Tag: fizjoterapia

Efficacy of soft tissue manipulation technique vs therapeutic exercise for an inadequate venous supply in women after pregnancy

Jenifer Augustina S, Kamalakannan M, Radhika S, Dhanusia S, Bharathi Ravichandran

Jenifer Augustina S, Kamalakannan M, Radhika S, Dhanusia S, Bharathi Ravichandran – Efficacy of soft tissue manipulation technique vs therapeutic exercise for an inadequate venous supply in women after pregnancy –  Fizjoterapia Polska 2025; 25(1); 67-70

DOI: https://doi.org/10.56984/8ZG007DZPX0

Abstract
Background. It is caused by primary problems in the vascular wall and valve structure, as well as their insufficiency. Additionally, factors such as hormonal changes, pregnancy, obesity, insufficient movement, working in a sedentary position, and oral contraceptives contribute to impaired vascular tension and structure.
Objective. This study compares the effect of soft tissue manipulation technique and therapeutic exercise on inadequate venous supply in postpartum women.
Methodology. Thirty individuals were included in the study based on inclusion and exclusion criteria. They were randomly allocated into two groups receiving one of the two physiotherapy interventions. NPRS and SF-36 were used to assess the effect of the interventions by comparing venous blood flow improvement before and after the allotted treatment for 10 weeks.
Results. A significant difference in NPRS and SF-36 scores was observed in both groups, indicating the effectiveness of both myofascial release manual therapy and therapeutic exercise. However, myofascial release manual therapy proved to be more effective in improving venous blood flow.
Conclusion. This study concludes that both soft tissue manipulation and therapeutic exercise improve venous blood flow. However, soft tissue manipulation was significantly more effective than therapeutic exercise.
Keywords
physiotherapy, venous insufficiency, postpartum, manual therapy, therapeutic exercises
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Comparing the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain

Jenifer Augustina S., Kamalakannan M, Dhanusia S, Bharathi Ravichandran

Jenifer Augustina S., Kamalakannan M, Dhanusia S, Bharathi Ravichandran – Comparing the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain –  Fizjoterapia Polska 2024; 24(5); 432-435

DOI: https://doi.org/10.56984/8ZG020C9HJ7

Abstract Background. Postpartum low back pain is a common discomfort reported by women, which has a multifactorial etiology. Physical therapy during and after pregnancy helps to resolve various pregnancy-related and postpartum discomforts, impacting the daily activities of the mother. Objective. The objective of this study is to compare the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain. Methodology. This study involved 30 individuals selected based on the inclusion and exclusion criteria, and they were randomly allotted to two groups receiving the two physiotherapy interventions. Application of hot packs was advised to both groups. NPRS and Oswestry Disability Index were used to analyse the effect of the interventions by comparing the severity of the symptoms associated with postpartum low back pain before and after receiving the allotted treatment for 4 weeks. Results. Significant differences in NPRS and ODI were noted in both groups, indicating the efficiency of both laser therapy with exercises and IFT. However, laser therapy with exercises was more effective in reducing the pain and preventing further pain in comparison to IFT. Conclusion. The conclusion of this study states that both laser with exercises and IFT reduced the severity of pain, among which laser therapy with pelvic floor strengthening was comparatively more effective than IFT.
Key words physiotherapy, postnatal, NPRS, Oswestry disability index, strengthening exercises
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The relationship between smartphone addiction and psychological distress, quality of life and sleep quality among university students

Ahmed Abdelmoniem Ibrahim

Ahmed Abdelmoniem Ibrahim – The relationship between smartphone addiction and psychological distress, quality of life and sleep quality among university students –  Fizjoterapia Polska 2024; 24(5); 392-395

