Association between pain type, physical activity and regional function in individuals with chronic low back pain

Siva Harini Y, Balamurugan B, Antony Leo Aseer P, Subbiah K, Angeline R

Siva Harini Y, Balamurugan B, Antony Leo Aseer P, Subbiah K, Angeline R – Association between pain type, physical activity and regional function in individuals with chronic low back pain –  Fizjoterapia Polska 2025; 25(4); 129-133

DOI: https://doi.org/10.56984/8ZGA431YTPJ

Abstract
Background. Chronic low back pain (CLBP) is often associated with disability and decreased quality of life. Understanding the distinction between nociceptive and neuropathic pain is important, as each may differently affect physical activity and function.
Aim. To examine the association between pain type, physical activity, and regional function in individuals with CLBP.
Methodology. A total of 70 participants aged 20–55 years with CLBP were recruited. Pain type was classified using the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS). Physical activity was assessed with the Global Physical Activity Questionnaire (GPAQ), and regional function was evaluated using the Oswestry Disability Index (ODI). An independent t-test was performed to analyze the data.
Results. The neuropathic pain group showed significantly higher pain intensity (p < 0.01), greater functional disability (p < 0.01), and lower levels of physical activity (p < 0.01) compared to the nociceptive group. A strong negative correlation was observed between physical activity and disability, emphasizing the role of active management in CLBP.
Conclusion. Individuals with neuropathic pain experience more severe disability and engage in less physical activity than those with nociceptive pain. Assessing the pain type is essential in determining appropriate rehabilitation strategies for managing CLBP.
Key words
chronic low back pain, neuropathic pain, nociceptive pain, physical activity, disability
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Sample survey on the prevalence of osteoarthritis

Kirupa.K, Brightlin S., Saraswathi.K, P. Preethi Angel, Aashiba Mariyam Beevi S., Sevanthi C.

Kirupa.K, Brightlin S., Saraswathi.K, P. Preethi Angel, Aashiba Mariyam Beevi S., Sevanthi C. – Sample survey on the prevalence of osteoarthritis –  Fizjoterapia Polska 2024; 24(5); 288-292

DOI: https://doi.org/10.56984/8ZG020C6YZU

Abstract Background. Osteoarthritis is the most common cause of disability, and its prevalence continues to increase as the population ages. The prevalence rises not only with age but also due to sedentary lifestyles and a lack of awareness about the importance of exercise. Determining region-specific prevalence will provide valuable information for recommending targeted interventions to treat and prevent complications of knee osteoarthritis. Objective. The primary aim of this study is to determine the prevalence of osteoarthritis in Porur and the surrounding areas of Chennai. Methods. Following ethical committee approval, a survey was conducted from August 25, 2023, to May 27, 2024. A simple random sample was drawn from patients visiting ACS Medical College and Hospital in Velappanchavadi and Mahalakshmi Multispeciality Hospital in Chennai. The survey was conducted using a questionnaire given to the patients and subjects at these hospitals. Results. Descriptive statistics show that the prevalence of osteoarthritis spans an age range of 30 to 76 years, with a mean age of 50.63 years and a standard deviation of 7.754. Conclusion. Based on the statistics, it is concluded that osteoarthritis can begin as early as 30 years of age and occur up to 76 years. Females are more likely to develop osteoarthritis. Awareness or diagnosis of osteoarthritis was found in only 68.7% of patients. Despite a lack of awareness about osteoarthritis, 100% of patients reported using home treatments and oral medications.
Key words prevalence, osteoarthritis, disability, knee joint, sample survey
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Physiotherapy for individuals with intellectual disabilities

Damian Durlak

 

Damian Durlak – Physiotherapy for individuals with intellectual disabilities –  Fizjoterapia Polska 2024; 24(1); 78-82

DOI: https://doi.org/10.56984/8ZG2EF8AB4

Abstract
Intellectual disability affects 1 to 3% of the population, with a_higher percentage among residents of developing countries. Due to the possible occurrence of movement limitations in individuals with intellectual disabilities, physiotherapy can be an invaluable element of patient support for better functioning. However, understanding the key issues in working with patients from this group is necessary. This article is dedicated to introducing the topic of intellectual disability and the issues that physiotherapists should pay attention to when providing health services.
Key words:
physiotherapy, intellectual disability, disability
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The effectiveness of massage to increase the work productivity of persons with disabilities

Sumarjo, Sigit Nugroho, Riky Dwihandaka, Yudik Prasetyo, Susanto


Sumarjo, Sigit Nugroho, Riky Dwihandaka, Yudik Prasetyo, Susanto – The effectiveness of massage to increase the work productivity of persons with disabilities. Fizjoterapia Polska 2023; 23(3); 76-83

