Effect of backward walking versus home-based core program on pain and core function in non-specific low back pain: a randomized controlled trial

Alaa Amr Ahmed, Salam Mohamed Elhafez, Ahmed Salamah Yamani, Yassmin Essam Mohamed, Ayman Gouda Matar

Alaa Amr Ahmed, Salam Mohamed Elhafez, Ahmed Salamah Yamani, Yassmin Essam Mohamed, Ayman Gouda Matar – Effect of backward walking versus home-based core program on pain and core function in non-specific low back pain: a randomized controlled trial –  Fizjoterapia Polska 2025; 25(1); 430-438

DOI: https://doi.org/10.56984/8ZG007DTPWI

Abstract
Purpose. This study aimed to investigate and compare the effect of backward walking (BW) and home-based core stabilization exercises (CSE) on core muscle endurance and pain in females with non-specific low back pain (NSLBP).
Materials and methods. Forty-five females with NSLBP were randomized into three equal groups: BW, CSE, and control. Core endurance was assessed using McGill’s core endurance tests (flexor endurance test, extensor endurance test, and lateral bridge tests on both sides). Pain was assessed using a visual analogue scale. Assessments were conducted at baseline and after six weeks of intervention.
Results. Compared to baseline assessment, a mixed-design MANOVA revealed significant improvement in all core endurance test times in the BW and CSE groups (P < 0.05), with no significant change in the control group (P > 0.05). Both intervention groups experienced significant pain reduction after training, while the control group had significantly higher pain scores (P < 0.05). Regarding post-test group differences, core endurance improved significantly in both intervention groups compared to the control group (P < 0.05). Pain scores were significantly lower in both intervention groups compared to the control group (P < 0.05). No significant difference was detected in any outcome measures between the two intervention groups (P > 0.05).
Conclusion. BW improves core muscle endurance and reduces pain in patients with NSLBP and is as effective as home-based CSE.
Key words
backward walking, core stability, pain, non-specific low back pain
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The effect of foam roller on injury recovery in terms of increased joint range, decreased pain, and improved movement function in football: A literature review

Sabda Hussain As Shafi, Bm Wara Kushartanti, Novita Intan Arovah, Enggista Hendriko Delano, Wahyu Aji Nugroho, Anggun Saraswati

Sabda Hussain As Shafi, Bm Wara Kushartanti, Novita Intan Arovah, Enggista Hendriko Delano, Wahyu Aji Nugroho, Anggun Saraswati – The effect of foam roller on injury recovery in terms of increased joint range, decreased pain, and improved movement function in football: A literature review –  Fizjoterapia Polska 2024; 24(5); 179-185

DOI: https://doi.org/10.56984/8ZG020CE2ST

Abstract The sport of football often leads to injuries during training or competition due to both non-contact and contact incidents. Non-contact injuries are particularly common among football athletes due to the overuse of muscle tissue and joints, leading to injuries that interfere with the athlete’s physical activities. This research investigates the effects of foam rolling in the injury recovery process. Methods: Qualitative research with a literature review based on the PRISMA model, analyzing articles from 2018 to 2024. A total of 132 articles were initially identified, which were then narrowed down to 10 articles from sources such as Scopus, Google Scholar, and Semantic Scholar. Results: The findings from these 10 articles, which utilized samples and experimental models, indicate that foam rollers significantly increase the range of motion, enhance movement function, and decrease pain. Foam rolling can be effectively utilized in pre-match, post-match, and post-injury recovery scenarios. Conclusion: Proper and well-measured use of foam rollers can increase joint range, enhance movement function, and reduce pain in injury recovery, both in acute and chronic conditions according to physiological mechanisms. References from this literature review can serve as a basis for further research to refine the foam roller program in terms of intensity, indicators, and duration in injury recovery efforts.
Key words foam roller, pain, range of motion, injury
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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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Comparison of the researched analyses evaluating the physiotherapy of the pain with a cause in the region of the cervical spine

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Eleonóra Klímová

 

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Eleonóra Klímová – Comparison of the researched analyses evaluating the physiotherapy of the pain with a cause in the region of the cervical spine –  Fizjoterapia Polska 2024; 24(3); 400-404