DOI: https://doi.org/10.56984/8ZG020C2YQT

Abstract Background. Medical students who sleep less due to smartphone use can experience serious health effects, which negatively affect their studies. This study was designed to explore the correlation between phone addiction and psychological distress, quality of life, and quality of sleep among applied medical sciences students. Methodology. This study was applied to 121 medical students of the University of Hail using a Smartphone Addiction Scale-Short Version (SAS-SV), Kessler Psychological Distress Scale (K10), Short Form-36 Quality of Life Questionnaire, and Pittsburgh Sleep Quality Index (PSQI) from February to May 2024. Results. The mean age of the students was 22.9 ± 4.7. Male students were 88, representing 72.7% of the entire sample, while the female students were 33, representing 27.3%. The correlation analysis proved a positive relation between SAS-SV and K10, poor quality of life, and poor sleep quality; additionally, the regression model demonstrated a high degree of prediction, it displayed a higher level (R = 0.672) for SAS-SV, and R2 was 0.593. Conclusion. Smartphone addiction raises the risk of health problems, psychological problems, and sleep-related problems for students in medical colleges.
Key words physiotherapy, postnatal, NPRS, Oswestry disability index
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Pain therapy in horseback riders – physiotherapeutic intervention

Gabriela Škrečková, Matúš Kozel, Eva Lukáčová, Martina Čerevková, Alexander Kiško

Gabriela Škrečková, Matúš Kozel, Eva Lukáčová, Martina Čerevková, Alexander Kiško – Pain therapy in horseback riders – physiotherapeutic intervention –  Fizjoterapia Polska 2024; 24(4); 418-422

DOI: https://doi.org/10.56984/8ZG01A8H2J3

Abstract
Introduction. Horseback riding is a complex physical activity that significantly affects a rider’s physical and mental health. Postural insufficiency can have a negative impact on a rider’s physical health as well as their his or her riding technique.
Objective: The objective of the research was to evaluate the effect of a three-month physiotherapy intervention on lower limb stability and mobility, activation of the torso and pelvis muscles, and the reduction of pain in specific areas of the body.
Methods. The study involved 15 non-professional riders with an average age of 25.26 years who had ridden for at least 2 days a week in the last three years. Respondents completed the entry and exit measurements over a span of 3 months. The stability and mobility of the ankle, knee and hip, the ability to generate and maintain intra-abdominal pressure and the incidence of pain in the lumbar area, before and after physiotherapy intervention were evaluated.
Results. After the three-month intervention, there was an improvement in the hip test (FABER), the Varus stress test, the Time and balance and the SEBT test. In the Valgus stress test before and after kinesiological intervention, there was no improvement but no worsening of the condition either. We confirmed the improvement of ankle joint stability with the Time in Balance test (66.67% improvement) and the SEBT test (32.67% improvement). Respondents experienced the greatest pain during the entry measurements in the hip joint (ø 1.53), and the lowest pain experienced during the entry testing was in the ankle joint (ø 0.33). The most significant changes occurred after the lumbar spine intervention.
Conclusion. Improvement of postural stability and posture through compensatory exercises, corrective measures and proper technique is crucial for successful and safe horseback riding.
Key words
Horse rider, physiotherapy, pain, stability
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Burnout among Egyptian physical therapists in burn departments

Mohamed Bayoumi Ibrahim Bayoumi, Ahmed Mohamed Nagy, Saher Lotfy El Gayar, Shaimaa Mohamed Metawee, Nehad Mohamed AbdElnabi Mousa, Heba Mohamed Mohamady

Mohamed Bayoumi Ibrahim Bayoumi et al. – Burnout among Egyptian physical therapists in burn departments –  Fizjoterapia Polska 2024; 24(4); 129-135

