Tag: redukcja bólu

Comparison of transcutaneous tibial nerve stimulation and transcutaneous electrical nerve stimulation on pain and quality of life in primary dysmenorrhea

Yuktha N, Kamalakannan M, Bharathi Ravichandran, Tamilselvan Ravichandran, Srikanth V, Praveen Vasanthan Murugan

 

Yuktha N, Kamalakannan M, Bharathi Ravichandran, Tamilselvan Ravichandran, Srikanth V, Praveen Vasanthan Murugan – Comparison of transcutaneous tibial nerve stimulation and transcutaneous electrical nerve stimulation on pain and quality of life in primary dysmenorrhea –  Fizjoterapia Polska 2025; 25(3); 43-52

DOI: https://doi.org/10.56984/8ZG7D19CE53

Abstract
Background. Dysmenorrhea, characterized by painful menstrual cramps, affects a significant percentage of adolescents, leading to considerable discomfort and disruption in daily activities. It is categorized into primary dysmenorrhea, which is not associated with any underlying gynecological conditions, and secondary dysmenorrhea, which is linked to identifiable pelvic pathologies. Primary dysmenorrhea typically arises due to uterine contractions mediated by prostaglandins and can significantly impact the quality of life (QoL) for affected individuals.
Aim. The aim of this study is to compare the efficacy of transcutaneous tibial nerve stimulation (TTNS) and transcutaneous electrical nerve stimulation (TENS) in reducing pain and enhancing the quality of life in adolescents with primary dysmenorrhea.
Method. This twelve-week study involved 80 participants aged 18 to 25 with primary dysmenorrhea and no pelvic pathologies. The participants were divided into two groups, each receiving either TENS or TTNS. Outcome measures included the Numeric Pain Rating Scale (NPRS) and the Menstrual Distress Questionnaire, evaluating pain and quality of life before and after the intervention.
Result. The study revealed a significant decrease in pain intensity (p < 0.0001) and improved quality of life (p < 0.0001) post-intervention, indicating the effectiveness of TENS and TTNS.
Conclusion. This study provides evidence supporting the effectiveness of TENS and TTNS in managing primary dysmenorrhea symptoms. The observed improvements in pain reduction and quality of life suggest the potential of these interventions as valuable components in the management of primary dysmenorrhea.
Key words
TENS, TTNS, primary dysmenorrhea, pain reduction, quality of life
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Effect of positional release technique versus suboccipital muscle inhibition technique in reducing pain intensity and improving range of motion in subjects with cervicogenic headache

Menisha A, Kamalakannan M, Bharathi Ravichandran, Tamilselvan Ravichandran, Sushil Bella Amali J, Siyam Ganesh S

 

Menisha A, Kamalakannan M, Bharathi Ravichandran, Tamilselvan Ravichandran, Sushil Bella Amali J, Siyam Ganesh S – Effect of positional release technique versus suboccipital muscle inhibition technique in reducing pain intensity and improving range of motion in subjects with cervicogenic headache –  Fizjoterapia Polska 2025; 25(2); 338-344

DOI: https://doi.org/10.56984/8ZG00E1G75C

Abstract
Background. Unilateral neck discomfort originating from the soft tissues or bony structures of the neck is a symptom of cervicogenic headache (CGH). This common headache generally starts with a shift of the neck and is chronic and recurring. It is usually accompanied by a reduction in neck range of motion (ROM). It may be confused with tension-type headache or other common headache conditions. Cervicogenic headaches are rare, chronic headaches most frequently occurring in people aged 30 to 44. According to several studies, the prevalence among headache sufferers ranges from 0.4% to 4%, depending on diagnostic criteria. It affects males and females approximately equally. This study investigates the effectiveness of the positional release technique and the suboccipital muscle inhibition technique in reducing pain and improving range of motion.
Aim. The aim of this study is to evaluate the effectiveness of the positional release technique (PRT) and the suboccipital muscle inhibition technique (SMI) in reducing pain intensity and improving range of motion in subjects with cervicogenic headache (CGH).
Method. According to the criteria provided by the International Classification of Headache Disorders, 50 subjects diagnosed with cervicogenic headache were included in this study. They were divided using basic random sampling into experimental and control groups. Baseline measurements were taken prior to the intervention. The experimental group received PRT and conventional exercises, while the control group received SMI and conventional exercises. Both groups were treated four times per week for six weeks. Outcome measures were taken before and after treatment using the Numerical Pain Rating Scale (NPRS) to assess pain and a goniometer to assess neck range of motion. Paired and unpaired t-tests were used to analyze the data.
Result. The pre-test NPRS value in the positional release technique group was 2.4, and in the suboccipital muscle inhibition technique group was 3.1. The post-test ROM values in the positional release technique group were 39.2 and 37.1, and in the suboccipital muscle inhibition technique group were 35.5 and 34.4. Thus, the positional release technique demonstrated a greater statistical improvement compared to the suboccipital muscle inhibition technique.
Conclusion. Both the suboccipital muscle inhibition technique and the positional release technique are effective in reducing headache symptoms and improving ROM in subjects with cervicogenic headache. However, the positional release technique offers additional benefits in improving ROM and quality of life.
Key words
cervicogenic headache, pain reduction, positional release technique, suboccipital muscle inhibition technique
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A comparative study of infrared irradiation treatment with water filters (Hydrosun) and without (Sollux) in the treatment of osteoarthritis of the knee

Anna Straburzyńska-Lupa, Alojzy Orlicki, Zbigniew Świetlik

Anna Straburzyńska-Lupa, Alojzy Orlicki, Zbigniew Świetlik – A comparative study of infrared irradiation treatment with water filters (Hydrosun) and without (Sollux) in the treatment of osteoarthritis of the knee. Fizjoterapia Polska 2004; 4(4); 345-348

Abstract

Background. The aim of our study was to compare the clinical effectiveness of conventional and water-filtered infrared irradiation treatment in osteoarthritis of the knee. Material and Method. The tests involved 30 people with osteoarthritis of the knee. 10 of them were treated with a conventional infrared irradiation lamp, 20 with an infrared-A irradiation lamp (Hydrosun). Before and after treatment each of the patients was tested for joint mobility, tensometric strength of flexion and extension of knee joints, and subjective pain. Results. After 10 days, both groups showed improvement in the assessed parameters, and the decrease in the subjective pain level was statistically significant. In the group treated with the Hydrosun lamp, the improvement in the mobility of the knee joints was also statistically significant. Conclusion. The results obtained confirm that the best results were achieved in treatment of the osteoarthritis in the knee with the Hydrosun water-filtered infrared lamp.

Key words:
thermotherapy, joint mobility, muscle strength, Pain Management
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