of functional disorders only to elements of the stomatognathic system may generate even greater ailments and diseases in the patient.
A wide range of symptoms related to the stomatognathic system, causing unpleasant pain and emotional disorders, determines patients to seek help from many specialists, including: otolaryngologist, neurologist or physiotherapist. The patient has a chance to cure these health problems, provided that the entire rehabilitation team works: a dentist, a physiotherapist, a psychologist and a speech therapist specializing in masticatory system dysfunctions.
Aim of study. The aim of the study was to determine the needs for establishing cooperation between a physiotherapist and dentist in the treatment of patients with functional disorders of the masticatory system.
Material and methods. The research was conducted among 28 physiotherapists from the West Pomeranian Voivodeship. The diagnostic tool used was an interview questionnaire, containing a number of questions regarding the conditions and quality of establishing cooperation with a dentist in the management of patients referred for physiotherapy treatments for the treatment of disorders in the stomatognathic system.
Conclusions. Existing physiotherapeutic methods shorten the duration of the disease, e.g. through massages, manual therapy (trigger point therapy, mobilization, post-isometric muscle relaxation), physical treatments (ultrasounds, biostimulation laser, cryotherapy, light therapy, magnetic field) and exercises (relaxation, stabilization, proprioception), which the patient performs under the supervision of a therapist and then alone at home. Achieving positive effects in the treatment of patients with stomatognathic disorders requires constant cooperation between a dentist and a physiotherapist. Only a comprehensive, holistic diagnostic and therapeutic approach is a condition for effective treatment.

Keywords
physiotherapist, dentist, masticatory system

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Low back pain and other work-related musculoskeletal disorders among Jordanian physical therapists from Hashemite University

Shaden A.Al-Bustanji, Mohannad Hawamdeh, Saad M.Al-Nassan, Zaid M.Mansour


Shaden A.Al-Bustanji, Mohannad Hawamdeh, Saad M.Al-Nassan, Zaid M.Mansour – Low back pain and other work-related musculoskeletal disorders among Jordanian physical therapists from Hashemite University. Fizjoterapia Polska 2022; 22(2); 96-101

DOI: https://doi.org/10.56984/8ZG0DE24g

Abstract
Purpose. Physical therapists (PTs) have direct patient contact, they susceptible to Work-related musculoskeletal disorders (WRMDs), its prevalence among PTs in Jordan has not been reported yet. The significance of this study relies on providing descriptive data about the PTs musculoskeletal disorders in Jordan. Method. A web-based online survey (Google Forms) was used to create the survey; it contained a cover letter, a consent form and a hyperlink that directed the participants to the survey. The questionnaire was based on the Standardized Nordic Questionnaire with some modifications. It was administered to 50 PTs through e-mail messages, 46 PTs returned completed surveys (92% response). The data were analyzed using SPPS version 20 at alpha level of 0.05. Results. Reported 12-month prevalence of WRMDs among Jordanian PTs was 71.7%. WRMDs was significantly higher in female PTs (p = 0.038). The low back 6o.6% was significantly the most commonly affected body part (p > 0.001), followed by the neck 48.5% with (p = 0.002).. More than fifty percent of the PTs with WRMDs were found to be younger than 34 years 51.1%. Treating large number of patients “more than ten” in a day was reported by most 42.4% of the respondents. PTs who had worked at general hospital had high WRMDs prevalence 66.6%. Conclusions. The prevalence of low back pain (LBP) and other WRMDs among PTs in Jordan is relatively high. It affected their performance of daily activities at home and away from home, it is also contributed sometimes to their sick leaves.
Key words:
physical therapist, low back pain, prevalence, risk factor, Jordan
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Standards of competence in the physiotherapist profession

Wojciech Kiebzak, Jan Szczegielniak, Michał Butkiewicz, Bogusław Frańczuk, Małgorzata Starczyńska, Zbigniew Śliwiński

Wojciech Kiebzak, Jan Szczegielniak, Michał Butkiewicz, Bogusław Frańczuk, Małgorzata Starczyńska, Zbigniew Śliwiński – Standards of competence in the physiotherapist profession. Fizjoterapia Polska 2009; 9(1); 84-96

