Tag: physicotherapy

Physiotherapy in the preoperative treatment of lumbar discopathy

Elżbieta Rutkowska, Radosław Rola, Witold Janusz, Piotr Kamieniak

Elżbieta Rutkowska, Radosław Rola, Witold Janusz, Piotr Kamieniak – Physiotherapy in the preoperative treatment of lumbar discopathy. Fizjoterapia Polska 2001; 1(4); 393-395

Abstract
Background. This article analyzes the therapeutic methods used in the conservative treatment of lumbar discopathy among patients treated surgically for this disorder at the Neurosurgical Clinic of the Lublin Medical University from 1998 to 2000. Material and methods. Our research involved 349 randomly chosen patients referred for surgical treatment of lumbar discopathy. The patients were interviewed in detail and their medical records analyzed on the basis of an authorial questionnaire. The results were subjected to statistical analysis using the contingency analysis tables is the STATISTICA software program (StatSoft, USA). Results. Our research indicated that long-term conservative treatment was limited primarily to pharmacotherapy. Methods of physical treatment, i.e. kinesitherapy and physicotherapy, as well as stationary rehabilitation in health resorts were not put to adequate use by the majority of patients.

Key words:
conservative treatment of low back pain, pharmacotherapy, physicotherapy, kinesitherapy

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Medical rehabilitation of spinal injury patients without central nervous system damage

Piotr Majcher, M. Fatyga, A. Skwarcz

Piotr Majcher, M. Fatyga, A. Skwarcz – Medical rehabilitation of spinal injury patients without central nervous system damage. Fizjoterapia Polska 2002; 2(1); 61-64

Abstract
Based on the experience of the authors’ rehabilitation center is Lublin, the authors present the model of medical rehabilitation they have developed for patients with spinal injuries not involving damage to the central nervous system. The model is dependent on the type of treatment used for spinal injury (surgical or non-surgical). In the case of patients requiring surgery using internal fixation, medical rehabilitation includes preparation of the patient for surgery (over and above nursing activities) by means of respiration exercises, followed by kinesitherapy and physicotherapy after surgery in order to restore physical fitness as quickly as possible. In non-surgical procedures, medical rehabilitation includes physiotherapy, broadly conceived, involving one of three schemes: functional treatment without internal fixation, functional treatment after the application of internal fixation (young persons), and functional treatment for persons with cervical spinal injuries, using direct cranial traction. The authors point out the necessity for cooperation in the entire treatment team in proper rehabilitation procedure.

Key words:
internal fixation, kinesitherapy, physicotherapy

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How to guarantee the patient’s success after shoulder arthroplasty part II: post-surgery rehabilitation

Jolanta Kujawa, Jarosław Oborzyński, Mirosław Janiszewski

Jolanta Kujawa, Jarosław Oborzyński, Mirosław Janiszewski – How to guarantee the patient’s success after shoulder arthroplasty part II: post-surgery rehabilitation. Fizjoterapia Polska 2004; 4(2); 176-182

Abstract

In the opinion of many authors, surgical reconstruction of the shoulder enables optimal recovery of functionality. The problem of post-surgical rehabilitation remains a point of however, due to differences of opinion regarding the optimal time to commerce rehabilitation, the order which exercises are introduced, and the need to modify physiotherapeutic procedures. Long-term cooperation within the treatment team and good cooperation with the patient can guarantee a positive rehabilitation outcome. The rehabilitation program should be individually tailored and modified at each stage of treatment. On the basis of a review of the literature and their own experience, the authors have developed a basic post-surgical rehabilitation program, which enables the recovery of optimal joint function. The article is illustrated by photographs showing the proposed exercises.

