Tag: physiotherapy

Physiotherapy versus Platelet-Rich Plasma Injection in the Management of Lateral Epicondylar Tendinopathy: A Randomized Clinical Trial

Khaled Mohamed El-Shorbagy, Saud Mashi Alrawaili, Hamada Ahmed Hamada, Ahmed Rezk Mohamed, Rafik Radwan, Hala Lotfy Fayed, Samar Mohamed Fawzy

Khaled Mohamed El-Shorbagy, Saud Mashi Alrawaili, Hamada Ahmed Hamada, Ahmed Rezk Mohamed, Rafik Radwan, Hala Lotfy Fayed, Samar Mohamed Fawzy – Physiotherapy versus Platelet-Rich Plasma Injection in the Management of Lateral Epicondylar Tendinopathy: A Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 92-97

Abstract
Purpose. Comparison of the effect of either physiotherapy or injection of platelet-rich plasma (PRP) on management of lateral epicondylar tendinopathy (LET) chronicity. Methods. A number of 27 participant complaining of LET at least for 3 months were enrolled into our study and were randomly assigned into two separate groups; group A (PT group) which undergone physiotherapy and group B (PRP group) which undergone injection of PRP. Assessment of all patients was done through a blinded assistant pre and post six weeks of treatment. We used the visual analogue scale (VAS) to help in pain evaluation and also the hand-held dynamometer to help in measurement of the strength of wrist extensor muscles. Results. Significant improvement was found in pain and wrist extensors strength in the two groups when before and after treatment mean values were compared. Comparison of the mean values of post treatment in the two groups revealed that there was a significant pain reduction in as well as significant improvment in wrist extensors strength in favor to the PT group. Conclusion. Although improvement percent was better in patients of the PT group, both physiotherapy and PRP injection were effective in pain reduction and improvement of wrist extensors strength in patients suffering from chronic LET.

Key words:
Lateral epicondylar tendinopathy, Physiotherapy, Platelet-rich plasma, Tennis Elbow

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Physiotherapy in patients after myocardial infarction

Włodzisław Kuliński, Sylwia Pająk

W. Kuliński, S. Pająk – Physiotherapy in patients after myocardial infarction. Fizjoterapia Polska 2019; 19(4); 6-22

Abstract
Background. Myocardial infarction is a serious social and health problem of modern society. Cardiac rehabilitation is a very important part of management in this group of patients.
Aim. To assess the efficacy of rehabilitation and its effects on cardiovascular and respiratory performance in patients after myocardial infarction.
Materials and methods. The study assessed a group of 30 patients who participated in 3-week day-care cardiac rehabilitation at the District Health Care Institution in Starachowice.
The effectiveness of rehabilitation was analysed using an original study card, divided into two parts (history taking and physical examination). The first part included personal and medical history and a scale for subjective assessment of exertion during daily activities, similar to the Borg scale. The other part included daily blood pressure and pulse measurements taken before and 5 minutes after cycle ergometer training. Dependent variables were verified before rehabilitation and after 15 days of rehabilitation.
Results. After rehabilitation, patients showed permanent cardiovascular adaptation to more intense exercise, reflected by reduced systolic and diastolic blood pressure values and a lower heart rate.
Conclusions. 1. Cardiac rehabilitation helped improve physical performance in patients after myocardial infarction. 2. Systolic pressure was reduced as early as after the first training and permanent cardiovascular adaptation to more intense exercise was seen in study patients, which was reflected by normal blood pressure and pulse values. 3. Rehabilitation had a positive influence on patient functioning in everyday life.

Key words:
myocardial infarction, physiotherapy

 

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Ocena skuteczności usprawniania pacjentów z dyslordozą szyjną z wykorzystaniem testów neurodynamicznych i zabiegów fizykalnych

Zbigniew Śliwiński, Agnieszka Zamczyk, Danuta Lietz-Kijak, Edward Kijak, Małgorzata Starczyńska

Zbigniew Śliwiński, Agnieszka Zamczyk, Danuta Lietz-Kijak, Edward Kijak, Małgorzata Starczyńska – Ocena skuteczności usprawniania pacjentów z dyslordozą szyjną z wykorzystaniem testów neurodynamicznych i zabiegów fizykalnych. FP 2013; 13(2); 15-21