DOI: https://doi.org/10.56984/8ZG01A8Q4R1

Abstract
Background. Burnout is a common syndrome among healthcare providers which affects their quality of life and the healthcare service they provide. Physical therapists in burn units are at high risk to develop burnout due to several stressors.
Objective. This study’s main objective was to evaluate the extent of burnout experienced by physical therapists employed in burn units.
Design. The present study employed a cross-sectional study.
Methods. A total of 520 physical therapists, aged 24–44 years, working in burn units of Egyptian hospitals participated in our study. Burnout evaluation was conducted using the Maslach Burnout Inventory Human Services Survey (MBI-HSS).
Results. 520 physical therapists participated in the study, about 50% of them were aged between 30 and 40 years, and about 44.9% had a bachelor’s degree. Females represented 63.3% of them. According to the results of the MBI-HSS assessment, it was found that 73.5% of the participants exhibited symptoms of burnout on the emotional exhaustion (EE) scale, while 44% displayed burnout on the depersonalization (DP) scale. Additionally, 51% of the participants reported low personal accomplishment (PA) on the scale measuring this construct. Results confirmed that men, more than women, experienced depersonalization, and they were less satisfied with their professional accomplishments.
Conclusion. Physical therapists working in burn units who responded to the survey expressed severe burnout. To assess the impact of burnout on physical therapists working in burn units and to create strategies to lessen it, more study is needed.
Keywords
physical therapy, burnout syndrome, maslach burnout inventory, burn unit
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A narrative review on the role of physiotherapy in musculoskeletal disorders

Hind Humid Alshuweihi, Alham Al-Sharman, Walid Kamal Abdelbasset

 

Hind Humid Alshuweihi, Alham Al-Sharman, Walid Kamal Abdelbasset – A narrative review on the role of physiotherapy in musculoskeletal disorders –  Fizjoterapia Polska 2024; 24(3); 367-372

DOI: https://doi.org/10.56984/8ZG020AK7N

Abstract:
Musculoskeletal disorders encompass a broad range of conditions affecting the bones, muscles, joints, ligaments, and tendons throughout the body. These disorders can result from various causes, including injury, overuse, aging, genetic predisposition, and systemic diseases such as arthritis. Management of musculoskeletal disorders typically involves a multidisciplinary approach, including medical interventions, physiotherapy, occupational therapy, pain management, and lifestyle modifications. Treatment aims to relieve symptoms, improve function, prevent further damage, and enhance overall well-being. This review explores the role of physiotherapy in the management of musculoskeletal disorders, offering interventions such as exercise therapy, manual therapy, modalities, and patient education. Physiotherapists tailor treatment plans to address individual needs, promote recovery, and optimize long-term outcomes. Prevention strategies, including maintaining a healthy lifestyle, proper ergonomics, regular exercise, and injury prevention programs, are essential for reducing the risk of musculoskeletal disorders. Several studies showed the efficacy of physiotherapy for musculoskeletal disorders and the wealth of evidence from studies supports the integration of physiotherapy alongside physician-led care as an effective approach for treating musculoskeletal disorders, resulting in improved outcomes, reduced healthcare utilization, enhanced patient satisfaction, and long-term benefits for patients.
Overall, early diagnosis, comprehensive treatment, and ongoing management are key to effectively managing musculoskeletal disorders and improving the quality of life for individuals affected by these conditions.

Keywords:
musculoskeletal disorders, physiotherapy, exercise

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The impact of physiotherapeutic management based on selected neurophysiological assessment methods on the quality of life and functional status in a patient after C1 and C2 level trauma: A Case Study

Przemysław Wdowiak, Karolina Karska, Katarzyna Słowińska-Karska, Agnieszka Dębiec­Bąk, Marzena Supińska

 

Przemysław Wdowiak, Karolina Karska, Katarzyna Słowińska-Karska, Agnieszka Dębiec­Bąk, Marzena Supińska – The impact of physiotherapeutic management based on selected neurophysiological assessment methods on the quality of life and functional status in a patient after C1 and C2 level trauma: A Case Study –  Fizjoterapia Polska 2024; 24(3); 6-14

