Tag: physiotherapy

Kinesiology taping as an alternative to painkillers used for the reduction of menstrual pains

Tomasz Wilk, Magdalena Niewęgłowska-Wilk, Izabela Załęska

T. Wilk, M. Niewęgłowska-Wilk, I. Załęska: Kinesiology taping as an alternative to painkillers used for the reduction of menstrual pains. FP 2015;15(4);82-88

Abstract

Aim. The evaluation of the efficiency of kinesiotaping application as an alternative to analgesics in the treatment of menstrual pain in women.
Materials and Methods. 40 subjects (women aged 20-35 years) with regular menstrual cycles took part in the study. Prior to the first taping treatment or the first observation (in the study and control group, respectively) each woman assessed the severity of her menstrual pain using the visual analogue scale (VAS). Two days before the expected menstruation 20 subjects were treated with two tapes fixed laterally in the lower abdominal area. Tapes were kept on the skin for 7 days. The procedure was repeated each month for three consecutive months. The other 20 subjects were the control group in which the treatment was not introduced. All 40 women were asked to evaluate the severity of the pain on the fifth day of their menstruation. The assessment was performed each month for three consecutive months.
Results. Menstrual pain was assessed as 5 to 7 in the visual analogue scale (VAS). The pain decreased to 1 or 0 as a result of the implemented treatment. The application of kinesiology taping resulted in the absence of menstruation pain or the occurrence of mild pain. No changes related to pain reduction were noted in the control group.
Conclusions. Kinesiology taping is an efficient alternative to the application of analgesics in reducing menstrual pain in women.

Key words:
physiotherapy, elastic therapeutic tape, menstrual pain

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Assessment of the Effectiveness of the Physiotherapy in Patients with the Coxarthrosis, Treated in Spa Facilities

Zbigniew Śliwiński, Marlena Maskiera, Marta Makara-Studzińska, Grzegorz Śliwiński, Małgorzata Starczyńska

Z. Śliwiński, M. Maskiera, M. Makara-Studzińska, G. Śliwiński, M. Starczyńska: Assessment of the Effectiveness of the Physiotherapy in Patients with the Coxarthrosis, Treated in Spa Facilities. FP

Abstract
Introduction. The objective of this study has been to assess the effectiveness of the physiotherapy in patients with the coxarthrosis, treated in Spa facilities. Materials and Methods. The study involved 49 patients (29 women and 20 men), who have been treated in the “Słowacki” Spa in Busko-Zdrój, during their 21 days rehabilitation stay. The patients have had degenerative changes in the hip joint, which have not been surgically treated. The patients have been divided into two groups. To the study group (24 persons) the physiotherapy treatments have been applied. In the control group (25 persons), in addition there has been the kinezytherapy applied. Each of the patients has gone through: questionnaire survey, measurement of the range motion in the hip joints, muscle strength evaluation with the Lovett scale, assessment of the pain severity in the VAS scale, functional tests (Linder 2, abdominal compression test, Patrick Faber test, SLR, Tinetti test,”Up & Go” test, gait analysis according to Perry). Results. After the 21-day rehabilitation treatment, the majority of patients have shown a significant decrease in the subjective pain sensation, a significant improvement of the hip motion functions and a reduced risk of the patient falling down. The carried out research has indicated, that better results have been achieved in the control group, where the kinezytherapy treatment has been applied in addition. Conclusions. 1. Physiotherapy has an impact on increasing the hip joint range of motion, in all directions, particularly in the flexion an abduction movements. 2. The rehabilitation procedure improve the gait stereotype in patients with the osteoarthritis of the hip joint. 3. The Spa rehabilitation therapy reduces the risk of falling down in patients with degenerative changes in the hip joints.