Streszczenie
Wstęp. Celem pracy była ocena skuteczności kompleksowego postępowania fizjoterapeutycznego usprawnianie pacjentów dyslordoza szyjną materiał i metody badania objęto grupę 40 osób, u których stwierdzono zmiany zwyrodnieniowe w obrębie szyjnego odcinka kręgosłupa. Grupa badana stanowiąca 20 osób została poddana serii zabiegów fizykalnych (biostymulacja laserowa i galwanizacja) oraz serii zabiegów mobilizacji i poizometrycznej relaksacji mięśni z ćwiczeniami izometrycznym. W grupie kontrolnej pacjenci korzystali tylko zabiegów fizykalnych (laser i galwanizacja). Oceny rezultatów zastosowanych terapii dokonano wykorzystując testy neurodynamiczne. Wyniki. Z przeprowadzonych badań wynika że terapia zabiegami fizykalnymi połączonymi z neuromobilizacją i poizometryczna relaksacją mięśni z ćwiczeniami izometrycznym stanowi ważny element w terapii leczenia dyslordozy szyjnej. Przemawia za tym fakt zmniejszenia się średniego bólu odczuwanego przez pacjentów oraz zwiększenie ruchomości kręgosłupa szyjnego. Wnioski. Terapia dyslordozy szyjnej z wykorzystaniem zabiegów fizykalnych (biostymulacja laserowa i galwanizacja) połączona z neuromobilizacją i poizometryczna relaksacją mięśni daje lepszy efekt terapeutyczny niż usprawnianie tylko z wykorzystaniem metod fizykalnych. Kompleksowe postępowanie fizjoterapeutyczne przyczyniło się do zmniejszenia natężenia bólu oraz do poprawy ruchomości kręgosłupa w odcinku szyjnym.

Słowo kluczowe
dyslordoza szyjna, zabiegi fizykalne, testy neurodynamiczne,, usprawnianie, fizjoterapia, cervical hypolordosis, physical treatments, neurodynamical tests, improving, physiotherapy

Physiotherapy in the treatment of fibromyalgia

Anna Mickiewicz

A. Mickiewicz – Physiotherapy in the treatment of fibromyalgia. Fizjoterapia Polska 2019; 19(2); 20-26

Abstract
Fibromyalgia is a chronic disorder characterized by pain, sleep disturbances, fatigue, cognitive dysfunction and many other somatic symptoms, negatively influencing functional status and quality of life of the patients.
Non-pharmacological treatment, comprising exercises, physical agents, massage and manual therapy, should be the first-line treatment in patients with fibromyalgia.
The aim of this article is to present the up-to-date findings of the systematic reviews, meta-analyses and randomized controlled clinical trials, describing the efficacy of the physiotherapy treatment in patients with fibromyalgia.
Material and methods. The literature available in the PubMed and PEDro databases was reviewed regarding the possibility of using selected physiotherapy treatments in fibromyalgia. This review includes the results of the latest systematic reviews, meta-analyzes and randomized clinical trials, showing the effectiveness of selected physical exercises, physical agents and massage in patients with fibromyalgia.

Key words:
fibromyalgia, physiotherapy, exercises, physical agents, massage

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Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study

Meshanti Kumarasamy, Narasimman Swaminathan, Marek Kiljański, Zbigniew Śliwiński

M.Kumarasamy, N. Swaminathan, M. Kiljański, Z. Śliwiński – Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study. Fizjoterapia Polska 2019; 19(1); 70-74