DOI: https://doi.org/10.56984/8ZG020AR37

Spinal cord injury (SCI) is frequently linked to chronic disorders that cause functional challenges in the sensorimotor system. Early, comprehensive, and continuous physiotherapy after spinal cord injury, starting from the preoperative stage, through several years improves the patient’s functional status and independence. Material and methods: The patient is a 51‑year‑old miner hospitalized in the Neurosurgical Department of 4WSKzP in Wrocław. He suffered a cervical spine injury in a mining accident. Moreover, he was found to have a type III odontoid fracture with intramedullary displacement (1.2 cm) and an atlas arch fracture without displacement. The patient’s functional status was assessed using: SCIM III, ASIA, and FIM scales.The aim of the study: The purpose of this study was to assess the effectiveness of 4 years of physiotherapy based on neurophysiological methods and its benefits for a patient after spinal cord injury at the C1 and C2 levels. Results: During the first 36 months of therapy, a marked improvement in sensation was observed, with a slight dominance on the left side until the 24th month, followed by stabilization of the values. In the third month, a consistent increase in the muscle strength of both upper extremities was noted, showing a steady linear progression. Independence in daily activities, scored according to the FIM scale, also showed improvement in parameters until the 48th month of therapy. Independence in self-care, scored according to the SCIM III scale, was at 14 points until the first year of treatment, and reached 20 points by the end of the therapy. Assessment of respiratory function and sphincter control, allows us to conclude that the greatest improvement was achieved in the first 3 months of continuous treatment, i.e. from 0 to 17 points, after 12 months; 23, after 48 months the patient scored a total of 40 points. In terms of transfers in the home environment, improvements were observed up to the 12th month of therapy. The greatest rate of change in mobility was observed during the first 2 years of treatment. At 36 and 48 months of therapy, the improvement in mobility maintained a modest increasing trend. Conclusions: A beneficial effect of 4 years of physiotherapy was observed in the functional status and independence of the patient after severe SCI. As a result, he was able to drive a passenger car independently.

Keywords:

spinal cord injury, physiotherapy, neurophysiological methods

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Virtual reality training combined with physical therapy program for children with tibial eminence fracture: a randomized controlled trial

Amira. H. Mohammed, Samah. M. Sheha, Nader. I. Elsayed, Amira M. El-Gendy, Nehad A. Abo-zaid

Amira. H. Mohammed, Samah. M. Sheha, Nader. I. Elsayed, Amira M. El-Gendy, Nehad A. Abo-zaid – Virtual reality training combined with physical therapy program for children with tibial eminence fracture: a randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 383-391

DOI: https://doi.org/10.56984/8ZG5608E5F

Abstract
Background. Tibial eminence fracture is an injury referred to the interarticular portion of the neighbouring plateau of the tibia. Non-operative treatment is recommended for type I and II. The study aimed to investigate the effect of virtual reality (VR) training combined with a physical therapy program (PTP) in the management of children after tibial eminence fractures. Methods. Forty eight children suffering from tibial eminence fracture (type I and type II). Their age ranged from 7 to 14 years old. The control group (G1) received only a physiotherapy program (PTP) and the experimental group (G2) received the same PTP plus virtual reality (VR) in form of Wii Sport Training. Both groups received the treatment protocol for six successive months (3 sessions per week). Participants were assessed before and after the treatment for six successive months. The outcomes were range of motion (ROM) of knee joint using goniometry, knee pain using the visual analogue scale (VAS) and balance by Pediatric Balance Scale (PBS). Results. Post-treatment, there was a a statistically substantial difference in pain, PBS, knee flexion and extension ROM in both groups (P-value < 0.05). Also, there was a statistically substantial difference in PBS and knee flexion ROM between the two groups (P-value < 0.05), favouring the VR group. Conclusions. These findings from this study reveal the value of physical therapy combined with VR in the rehabilitation of children with tibial eminence fractures. Virtual reality used in conjunction with PTP enhances those children’s knee range of motion and body stability.
Key words
tibial eminence fracture, physical therapy, virtual reality
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Post-operative rehabilitation and return to sport criteria following anterior cruciate ligament reconstruction – a survey of physiotherapists in the United Arab Emirates