DOI: https://doi.org/10.56984/8ZG020AD5K

Abstract:
Introduction. Neck pain is a common musculoskeletal problem. This individual and socio-economic health problem is associated with a reduction in daily activities, a reduction in labour productivity and an impact on quality of life levels.
Objective. To evaluate the effectiveness of the therapy of non-specific pain originating from the cervical region in terms of the applied physiotherapy methods.
Methods. 40 research articles published in 2018-2023 in journals with registration in databases Web of Science, Science Direct and Scopus were included in the research.
Results. The most frequent target studied was the education of patients on ergonomics, correct posture and home exercises. The preparation phase of therapy included the administration of thermotherapy and electrotherapy – ultrasound or transcutaneous electrical nerve stimulation (TENS), classical massage, administration of non-steroidal anti-inflammatory drugs. The techniques often used were manipulation and/or mobilization, trigger and tender points therapy – acupressure, acupuncture, dry needle application. Among the therapeutic methods, the most frequently chosen are exercises in the form of pilates, yoga, Alexander technique, sensomotor training, proprioceptive neuromuscular facilitation, Jakobson progressive muscle relaxation. Reduction of painful mobility was addressed by the application of local immobilization and kineziotaping.
Conclusion. According to the results of our analysis, the combination of several physiotherapy techniques and methods appears to be significantly effective for reducing pain and improving quality of life.

Keywords:
kinesiotherapy, cervical spine, pain

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Effects of muscle energy technique overhold relax on pain and range of motion in patients with post-surgical elbow stiffness

Junior Sundresh, Kalidasan Varathan, Shenbaga Sundaram Subramanian, Arul Pragassame, Thabbashvinny A.P. Suresh, Makesh Babu Subramanian, Ayman Abdullah Alhammad, Nayef Hamad E Alhatlani, Fadwa Alhalaiqa, Riziq Allah Mustafa Gaowzeh, Kavitha Ramanathan

Junior Sundresh et al. – Effects of muscle energy technique overhold relax on pain and range of motion in patients with post-surgical elbow stiffness –  Fizjoterapia Polska 2024; 24(3); 242-248

DOI: https://doi.org/10.56984/8ZG020AHBC

Abstract:
Background. An elbow joint that can move and is stable is important for work, play, and sports. Stiffness in the elbow after surgery is common and can make it difficult to perform daily activities. This is a significant problem for therapy. Therapeutic exercises, especially stretching exercises, are a crucial part of physiotherapy for alleviating elbow stiffness. Muscle Energy Technique (MET) is a manual therapy that uses mild isometric contractions to utilize the muscles’ energy to help with limited limb movement. On the other hand, Proprioceptive Neuromuscular Facilitation (PNF) is one of the best ways to improve motor performance and speed up recovery by increasing the range of motion and flexibility. The goal is to determine how MET over Hold‑Relax affects pain and range of motion when rehabilitating stiffness in the elbow after surgery.
Methods. A quasi-experimental study was conducted on 12 patients post-elbow fracture fixation. Group A was given MET, while Group B received the Hold-Relax Technique three times a week for three consecutive weeks after the immobilization period. As baseline treatment, both groups received active ROM exercises. Pain (Visual Analog Scale) and ROM (goniometer) were assessed pre- and post-3 weeks.
Results. In the third week, the two treatment groups showed a statistically significant difference in all parametric values (P < 0.05). However, Group B Hold-Relax’s mean difference and paired and unpaired t-test values were greater compared to Group A MET at the end of the third week.
Conclusion. This study concludes that implementing PNF stretch (Hold-Relax) in conjunction with conventional treatment techniques in post-surgical stiffness is beneficial in enhancing the subject’s quality of life by reducing pain and restoring ROM. Hence, PNF (Hold-Relax) can be the best treatment option in physiotherapy practice.
Keywords:
elbow stiffness, muscle energy technique, Hold-Relax, pain, range of motion
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Physiotherapeutic methods of treatment of sexual disorders associated with pain

Damian Durlak


Damian Durlak – Fizjoterapeutyczne metody leczenia zaburzeń seksualnych związanych z bólem. Fizjoterapia Polska 2023; 23(1); 50-53

DOI: https://doi.org/10.56984/8ZG07B1A1

Streszczenie

In a holistic assessment of the patient’s health, it is worth considering not only the physiological and psychological, but also the sexual zone. It has a strong influence on the assessment of the quality of human life. Understanding a patient’s problems, especially when it comes to pain-related sexual dysfunction, is essential for successfully treating ailments. Physiotherapists can also use appropriate therapy to support drug and psychological treatment.