Abstract
This study examined the extent of compliance towards HEP among subjects undergoing physiotherapy sessions in selected clinical settings. The findings of this study would provide insights on the perceived enablers and barriers that influence compliance towards prescribed home exercises.
Methodology. This qualitative inquiry study interviewed twenty subjects – 12 males and 8 females under physiotherapy care at various outpatient musculoskeletal rehabilitation at selected private hospitals and physiotherapy clinics located in the states of Kuala Lumpur and Negeri Sembilan of Malaysia. Subjects’ responses on the perceived opinions and experiences with prescribed home exercises were audio recorded through a semi-structured interview. The responses obtained were analysed further using keyword coding and content analysis.
Results and Analysis. Self-motivation, determination and commitments are the best-explored enablers for active involvement. Barriers that significantly lead to disengagement in home exercises among the participants of this study includes lack of time, work commitments, personal characteristics, disease nature or injury status and ineffective exercise prescriptions.
Conclusion. Content analysis of the recorded responses revealed that the predictors of compliance to home exercises is multifactorial. This study provides a baseline data for understanding the perceived enablers and barriers towards participation in home exercises; these findings will aid the health care professionals in implementing the measures to maximize compliance level among patients undergoing physiotherapy.
Highlights
• Compliance to home exercises are affected by various factors
• Lack of time, work commitments and injury status affect the home exercise compliance
• Self-motivation is the most important enabler for the compliance to HEP
• Nature of the disease affects compliance to HEP

Key words:
home exercise program, physiotherapy, musculoskeletal rehabilitation

 

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Judo as an alternative rehabilitation method in multiple sclerosis

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

Abstract
Objective. To evaluate the efectiveness of training judo as a part of a physiotheraphy programme in MS patients
Materials and methodology. 4 female RR-MS patients, aged between 32 and 49, have taken part in a 8-week programme. Their condition was evaluated twice – before and after the therapy. Two surveys have been carried out: one prepared by the authors of the study and Multiple Sclerosis Impact Scale (MSIS-29). In order to evaluate the functional state the following methods have been used: Functional Reach Test, 10 m TW (Time Walking) test and the Lovett test (for the following muscles: rectus femoris, biceps femoris, rectus abdominis, deltoideus).
Results. After the therapy the most persisting ailments decresed considerably. The functional tests showed better results and the patients had a better phycological disposition.
Conclusions. Judo training improved both functional and psychogical condition of the patients in the rehabilitation group. The programme proved to be an alternative form of physiotherapy for MS patients.

Key words:
multiple sclerosis, physiotherapy, judo, physical activity

 

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Edward Madeyski’s pioneering activities for the development of physiotherapy, physical education and hygiene in Lviv in the years 1870-1906

Sławomir Jandziś, Ewa Puszczałowska-Lizis, Maciej Łuczak

S. Jandziś, E. Puszczałowska-Lizis, Maciej Łuczak – Edward Madeyski’s pioneering activities for the development of physiotherapy, physical education and hygiene in Lviv in the years 1870-1906. Fizjoterapia Polska 2018; 18(4); 130-136

Abstract
The authors, based on source materials and a few studies, present the activities of Edward Madeyski for the development of physiotherapy, physical education and hygiene in Lviv in the years 1870-1906. This doctor, by profession, and a passionate promoter of gymnastics, physiotherapy, hygiene, dietetics and healthy lifestyle, founded the theoretical basics of physical education. He represented the health-and-hygiene school, was a supporter of “rational gymnastics”, published the first Polish manuals for teaching gymnastics in schools. The main aim of the article is to present E. Madeyski’s little-known activity in the field of physiotherapy which he had been practicing since 1870 in his own Orthopedic Gymnastics Center in Lviv. Therein he treated children with musculoskeletal disorders, mainly with spinal curvatures, with the help of physical factors (therapeutic gymnastics, massage, orthopedic supports). Authors also present E. Madeyski’s activities as a teacher and promoter of physical education and hygiene in Galicia at the turn of the 19th and 20th centuries. His work gave rise to the development of the theory of physical education, gymnastics specialists training and the activity of orthopedic and gymnastic facilities. In recognition of his merits for many years of medical, pedagogical and scientific activity in 1889, the emperor awarded the title of professor to him.

Key words:
physiotherapy, healing gymnastics, history of rehabilitation

 

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Efficacy of selected physiotherapeutic procedures in the treatment of lumbar spine pain

Tomasz Miśkiewicz, Zbigniew Dudkiewicz, Robert Irzmański, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

Tomasz Miśkiewicz, Zbigniew Dudkiewicz, Robert Irzmański, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska – Efficacy of selected physiotherapeutic procedures in the treatment of lumbar spine pain. Fizjoterapia Polska 2018; 18(3); 12-28