Sara Atef Ali, Cecilia Ferreira Aquino, Achraf Ammar, Ashokan Arumugam

Sara Atef Ali, Cecilia Ferreira Aquino, Achraf Ammar, Ashokan Arumugam – Post-operative rehabilitation and return to sport criteria following anterior cruciate ligament reconstruction – a survey of physiotherapists in the United Arab Emirates – Fizjoterapia Polska 2024; 24(2); 344-355

DOI: https://doi.org/10.56984/8ZG5608IV0

Abstract
Background. The rehabilitation and return to sport (RTS) criteria used after anterior cruciate ligament (ACL) reconstruction seem to vary between physiotherapists in different countries. However, no study has been conducted to investigate the post-operative rehabilitation and RTS criteria following ACL reconstruction used by physiotherapists in the United Arab Emirates (UAE).
Aim. The purpose of this study is to summarize the clinical practice and RTS criteria used by physiotherapists treating patients following ACL reconstruction in the UAE, and to investigate the factors associated with the commonly used RTS criteria.
Material and methods. An electronic survey questionnaire was distributed to UAE physiotherapists. The questionnaire included questions related to demographic information, clinical practice, and RTS criteria employed by UAE physiotherapists.
Results. A total of 108 physiotherapists voluntarily participated in the study. Approximately only 25% adhered to the established RTS criteria before RTS. About 88% of physiotherapists base their clearance decisions on how well they do in functional assessments like balance checks, hop tests, and running and sprinting biomechanics. A multidisciplinary team decided on the RTS clearance, according to 47% of physiotherapists. The most often utilized RTS criteria did not significantly correlate with parameters including academic standing, years of experience, nationality, specialty certification, or the type of license held by UAE physiotherapists, according to the study.
Conclusion. Most physiotherapists in the UAE were not adhering to the most recommended RTS criteria post-ACL reconstruction in their clinical practice, and none of the evaluated physiotherapist-related factors showed a significant association with RTS criteria following ACL reconstruction.
Keywords
anterior cruciate ligament reconstruction, rehabilitation, clinical decision-making, physical therapy, return to sport criteria
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Exploring physiotherapy interventions for chronic back pain: the role of shockwave therapy

Maram Maki, Shima A. Mohammad Zadeh, Tamer M. Shousha

Maram Maki, Shima A. Mohammad Zadeh, Tamer M. Shousha – Exploring physiotherapy interventions for chronic back pain: the role of shockwave therapy – Fizjoterapia Polska 2024; 24(2); 178-182

DOI: https://doi.org/10.56984/8ZG5608NP7

Abstract
Chronic nonspecific low back pain (LBP) poses a significant global health challenge, necessitating multifaceted interventions for effective management. Physiotherapy, with its integrated approach, plays a pivotal role in addressing the complexity of chronic LBP, employing diverse modalities such as exercise and movement therapy, manual therapies, and education combined with lifestyle modifications. Cognitive Functional Therapy (CFT) has emerged as a promising, patient-centered intervention, emphasizing the importance of a personalized approach. However, challenges persist in delivering efficient, individualized treatments, leading to potential excess or inadequacy of interventions. Extracorporeal Shockwave Therapy (ESWT) has garnered attention as an emerging therapeutic intervention for chronic back pain, employing high-energy shockwaves to stimulate healing processes and alleviate pain. While ESWT shows promise in treating musculoskeletal conditions and inducing favorable effects in various studies, its specific application for chronic low back pain lacks comprehensive randomized clinical trials, especially concerning radial ESWT. The current body of evidence, often falling short of the highest standards of Evidence-Based Physiotherapy, poses challenges in objectively assessing the clinical effectiveness of widely practiced ESWT procedures for chronic low back pain. In conclusion, while physiotherapy remains integral for managing chronic nonspecific low back pain, including diverse interventions, the specific role and effectiveness of shockwave therapy, particularly in the context of chronic back pain, necessitate further robust research and clinical investigations. This review highlights the need for comprehensive studies to ascertain the clinical efficacy and optimal application of shockwave therapy within physiotherapy protocols for long-term pain management.
Keywords
low back pain, shockwave therapy, physiotherapy
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