Słowa kluczowe:
physiotherapy, sexual dysfunction, pain, dyspareunia

Incidence of back pain in people practicing amateur horse riding

Ewa Puszczałowska-Lizis, Dominik Szymański, Piotr Pietrzak, Marcin Wilczyński


Ewa Puszczałowska-Lizis, Dominik Szymański, Piotr Pietrzak, Marcin Wilczyński – Incidence of back pain in people practicing amateur horse riding. Fizjoterapia Polska 2022; 22(4); 6-15

DOI: https://doi.org/10.56984/8ZG1A68mY

Abstract
Introduction. While riding a horse, proper seat requires the trunk positioning so that the rider’s centre of gravity overlaps with the horse’s centre of gravity. Seat errors can lead to repeated and cumulative spinal overloads. The aim of the study was to analyse the incidence of back pain in people who practice amateur horse riding.
Material and methods. The study involved 88 people aged 40-45 years, associated in equestrian centers. The research tool was the author’s questionnaire, Neck Disability Index (NDI) and Oswestry Distability Index (ODI). The collected research results were analysed with the use of Chi-square test and Mann-Whitney U test.
Results. Statistically significant relationships were found between the incidence of pain location and gender (p = 0.001), and also between between the gender and the opinion on the need to use physiotherapy in case of back problems (p = 0.049).
Conclusions. Women report pain in the lumbar and thoracic spine more frequently, while men report pain in the cervical section and entire spine. Women in a greater percentage than men believe that people who practice horse riding as an amateur should attend physiotherapy in case of pain.

Key words:
horse riding, spine, pain, physiotherapy

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The thermogram of cervical spinal pain syndrome as an attempt to objectivize pain

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Janusz Otfinowski

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Janusz Otfinowski – The thermogram of cervical spinal pain syndrome as an attempt to objectivize pain. Fizjoterapia Polska 2003; 3(3); 250-255

Abstract

Background. This paper describes the features of thermovisual images in cervical spinal pain syndrome and their variability over the course of rehabilitation, and makes an effort to specify the interdependence of these characteristics and pain relief. Material and methods. Thermovisual tests were performed on 71 patients in rehabilitation for cervical spine pain syndrome.Results. The thermovisual image of the cervical spinal region in patients with pain syndrome is different from that of healthy persons. It is characterized by considerable asymmetry of temperature and increased hyperthermia in the neck and shoulders. Over the course of rehabilitation a distinct evolution could be seen in the direction of temperature symmetry in this region. Conclusion. There is a significant correlation between pain relief and the features of the thermovisual image.

Key words:
thermovision, pain, rehabilitation
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Transcutaneous electrical-nerve-stymulation tens onto level of fear at ill with chronic pain of section loin of spine

Iwona Demczyszak, Zdzisława Wrzosek, Wojciech Hagner

Iwona Demczyszak, Zdzisława Wrzosek, Wojciech Hagner – Transcutaneous electrical-nerve-stymulation tens onto level of fear at ill with chronic pain of section loin of spine. Fizjoterapia Polska 2004; 4(1); 8-12

Abstract

Background. The transcutaneous electrical nerve stimulation was to evaluate of work usefulness of and examining of applied method of treatment onto level of fear at ill with chronic pain in ground of spine. Material and methods. Investigation degeneration were moved in group of 59 patients with symptoms of chronic pain in after-effect of changes-disfiguring section of loin spine. Level of fear in studied group ISCL were estimated behind help of questionnaire. Heal conduct hugged endeavors with use of impulses TENS as well as heal practices. Results. The statistical tests dependence was showed between level of fear in studied group and results of treatment. Sex was not essential meaning in formation both guilds as state of fear in studied group. Conclusions. Applied method of treatment contributed to lower of level of fear in studied group and results confirmed usefulness in treatment ill with symptoms of chronic pain.

Key words:
Pain, Fear, transcutaneous electrical nerve stimulation
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An evaluation of the effectiveness of two different thermal therapy procedures in the rehabilitation of patients with degenerative changes in the knee joint

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Jolanta Jaworek, Daniela Mosurska

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Jolanta Jaworek, Daniela Mosurska – An evaluation of the effectiveness of two different thermal therapy procedures in the rehabilitation of patients with degenerative changes in the knee joint. Fizjoterapia Polska 2004; 4(2); 157-162

Abstract

Background. The aim of our research was to evaluate and compare the analgesic effectiveness of thermal therapy in conjunction with magnetotherapy and active exercises without weight load to improve the functional efficiency of the knee joint with degenerative changes. Material and methods. The level of pain, range of movement, and strength of muscle groups in the knee joint were tested before and after rehabilitation in 48 patients, divided randomly into two groups of 24 people. Results. In both groups there was a reduction in the average level of reported pain, and in the flexion deficit in the knee joint. No changes were noted in the increase of average muscle strength in the flexors and extensors of the knee. Conclusions. In respect to analgesic action and improvement of function in a knee with degnerative changes, a rehabilitation program that includes local cryotherapy proved to be more effective that a program using Sollux lamp irradiation.

Key words:
gonarthrosis, pain, magnetotherapy, cryotherapy
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