DOI: https://doi.org/10.56984/8ZG143371

Abstract
Introduction. The development of human resources begins even before birth, by focusing on the well-being of expectant mothers, and continues throughout various life stages: infancy, toddlerhood, preschool and school years, adolescence, adulthood, and old age.
Aim. The aim of this research is to examine and assess the effectiveness of a specific type of health massage in enhancing work productivity among individuals with physical disabilities. This productivity encompasses motivation, knowledge, skills, attitudes, and independence.
Method. This study employed a quasi-experimental research method utilizing a one-group time series design (pretest-posttest). The initial observation (pretest) was conducted followed by the posttest observation. The treatment group underwent a massage therapy targeting work productivity factors in people with physical disabilities, encompassing five influential elements: (1) motivation, (2) knowledge, (3) skills, (4) attitudes, and (5) independence. The research sample was drawn from the existing population using a non-random purposive sampling technique. Data collection involved assessments and measurements, with a questionnaire serving as the testing tool for measuring work productivity. Data analysis entailed analysis of variance.
Results. The research findings reveal a significant disparity between the initial and final variables, with a significance value (two-tailed) of less than 0.05, as determined by paired t-tests. However, the ANOVA test yielded a significance value of 0.267. This implies a significant impact of the health massage treatment on work productivity variables—motivation, knowledge, skills, attitudes, and independence—for individuals with physical disabilities.
Conclusion. The most substantial and effective increase in work productivity was observed in the motivation variable, with a percentage increase of 16.75%.

Keywords
massage, health, work productivity, disability

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Prevalence of Scapular Dyskinesia among Female Students at Jouf University – Alqurayyat: A Cross Sectional Study

Hala T Ahmed, Amal A Al Sharari, Hebatalla M Abd Elrafi, Haifa A Al Fouzan

Hala T Ahmed, Amal A Al Sharari, Hebatalla M Abd Elrafi, Haifa A Al Fouzan – Prevalence of Scapular Dyskinesia among Female Students at Jouf University – Alqurayyat: A Cross Sectional Study . Fizjoterapia Polska 2021; 21(4); 164-168

Abstract
Purpose. To find out the prevalence, characteristic and type of scapular dyskinesia among female students at Jouf University – Alqurayyat.
Methods. A cross-sectional design. One hundred thirty-six female students were recruited from Alqurayyat female branch – Jouf University (Northern Saudi Arabia), to participate in this study. Demographic data were assessed through a structural questionnaire, scapular dyskinesia was clinically assessed through direct observation (Scapular Dyskinesia Test) and manually assisted movements (Scapular Assistance Test (SAT) and Scapular Reposition (Retraction) Test (SRT)), and the levels of pain and functional disability were assessed through Shoulder Pain and Disability Index (SPADI).
Results. The prevalence of scapular dyskinesia was 99.3%, with 56.3% of them had affected left hand and 76% of them had type II existence. There was significant association between scapular dyskinesia and shoulder function (p < 0.05).
Conclusion. The prevalence of scapular dyskinesia among female students at Jouf University – Alqurayyat was 99.3%, with most of them having left hand involvement and presence of type II dyskinesia.
Key words:
Scapular dyskinesia, Scapular movement, Shoulder pain, Disability
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Functional testing in physiotherapy

Janusz Nowotny, Olga Nowotny-Czupryna, Krzysztof Czupryna

Janusz Nowotny, Olga Nowotny-Czupryna, Krzysztof Czupryna – Functional testing in physiotherapy. Fizjoterapia Polska 2009; 9(3); 245-257

Abstract
Apart from clinical signs and symptoms, a trauma or disease will often give rise to a dysfunction that impairs the performance of activities of daily living. An optimal rehabilitation program should be based on a thorough understanding of the patienfs basie problems, including functional difficulties. This is madę possible not only by routine clinical examinations, but also by special tests and recently introduced functional evaluations using professional apparatus. The results of these examinations also enable evaluation of treatment progress. The aim of the paper was to review the issue of functional testing with respect to basie problems of disability and the planning and monitoring of rehabilitation. The consecutive parts of the paper discuss functional testing on the basis of examples of common postural and locomotor problems (impairments and limitations). Emphasis is placed on the need of objective examinations and possibilities for quantifying test results. Attention is also drawn to the ability to place various manifestations of disease within cause-and-effect chains and the necessity of appropriate interpretation of test results.
Key words:
handicaps, disabilities, functional evaluation, treatment planning
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Rheumatoid arthritis and rheumatoid foot in physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski – Rheumatoid arthritis and rheumatoid foot in physiotherapy. Fizjoterapia Polska 2021; 21(2); 172-183

DOI: https://doi.org/10.56984/8ZG0DD753

Abstract
Rheumatic diseases are not fatal, but they result in shorter life expectancy of the patients suffering from them. This applies to all inflammatory rheumatic diseases, especially rheumatoid arthritis (RA). Rheumatic diseases, in which most of all the joint inflammatory process develops with progressive joint damage, are the cause of patients’ disability, prevent patients from working and everyday functioning, also at home, and affect all aspects of social life. The objective of rehabilitation in RA is to relieve pain, reduce or inhibit inflammation, and maintain the proper functioning of the locomotor system while slowing down or ceasing structural lesions in the joints.
Key words:
Rheumatoid arthritis, RA, rheumatoid foot, disability, orthopaedic equipment
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Overcoming the disability – brief history of protetics and mechatronics of overcoming barriers

