Tag: ostroga piętowa

The frequency and severity of urinary incontinence symptoms in the group of adult physically active women

Maja Warzecha, Weronika Milka, Katarzyna Paluch, Anna Pępek, Jarosław Amarowicz

 

Maja Warzecha, Weronika Milka, Katarzyna Paluch, Anna Pępek, Jarosław Amarowicz – The frequency and severity of urinary incontinence symptoms in the group of adult physically active women –  Fizjoterapia Polska 2024; 24(5); 6-16

DOI: https://doi.org/10.56984/8ZG020CH32F

Abstract
Aim of the study. The aim of the study was to assess the epidemiology and severity of urinary incontinence (UI) in adult physically active women.
Material and methods. In order to conduct the study, a total of 171 questionnaires have been collected from physically active women aged 18+. In order to follow UI diagnostic purposes the study was based on International Consultation on Incontinence Questionnaire– Urinary Incontinence Short Form. The gathered data was analysed with the use of Microsoft Excel and IBM SPSS Statistics 29 programs. Values of p < 0.05 were considered statistically significant.
Results. After analysing the study group (n = 171, av. age 33 years) authors found a total of 42.1% women reporting UI incidents during their physical activity. Highest UI occurrence was observed by the patients during their anaerobic strength training with additional loads (14.1%), running (11%) and general fitness training (8.9%). In the study we did not find a significant relation between the UI occurrence, type of activity as well as the specificity of the training. Group of women with a UI in the questionnaire was however older (av. 5 years) than those without such incident being reported (p < 0.001). At the same time those with a higher number of labours were more likely to sustain a UI compared with those who have not experienced childbirth at all (p < 0.001).
Conclusions. A high UI incidence in physically active women shows the need for proper education on the matter with the emphasis on those who train specific UI susceptible disciplines.
Key words
urinary incontinence, stress urinary incontinence, athletes, ICIQ-SF
Słowa kluczowe
ostroga piętowa, fala uderzeniowa, rehabilitacja
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Evaluation of the impact of shockwave therapy on the functioning of a patient with a lower calcaneal spur

Agata Pętek-Podymniak

 

Agata Pętek-Podymniak – Evaluation of the impact of shockwave therapy on the functioning of a patient with a lower calcaneal spur –  Fizjoterapia Polska 2024; 24(4); 6-12

DOI: https://doi.org/10.56984/8ZG01A8M5X1

Abstract
Introduction. A common cause of heel pain is the presence of a calcaneal spur. This condition may disrupt the posterior superficial fascia chain and can also lead to problems in distant areas of the body. Among the physical methods used, shockwave therapy is often applied. The aim of the study was to assess the effectiveness of shockwave therapy and its effect on the tension of the gastrocnemius muscle, which is part of the posterior fascia chain.
Materials and Methods. A 52-year-old female patient diagnosed with a left lower calcaneal spur underwent a series of six radial shockwave therapy sessions, performed twice a week. The method for assessing the therapy’s effectiveness involved measuring pain on the Visual Analogue Scale (VAS) and changes in tissue temperature before, immediately after, and five minutes post-therapy. Electromyographic (EMG) examination was used to assess the tension of the gastrocnemius muscle.
Results. An average decrease in temperature was observed immediately after the treatment (from 25.3°C to 24.45°C). After five minutes, the temperature increased to 27.05°C compared to the initial measurement. The resting tension of the gastrocnemius muscle, as measured by EMG, decreased as follows: channel 1: from 0.6 µV to 0.4 µV, channel 2: from 4.3 µV to 3.2 µV. Pain decreased from a level of 7 to 2 on the VAS scale.
Conclusions. Shockwave therapy is an effective solution for alleviating pain in the case of a calcaneal spur. The reduction of resting tension in the gastrocnemius muscle leads to a decrease in elevated tension within the posterior myofascial chain, which may help reduce the risk of secondary pathologies in distant areas along the chain.
Key words
calcaneal spur, shockwave therapy, rehabilitation
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Efficacy of two different physiotherapeutic procedures in comprehensive therapy of plantar calcaneal spur

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk – Efficacy of two different physiotherapeutic procedures in comprehensive therapy of plantar calcaneal spur. Fizjoterapia Polska 2007; 7(2), 145-154