Key words:
Rehabilitation, physiotherapy, coxarthrosis, spa therapy treatment

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Stroke as a civilisation-scale problem – physical treatment analysis

Ewelina Czerczak, Włodzisław Kuliński

E. Czerczak, W. Kuliński – Stroke as a civilisation-scale problem – physical treatment analysis. FP 2016;16(1);24-35

Abstract
Introduction. Stroke is one of the most common forms of damage to the central nervous system. In Poland, approximately 60,000 people suffer from stroke every year. Disorders resulting from stroke require the implementation of long-term care and rehabilitation. The main objective of physiotherapy is to restore patient independence in daily living and improve the quality of life of the patient. Aim of study. The aim of the study was to evaluate the effect of physiotherapy on the functional status and quality of life of patients after stroke. Material and Methods. The study comprised 30 patients after stroke (24 patients after ischemic stroke and 6 patients after hemorrhagic stroke) staying at the neurological rehabilitation ward in the St. Luke Specialist Hospital in Końskie. During 8 weeks of hospitalization, the patients underwent intensive rehabilitation. They were examined twice, namely on admission and on the day of discharge. The examination included completing a questionnaire assessing the quality of life on a scale of 1 to 10 points, an assessment of the functional status using the Barthel Index and an assessment of muscle spasticity of the upper and lower limb with the modified Ashworth scale. The results of functional status assessment were compared according to the type of stroke, time from stroke to rehabilitation and the number of concomitant diseases. Moreover, the effect of the comprehensive rehabilitation on the assessment of independence in daily living was studied after treatment, as was the influence of rehabilitation on the degree of spasticity and the use of orthopedic aids. Results and Conclusion. The functional status improved in all patients. Better final results were obtained in patients after ischemic stroke and suffering from fewer comorbidities. The results were better in those whose rehabilitation commenced earlier. The quality of life was significantly higher than before rehabilitation. The degree of spasticity was significantly reduced and the use of orthopaedic aids was improved.

Key words:
stroke, treatment, physiotherapy

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Body Weight Supported Treadmill Training with Parestand system as walking therapy of patients early after stroke: a pilot study

Beata Stach, Marcin Błaszcz, Aleksandra Bober, Mariola E. Wodzińska, Joanna Zyznawska

B. Stach, M. Błaszcz, A. Bober, M. E. Wodzińska, J. Zyznawska – Body Weight Supported Treadmill Training with Parestand system as walking therapy of patients early after stroke: a pilot study. FP 2016;16(2);54-63

Abstract

Background. Body Weight Supported Treadmill Training (BWSTT) is high intensive and task-specific gait therapy for stroke patients. Effectiveness of BWSTT is repeatedly proven, however superiority of that training over overground walking is often contested. It is rarely practised and investigated method in Poland.
Patients and Methods. 20 patients in the early post-stroke rehabilitation phase able to walk. All patient participated in traditional physiotherapy based on Bobath and PNF concepts. Experimental group (10 people) additionally received Body Weight Supported Treadmill Training. Control group (10 people) additionally received overground walking. Baseline and postintervention assessments included Berg Balance Scale, Timed Up & Go, 10 m Time Walking Test and 6 Minute Walk Test.
Results. Both groups showed statistically significant improvement in all outcome measures (P<0,05). Group BWSTT increased distance by 108,4±75,7 m and control grouop by 57±51,3 m in 6 Minute Walk Test. Difference between the groups was not statistically significant (p=0,28). Group BWSTT shortened time in Timed Up & Go by 9±1,4 seconds and control group by 2,7±1,1 seconds. Difference between the groups was not statistically significant (p=0,63). Group BWSTT improved by 7,0±3,7 points, and control group by 6,6±4,4 points in Berg Balance Scale. Difference between the groups was not statistically significant (p=0,88). Group BWSTT increased gait velocity by 0,25±0,13 m/s, and control group by 0,28±0,13 m/s. Difference between the groups was not statistically significant (p=0,96).
Conclusions. Either Body Weight Supported Treadmill Training or overground walking could improve balance, reduce risk of falls, increase endurance and velocity of gait in walking subacute stroke patients. BWSTT could have tendency to more effective increasing gait endurance.

Key words:
stroke, hemiparesis, physiotherapy, rehabilitation, gait

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Woman urinary incontinence – diagnostic and conservative treatment making by physiotherapist

Magdalena Ptak, Iwona Rotter, Hanna Mosiejczuk, Agnieszka Turoń, Agnieszka Brodowska, Jolanta Nawrocka-Rutkowska

M. Ptak, I. Rotter, H. Mosiejczuk, A. Turoń, A. Brodowska, J. Nawrocka-Rutkowska – Woman urinary incontinence – diagnostic and conservative treatment making by physiotherapist. FP 2016;16(3);118-123

Abstract
Introduction.
Urinary incontinence is a problem recognized by World Health Organization as a social disease. The standards of the International Continence Society (ICS), gynecological and urological societies I and II degree UI begins with conservative treatment conducted by a physiotherapist.
Aim.
The aim of this work is to emphasize the role and possibility of additional diagnosis carried out by physiotherapist.
Conclusions.
Conservative treatment with available technologies, devices, questionnaires allows wide possibilities of insightful approach to the topic which is woman urinary incontinence.