Abstract
Background. Work on standards of professional aualifications was started in Poland in the 1990’s. The standards contain a general description of professional tasks in the context of the particular profession together with an outline of the associated skills and qualifications. A total of 253 qualifica-tions standards had been developed by the end of 2007, including standards for physiotherapists, physiotherapy assistants and massage specialists. Material and methods. Five levels of qualifications have been defined in the National Professional Oualification Standard in accordance with EC provisions, taking under consideration the complexity of work, the difficulty of the skills, the degree of responsibility and the level of professional hierarchy which students are prepared to. The sets of skills, knowledge and psychophysical characteristics were assigned to four groups of qualifications: extra-professional, general-professional, basie professional and specialised professional skills, with indMdual groups differing in terms of scope and degree of generalny. On the basis of the above criteria, a questionnaire was designed and a survey was carried out. The questionnaire, which had over 30 pages, was first tested in a pilot study involving 8 persons and then used in a target study of 40 respondents. Both studies involved active physiotherapists as well as the management of the facility where they were employed. The results of the suney served to develop a preliminary version of the standard, which was later assessed by three evaluators during a session with the authors. Following incorporation of justified comments and emenda-tions, the standard was sent to reviewers, whose remarks were incorporated before the standard was submitted to a relevant committee for approval. Results. The standard of the physiotherapist profession was elaborated, including the legal basis of the profession, a synoptic description of the profession, work place, professional tasks, and a specification of general-professional, basie and specialized qualifications for the profession. Conclusions. 1. The standard is a single document specifying the range of knowledge and skills, professional tasks and the scope of professional responsibility. 2. The standard of the physiotherapist profession can be used by interested persons and institutions for a variety of purposes, e.g. vocational counselling, employment policies, personnel policy of companies and institutions as well as for social insurance related purpos-es to estimate occupational risk and determine insurance premiums accordingly and in jurisprudence and to determine social insurance.
Key words:
physiotherapist, professional tasks, professional competence
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Physiotherapist in every school: ademand in the view of students, lecturers, parents and physiotherapists

Elżbieta Trylińska-Tekielska, Karolina Włostowska, Monika Drewnik, Lidia Nowińska, Hubert Nałęcz, Anna Makulska

Elżbieta Trylińska-Tekielska, Karolina Włostowska, Monika Drewnik, Lidia Nowińska, Hubert Nałęcz, Anna Makulska – Physiotherapist in every school: ademand in the view of students, lecturers, parents and physiotherapists. Fizjoterapia Polska 2021; 21(1); 126-139

Abstract
Introduction. A large percentage of musculoskeletal disorders among adolescents can be attributed to the lack of physical activity. Properly directed prevention as well as assuring the right conditions for development constitutes a valid part in the research on the subject.
Objective. To assess the opinion of students, lecturers, parents and physiotherapists on the need of cooperation with a physiotherapist in the school environment.
Design. The research was conducted at the primary and secondary schools in Warsaw in 2018. 1053 participants were selected to take the survey. The distribution among the group was as follows: lecturers (N = 178), students (N = 548), parents (N = 97) and physiotherapists (N = 230). A survey “Physiotherapist at every school” by E. Trylińska-Tekielska and L. Nowińska was used.
Results. There was a shared agreement among the participants on the need of having access to a physiotherapist at every school with choices respectively: lecturers (94%), parents (89%), students (82%) in favor. Teachers were overwhelmingly open (93%) to the possibility of working together with a physiotherapist. Most of the students (91%) pointed to experiencing fatigue at school with majority (67%) agreeing that having an access to physiotherapist would positively affect their physical well-being.
Conclusions.
1. A presence of a medical professional in the form of physiotherapist is important to and expected by the study group.
2. Teachers were willing to work with a physiotherapist and agreeing on its positive influence on students’ physical condition.
3. Majority of the students agree that physiotherapist will positively influence their physical condition.
Key words:
physiotherapist, student, school, prevention
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Occurrence of work-related pain syndromes and injuries due to overload of the musculoskeletal system in physiotherapists

Katarzyna Michalak, Anna Szwaczko, Agnieszka Cieślak, Katarzyna Krekora, Tomasz Miśkiewicz, Elżbieta Poziomska-Piątkowska

K. Michalak, A. Szwaczko, A. Cieślak, K. Krekora, T. Miśkiewicz, E. Poziomska-Piątkowska – Occurrence of work-related pain syndromes and injuries due to overload of the musculoskeletal system in physiotherapists. FP 2017; 17(2); 72-81