Abstract

Background. A plantar calcaneal spur causes pain in the area of the medial process of the calcaneal tuber. The pain is caused by localised pressure in the region of the plantar aponeurosis attachment to the calcaneal bone. Plantar calcaneal spurs are principally treated by physiotherapy techniques, with ultrasound as the most popular procedure. At present, phonophoresis is more and more frequently used. Phonophoresis is an ultrasound treatment in which the substance between the transducer and the skin is replaced with a medicine in gel form. The aim of this paper is to assess the efficacy of and compare ultrasound- and phonophoresis-based therapeutic procedures for calcaneal spur. Materials and methods. 40 patients treated for plantar calcaneal spur participated in the study. The patients were randomised into two groups: Group A was treated by phonophoresis and group B received an ultrasound treatment. The patients were between 35 and 80 years of age (mean age 57.3 years). The enrolment criteria for the study were: absence of concomitant systemic disease or generalised inflammatory conditions and no history of recent injuries. The following criteria of physiotherapeutic treatment efficacy were adopted for the study: subjective pain intensity using the VAS scale, the range of plantar flexion and supination as well as the strength of muscle groups of the longitudinal arch of the foot. In order to provide better insight, taking into account the risk factors for the calcaneal spur, the BMl as well as Bogdanov’s ankle bone angle, which determines the length of the longitudinal arch of the foot, were determined in both groups. Results. Plantar calcaneal spur patients are usually overweight and suffer from slight longitudinal flatfootedness. A significant reduction of pain intensity was observed in group A (at p<0.001), and in group B (p<0.01). There was also an improvement in both foot flexion and supinetion at p<0.001. The strength of foot flexors and supinators increased significantly in both groups, at p<0.001 in group A and p<0.05 in group B. Conclusions. The clinical profile of calcaneal spur patients mostly includes overweight and slight longitudinal flatfootedness. Phonophoresis is a significantly more effective physiotherapeutic procedure than ultrasound in the physiotherapeutic management of plantar calcaneal spurs.

Key words:

calcaneal spur, treatment, efficacy

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An attempt at using focused shockwave therapy to treat selected orthopedic diseases – a preliminary report

Andrzej Franek, Damian Kusz, Jacek Durmała, Piotr Król, Robert Wilk, Ewa Detko, Bartosz Wnuk, Paweł Dolibog, Edward Błaszczak, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj

Andrzej Franek, Damian Kusz, Jacek Durmała, Piotr Król, Robert Wilk, Ewa Detko, Bartosz Wnuk, Paweł Dolibog, Edward Błaszczak, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj – An attempt at using focused shockwave therapy to treat selected orthopedic diseases – a preliminary report. Fizjoterapia Polska 2012; 12(2); 147-158

Abstract
Background. Focused shockwaves have been successfully used in orthopaedics and physiotherapy for over twenty years. The aim of this study was to evaluate the usefulness of focused shockwaves in treating patients with osteonecrosis of the femoral head (OFH), as well as their effectiveness as a therapy for tennis elbow and symptomatic heel spurs.Material and methods. The study has covered to date 6 patients with osteonecrosis of the femoral head (OFH) (stages I, II and III on the ARCO scale), 10 patients with tennis elbow (TE) and 6 patients with symptomatic heel spurs (HS). The patients were treated using focused shockwaves.Results. After treatment ended, pain intensity was noted to be statistically significantly lower in all groups of patients. In the OFH patients functional improvement could also be observed, as well as increased strength of wrist flexors and extensors and of finger flexors in the TE patients. The OFH and HS patients obtained better results in tests carried out on the tensometric platform. Conclusion. Focused shockwave is an effective and safe physical modality for treating early stages of osteonecrosis of the femoral head, tennis elbow and symptomatic calcaneal spurs; its main advantage is good analgesic effect right after treatment. However, the delayed effects of the therapy need to be investigated to confirm its effectiveness.
Key words:
focused shockwave, necrosis of the femoral head, tennis elbow, calcaneal spurz
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Evaluation of the effect of ultrasound therapy on pressure ulcer healing

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król – Evaluation of the effect of ultrasound therapy on pressure ulcer healing. Fizjoterapia Polska 2012; 12(4); 363-378

Abstract
As well as being a long process, the treatment of pressure ulcers involves the application of different therapeutic methods. In treating soft tissue defects, including pressure ulcers, physical modalities are increasingly used.The experiment involved 24 patients (16 women and 8 men) with chronic stage II-IV pressure ulcers, who were distributed between two comparative groups, A and B. Group A consisted of 12 subjects (8 women and 4 men) whose mean age was 75.27 years (±19.24). The mean wound surface area in the group was 4.71 (±3,42 cm2). Group B (control) contained 12 subjects (8 women and 4 men) whose mean age was 77.21 (±10.32) years. The mean wound surface area in group B was 4.51 (±3,73 cm2). In addition to standard treatment for pressure ulcers that both groups received, group A patients were additionally administered ultrasound therapy (1 MHz; 0.5 W/cm2; 20%; 1 min/cm2). Healing processes were observed in both groups for 6 weeks. The wound surface area, diameter and linear measurements were found to decrease statistically significantly. Treatment results in the ultrasound group were somewhat better, but healing rates derived from changes in pressure ulcer surface areas, lengths, widths and diameters did not show the groups to be statistically significantly different (respectively 85.23% (±10.23), 78.21% (±18.16), 74.78% (±22.88), 80.23% (±7.88) in group A and 84.11% (±8.45), 74.98% (±13.12), 73.54% (±21.66), 79.01% (±8.11) in group B).Ultrasound therapy does not make pressure ulcers heal significantly faster, nor does it significantly reduce their surface areas, diameters and linear measurements.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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