Key words:
early rehabilitation,kinesitherapy, physicotherapy
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Subjective pain and physical fitness in female osteoarthritis patients treated with magnetotherapy and kinesitherapy

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Świetlik

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Świetlik – Subjective pain and physical fitness in female osteoarthritis patients treated with magnetotherapy and kinesitherapy. Fizjoterapia Polska 2004; 4(2); 151-156

Abstract

Background. Osteoarthritis is one of the leasing causes of disability, as it occurs in over 10% of the adult population. To date there is no effective treatment modifying the course of this disease. There is experimental evidence, however, that under the influence of an electromagnetic field there is repair of cartilage and bone tissue, reduction of pain and inflammation, and healing of ligaments and tendons, which leads to improved mobility and function in the affected joints.Material and methods. We studied 29 women with idiopathic osteoarthritis of the knee and lumbar spine, with an average age of 63,4 +/- 10,4 years, treated twice a day for two weeks with a pulsating low-frequency magnetic field (5 mT, 25 Hz, 12 min) and kinesitherapy. The patients were examined before and after therapy, using the WOMAC questionnaire to measure the subjective evaluation of pain, stiffness, and difficulty in performing activities of daily living (ADL).Results. After treatment with a pulsating magnetic field and kinesitherapy, there was a statistically significant reduction in pain complaints, and a reduction of difficulties in certain ADL. There was statistically significant improvement as assessed by both the patients and the physicians.Conclusions. Our results indicate that magnetotherapy and kinesitherapy hale a positive impact on reducing pain and disability in patients with osteoarthritis.

Key words:
extremely low frequency magnetic field (ELF-MF), physicotherapy
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The mobility of the lumbar spine in persons with low back pain

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz – The mobility of the lumbar spine in persons with low back pain. Fizjoterapia Polska 2004; 4(2); 100-106

Abstract

Background. The purpose of our study was to examine changes in the mobility of the lumbar spine in persons with L5-S1 diskopathy and the changes in mobility associated with different modalities of treatment. Material and methods. We studied 150 persons 40-50 years of age, 64 men and 86 women. Due to variations in management the material was divided into two groups: Group I, treated only pharmacologically, and Group II, treated with both pharmacological methods and physiotherapy. The patients were examined twice, once before treatment and again after 6 weeks of treatment. The research methods included clinical interviews and measurement of thoraco-lumbar and lumbar mobility on all planes. Non-steroid anti-inflammatory drugs were used in Group I. In Group II, comprehensive physiotherapy was also applied, including physicotherapy, kinesitherapy, and massage. Results. Our analysis of the material showed that the limitations in spinal mobility were similar in both groups at baseline. After a 6-week course of treatment, significant improvement in the mobility of the thoraco-lumbar and lumbar spine was noted only in Group II (pharmacotherapy and physiotherapy), involving all the tested ranges of movement. Conclusions. An evaluation of treatment outcome in persons with L5-S1 diskopathy indicates that persons treated both with pharmacotherapy and physiotherapy show greater improvement. The fact that significant improvement was seen only in this group may result from the fact that the drugs used prepared the way for better results in subsequent physiotherapy. These results indicate that pharmacological treatment in these patients should be supplemented with physiotherapy.

Key words:
discopathy, non-steroidal anti-inflammatory drugs, physicotherapy, kinesitherapy, massage
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Evaluation of the effectiveness of Tolpa Physioactive Gel in patients with osteoarthritis

Krzysztof Borysewicz, Czesław Jezierski, Jacek Szechiński, Renata Kuliś-Orzechowska

Krzysztof Borysewicz, Czesław Jezierski, Jacek Szechiński, Renata Kuliś-Orzechowska – Evaluation of the effectiveness of Tolpa Physioactive Gel in patients with osteoarthritis. Fizjoterapia Polska 2004; 4(4); 349-354

Abstract

Background. The goal of our research was to evaluate the application of Tolpa Physioactive Gel in the treatment of osteoarthritis in peripheral joints. Material and methods. Two cycles of physicotherapy were performed on patients with osteoarthritis of the knee or hip joints. The first cycle was performed with an active substance, Tolpa Physioactive Gel, while the second was performed with a placebo. We assessed the following parameters: range of movement in the affected joint, the WOMAC Scale, the Visual Assessment Scale (VAS) for pain, the Likert scale, and an attempt to walk on a flat surface. Results. Subjectively there was greater improvement after application of Tolpa Physioactive Gel, as assessed on the WOMAC, VAS, and Likert scales. The examiners agreed that improvement was achieved in all patients in respect to range of movement in the affected joints and muscle strength after rehabilitation procedures, both with the physioactive gel and the placebo. Conclusions. Tolpa physioactive gel can be used effectively during iontophoresis in the treatment of patients with osteoarthritis.

Key words:
physicotherapy, pain management, range of movement, muscle strength, iontophoresis
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