Józefa Dąbek, Halina Kulik, Magdalena Szynal, Karolina Stolorz

Józefa Dąbek, Halina Kulik, Magdalena Szynal, Karolina Stolorz – Overcoming the disability – brief history of protetics and mechatronics of overcoming barriers. Fizjoterapia Polska 2021; 21(2); 100-115

Abstract
The oldest found and identified prosthesis was the Egyptian mummy’s wooden big toe from approx. 3000 B.C. With the invention of gunpowder and the use of firearms, the number of limb amputations increased significantly, which consequently increased the number of disabled people. A field surgeon in the French army, A. Paré, designed movable prostheses that were very modern for those times. Simple machines used in their construction made it possible to perform bending and straightening movements, and his artificial hand called: ‘Le petit Lorrain’ with movable, spring fingers, even to perform a grip. Presently 15% of the population are people with disabilities. This is the biggest yet the most diverse minority in the world. Modern technologies allow the human brain to be used to control the prosthesis by connecting it to the nervous system. The innervation of the amputated limb is introduced to any muscles on which electrodes are placed that receive signals sent from the brain, activating the motors in the prosthesis responsible for its movement. To move such an advanced prosthesis, it is enough to think about the movement as in the case of a healthy limb. There are reports that in the future it will be possible to prosthetics the brain and lost memory, but research involving humans in this area remains a vision of the future. This study aims to present a brief history of prosthetics and the use of mechatronics in overcoming disability.
Key words:
disability, history of prosthetics, modern prostheses
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Analysis of disability of women with chronic low back pain

Marta Topolska, Rafał Sapuła, Adam Topolski, Krzysztof Marczewski

Marta Topolska, Rafał Sapuła, Adam Topolski, Krzysztof Marczewski – Analysis of disability of women with chronic low back pain. Fizjoterapia Polska 2011; 11(4); 357-366

Abstract
Background. The goal of the study was to determine the degree and specificity of disability based on the Roland – Morris Disability Questionnaire (RMDQ) in the sample of women with chronic low back pain. The degree of disability due to low back pain may be associated with age and the number of concomitant diseases. Material and methods. The study was carried out from February to July 2010 and the Rehabilitation Clinic of the Zamość University of Management and Administration in the sample of women with low back pain. The subjects experienced pain episodes two or more times and the duration of each episode was minimum 3 months. The sample comprised 236 women aged 18-65 lat (the mean age was 42 years ±16 years SD). Results. The average score according guestionnaire for the whole sample was 5.25 (SD ± 5.67). Three degrees of disability were noted: low in 31.6 %, average in 18.8 % and high in 3.4 % of the subjects. Conclusions. Disability due to low back pain depends on age and the number of concomitant diseases.
Key words:
Roland-Morris Disability Questionnaire, disability, Chronic low back pain
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The situation of mothers raising children with intellectual disabilities in relation to selected sociodemographic and clinical factors

Ewa Puszczałowska-Lizis, Aleksandra Rokosz, Izabela Zbrońska, Sabina Lizis

E. Puszczałowska-Lizis, A. Rokosz, I. Zbrońska, S. Lizis –The situation of mothers raising children with intellectual disabilities in relation to selected sociodemographic and clinical factors. Fizjoterapia Polska 2020; 20(2); 110-124

Abstract
Background. The diagnosis of a child’s intellectual disability may trigger different emotions in parents, as a result of which the family may be strengthened, unified or weakened and destabilized. The aim of the study was to assess the situation of mothers raising children with disabilities depending on their age, living environment, education level and the degree of intellectual disability of the child.
Material and methods. The Chi-square test analyzed the results of 103 questionnaires from a diagnostic survey carried out in rehabilitation and educational facilities among mothers of children with intellectual disabilities.
Results. Statistically significant correlations between the age of mothers and the forms of education chosen for children (p = 0.021) and the type of extra classes (p = 0.015) were found. The level of education of mothers showed relationships with the type of sources of information about the specificity of child disorders (p = 0.043), and the degree of disability of the child with the frequency of receiving support from loved ones (p = 0.038), using institutional material help (p = 0.002), the type of factors that are most difficult to accept (p = 0.021), and feelings about the future of children (p = 0.002).
Conclusions. The mothers’ age determines the forms of education and the type of extra-curricular activities. The living environment does not determine the situation of families raising a child with intellectual disability. The mothers’ level of education determines the frequency of using sources of information about the specificity of a child’s disorder. The degree of intellectual disability of a child determines the frequency with which mothers can count on the support of the loved ones, the frequency of using material assistance provided by institutions, as well as the most difficult to accept factors and feelings about the future.

Key words:
disability, support, acceptance, education

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