Abstract
Aim of the study. The aim of the study was to evaluate the effectiveness of selected sets of physiotherapeutic procedures for pain in the lumbosacral segment caused by degenerative disease.
Materials and Methods. The study involved 45 patients with pain syndromes within the lumbosacral spine, who underwent a series of physiotherapy treatments. The subjects were divided into four groups. Three groups were divided depending on the applied sets of physiotherapy treatments, while the fourth group (comparative) were those taking only non-steroidal anti-inflammatory drugs (NSAIDs) for the duration of a series of treatments in the remaining groups. The patients were examined using the questionnaire of their own questionnaire, the SF-36 questionnaire (vol.2) of the short questionnaire version (Poland version), Lovett test, Laitinen scale and diagnostic tests (Laseque, Bragard, Thomayer). The tests were carried out immediately before the treatment series and two weeks after its completion.
Results. The subjects were aged 45-65. 71.1% were women and 28.9% were men. 13.3% of people were physically active. Spinal osteoarthritis was the cause of pain in all patients participating in the study. In the research group, a statistically significant difference was found between the results of the severity of pain, the level of muscle strength and the quality of life measured before physiotherapy and 2 weeks after its completion. In 90% of people participating in the procedures, an increase in muscle strength was obtained, whereas in the control group only in 6%. The improvement of the ranges of mobility in the discussed section of the spine concerned 46.6% of the subjects participating in the treatment series. In the comparison group, none of the patients improved their range of motion.
Conclusions. Physiotherapeutic treatments have a positive effect on the reduction of pathological symptoms of the lumbosacral spine. They have a positive effect on improving the quality of life, muscle strength, ranges of mobility and reducing or completely removing pain. Regardless of the applied set of physiotherapeutic treatments, they worked better than the intake of non-steroidal anti-inflammatory drugs by patients.

Key words:
physiotherapy, degenerative disease, lumbosacral segment, non-steroidal anti-inflammatory drugs

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Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention

Włodzisław Kuliński

W. Kuliński – Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention. Fizjoterapia Polska 2018; 18(3); 6-10

Abstract
Introduction. The first cases of the disease known as acquired immune deficiency syndrome (AIDS) were described in 1981. According to the WHO, more than 35 million people worldwide have been diagnosed with HIV since then. The number of HIV-infected individuals in Poland is estimated at 35 000. The disease is associated with changes involving, among others, the central and peripheral nervous system and the musculoskeletal system. Patients are referred for physical treatment due to lower limb paresis, disturbed sphincter function and coordination as well as acute articular pain.
Material and methods. The paper presents physical treatment and rehabilitation conducted in HIV-infected patients with these problems. The principles of preventing HIV infection in the staff of the Division performing the procedures are also described together with HIV infection prophylaxis.
Conclusion. The principles of prevention and timely preventive measures may help the staff avoid HIV infection.

Key words:
HIV/AIDS infection, physiotherapy, principles of prevention

 

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Physiotherapy after combined surgically ankylosis crural-tarsal and crural-calcaneal interlocking retrograde nail in patients with chronic pain in extensive deformation

Jarosław Pasek, Tomasz Stołtny, Michał Pyda, Marek Kawecki, Daniel Spyrka, Michał Benedykt Białek, Alina Ostałowska, Sławomir Kasperczyk, Bogdan Koczy

J. Pasek, T. Stołtny, M. Pyda, M. Kawecki, D. Spyrka, M. B. Białek, A. Ostałowska, S.Kasperczyk, B. Koczy – Physiotherapy after combined surgically ankylosis crural-tarsal and crural-calcaneal interlocking retrograde nail in patients with chronic pain in extensive deformation . Fizjoterapia Polska 2018; 18(2); 52-57

Abstract

Patella stiffness is performed in situations when the panel of surgical procedures aimed at restoring the support function of the limb in the extensive deformation of the lower leg with pantalarne chronic pain syndrome has been exhausted. In the years 2010-2017, 31 comprehensive patella stiffness were performed. Treatments were performed in 27 men and 4 women, who underwent pre and post-operative physiotherapy and selected physiotherapy treatments. The work discusses the necessary information about comprehensive patella stiffness and details of the physiotherapeutic treatment of these patients.

Key words:
degenerative joint disease, physiotherapy, interlocking regressive (retrograde) nail, crural pseudarthrosis, combined surgically ankylosis

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