Key words:
urinary incontinence, presumptive diagnosis, conservative treatment, physiotherapy

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Core Stability in the Rehabilitation of Children – Physiotherapy Aspects

Sylwia Dyczewska-Wójtowicz

S. Dyczewska-Wójtowicz – Core Stability in the Rehabilitation of Children – Physiotherapy Aspects. FP 2016;16(3);96-105

Abstract
Introduction. The term “core stability” refers to the efficiency of the deep torso muscles, which control the center of our body, both in statics and dynamics. This study presents the various physiotherapy related aspects regarding the core stability issue in the scientific materials, which confirm the effectiveness of physical exercises.
Materials and Methods. In the process of search for the topic related materials, we have used the article databases of MedLine, PubMed and PBL, applying the following keywords: core stability, lumbar stability, dynamic stability, motor control, neuromuscular training, trunk stability, core strengthening.
Results. Numerous scientific studies show, that the muscles playing the major role in this mechanism are: anterior scalene, multifidus muscle, internal oblique, pelvic floor muscles and sellar diaphragm. When properly functioning, the muscles form the kind of cylinder, providing sufficient stability for the lower trunk area (which is the basis for perimeter mobility).
Conclusions. In children with the pain sensation in the area of the lower spine, the deep muscles are being inhibited and their timing is being disrupted. First tighten the large surface muscles responsible for the execution of movement, and then the local center stabilizers get engaged. The role changing between the groups of muscles may be causing overload problems, thus it is important to provide the appropriate rehabilitation, which would support the core stability.

Key words:
Central stabilization, rehabilitation, physiotherapy, spine, strengthening exercises

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Using Relation Index Wr in Radiologic Diagnosis

Wojciech Kiebzak, Beata Książkiewicz, Michał Kosztołowicz, Małgorzata Kiebzak

W. Kiebzak, B. Książkiewicz, M. Kosztołowicz, M. Kiebzak – Using Relation Index Wr in Radiologic Diagnosis. FP 2016; 16(3); 34-41

Abstract
Introduction. In treatment procedure, due to strategy and evaluation of changes, high importance has precise medical physiotherapeutic diagnosis. In this study it was substantiated that the chest X-ray picture evaluated in ILO (International Labour Organization) classification is less precise method in diagnosis of silicosis that HRCT (High Resolution Computed Tomography) examination.
Purpose of This Study. Using the relative index Wr in diagnosing silicosis nodules in classical radiography evaluated in ILO and received using the HRCT method to check effectiveness of the both methods.
Material and Method. From the group of 358 patients with diagnosed silicosis, 65 males were selected in whom the HRCT chest examinations were made in an interval not longer than 6 months from the last X-ray picture in ILO classification. In each patient on the X-ray picture and the HRTC exam the diameters of the smallest and the biggest nodules were measured. Then, an average values from nodule measurements were calculated in each exam.
To achieve results, the following statistical methods were used: scale T1 [1],
relation index Wr, in intervals: Wr∈[0.9; 1.1], Wr<0.9 and Wr>1.1. In these intervals, the correlation coefficients between nodule diameters in ILO classification and HRCT using Pearson’s method.
Results. The correlation between average nodule diameters in individual Wr intervals is very high or very certain and H0 was rejected (exceptional is Wr>1.1 interval for rosettes). Therefore, it was demonstrated that the chest X-ray picture evaluated in the ILO classification and the HRCT examination similarly allow diagnosing the disease – silicosis, but the type of nodules may be found only using the HRCT.
Conclusions. The HRCT method is more efficient than the classic chest X-ray as it detects nodule types, namely  centrilobular, under pleural, peribronchovascular rosettes and tree budding.

Key words:
ILO, HRCT, relation index, T1 scale, diagnosis, silicosis, physiotherapy

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