Abstract

Introduction. The aim of this study was to analyze the prevalence of musculoskeletal pain and injuries associated with the physiotherapy profession, as well as to analyze work activities related to professional practice predisposing to injury.
Material and methods. The study was conducted among 150 randomly selected physiotherapists. The questionnaire designed by the authors, included questions about sociodemographic data, work characteristics, the incidence of pain and injury which occurred while performing professional activities, location of the injury and the type of activity during which the injury occurred.
Results. 99% of physiotherapists reported to feel pain associated with performing job activities and 61% had suffered an injury of the musculoskeletal system that was clearly caused by their work. Injuries were most often located in the lumbosacral spine, wrist and hand as well as in the cervical spine.
Conclusions. 1. Musculoskeletal pain and injuries are an important issue among physiotherapists. 2. They are most often located in the lumbosacral spine, wrist and hand as well as in the cervical spine 3.Lifting and moving patients or equipment, performing massage and passive exercises are the most common activities related to pain development and the occurrence of injury. 4. High incidence of work-related pain and injuries results from the insufficient application of ergonomics by physiotherapists, as well as from the inadequate adaptation of the workplace. 5. To maintain and prolong the ability to work in a physiotherapy profession it is necessary to provide an appropriate ergonomics training among physiotherapists and consistent monitoring of compliance with the principles of ergonomics by superiors.

Key words:
Physiotherapy Specialty, Physiotherapist, injuries, pain, ergonomics, workplace

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The level of anxiety and the attitudes of physiotherapists towards mentally disabled children

Zbigniew Śliwiński, Justyna Wójcik, Małgorzata Starczyńska, Zofia Śliwińska

Z. Śliwiński, J. Wójcik, M. Starczyńska, Z. Śliwińska – The level of anxiety and the attitudes of physiotherapists towards mentally disabled children. FP 2014; 14(2); 40-50

Abstract

Aim: The aim of this paper is to analyse the attitudes of physiotherapists towards mentally disabled children and to analyse the influence of their attitudes on their anxiety level.
Method: The study comprised 67 respondents; 37 students of physiotherapy and 30 physiotherapists who work in special care centres. Both research groups were asked to fill out an STAI Questionnaire which determines the level of anxiety as a state and anxiety as a trait, as well as author’s original questionnaire (Scale of Attitudes of Physiotherapists Towards Mentally Disabled Children).
Results: Both research groups present positive attitudes towards mentally disabled children. The research indicates that a more positive attitude towards mentally disabled children is presented by physiotherapists who work in special care centres, as compared to the other research group. A higher level of anxiety as a state is experienced by the students of physiotherapy.
Conclusions: Anxiety may influence the attitudes of physiotherapists toward mentally disabled children. It may be inferred that the higher the score of assessment of positive attitude towards mentally disabled children, the lower the level of anxiety in physiotherapists and students of physiotherapy.

Key words:
anxiety, attitude, mental disability, physiotherapist

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How do physiotherapists define health? – results of a questionnaire study

Łukasz J. Krzych, Mateusz Ziemba, Michał Wyder, Krystian Oleszczyk, Anna Zielińska-Meus, Jacek Durmała

Ł. J. Krzych, M. Ziemba, M. Wyder, K. Oleszczyk, A. Zielińska-Meus, J. Durmała: How do physiotherapists define health? – results of a questionnaire study. Fizjoterapia Polska 2015;15(3);56-63

Abstract

Introduction. A physiotherapist should know methods used in health assessment, basic definitions and psychosocial mechanism driving health and its prevention. The aim of this study was to assess opinions of physiotherapist about health with aligned basic determinants.
Methods. This cross-sectional study involved 117 subjects, 91 (77.7%) females and 28 (22.3%) males, aged 38 ± 10 years. Polish version of a standardized Ewles and Simnett questionnaire was applied. The poll consisted of 23 questions about 4 components of health: physical (7 questions), mental (6 questions), social (5 questions) and health as a lack of disease (5 questions). Subject chose all of possible 23 answers their agreed with. Percentage of given answers was calculated. On this basis, a dominant domain was established.
Results. Subjects agreed with 64.5% of all opinions of a questionnaire. Most frequently they chose those related to social (80%), then physical (71.4%) and finally to mental (66.7%) components of health. Health as a lack of disease was declared less frequently (60%). After categorization of individual answers, we found that physiotherapists defined health as the bio-psycho-social condition (38.9% of persons). Age, education level, marital status, place of work and number of years in profession were not associated with given opinions.
Conclusions. More than half of investigated physiotherapists define health inappropriately. Gender influences subjects’ opinions about health. Questionnaire formula of the study is its limitation, so the results need to be verified in further researches.

Key words:
health, questionnaire, opinions, physiotherapy, physiotherapist

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