Tag: reumatoidalne zapalenie stawów

Effect of Siwa sand baths versus sulphurous water bath on inflammatory biomarkers, pain, and physical function in patients with rheumatoid arthritis: A randomized, single-blind controlled trial

Marwa Shafiek Mustafa Saleh, Rasha Mohammed Samy Mahrous, Mohamed Maher El Keblawy


Marwa Shafiek Mustafa Saleh, Rasha Mohammed Samy Mahrous, Mohamed Maher El Keblawy – Effect of Siwa sand baths versus sulphurous water bath on inflammatory biomarkers, pain, and physical function in patients with rheumatoid arthritis: A randomized, single-blind controlled trial. Fizjoterapia Polska 2022; 22(2); 18-24

Abstract
Background. Sand baths and sulphurous water bath has been approved as alternative modalities for treating various musculoskeletal diseases. Although that, current evidence is not clear enough to support naturotherapy modalities as an effective method to treat Rheumatoid Arthritis (RA).
Objectives. This study aimed to compare the effect of Siwa sand baths and Sulphurous water bath on inflammatory biomarkers (ESR, CRP, RF), pain intensity, physical function, and wrist Range of Motion (ROM) in patients with RA.
Methods. A randomized single-blind controlled clinical trial was designed to treat 30 patients with chronic RA. These patients were randomly assigned into two groups of 15 patients each: Group A (n = 15) received Siwa sand baths, and group B (n = 15) received sulphurous water bath (each bath lasting 20 minutes, for 7 successive days). Inflammatory biomarkers, physical function, pain intensity, and wrist joint ROM were measured for all patients at three intervals (before treatment, after 7 days of treatment, and after 1-month follow-up).
Results. The results showed that after 7 days of treatment there were significant differences between both groups in all measured variables in favor of group B, ESR (p = 0.0001), CRP (p = 0.001), RF (p = 0.0001), HAQ (p = 0.0001), pain (p = 0.001), wrist extension (p = 0.001), wrist flexion (p = 0.0001). While at 1-month follow-up, the analysis showed significant differences between both groups in all measured variables in favor of group A (p < 0.05).
Conclusion. Both Siwa sand baths and sulphurous water bath have an improvement effect on inflammatory biomarkers, pain, daily activities, and wrist ROM but Siwa sand baths has more effect in the long term better than sulphurous water bath.
Key words:
Siwa sand baths, Sulphurous water bath, Rheumatoid arthritis, Inflammatory biomarkers
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Systemic cryostimulation in the treatment of rheumatic diseases

Grzegorz Rozwadowski, Katarzyna Makaś, Anna Patkowska

Grzegorz Rozwadowski, Katarzyna Makaś, Anna Patkowska – Systemic cryostimulation in the treatment of rheumatic diseases. Fizjoterapia Polska 2001; 1(4); 396-399

Abstract
This article presents the BASIC assumptions of system cryotherapy. The goal of our report is to elucidate some of the factors and subjective impressions of the patients that may have an impact on the positive effects of systemic cryotherapy in rheumatic diseases.

Key words:
rheumatoid arthritis, degenerative joint disease

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Effect of systemic cryotherapy on serum antioxidant status in patients with rheumatoid arthritis

Zbigniew Kopański, Mariola Grabowska, Jan Tabak, Bożena Witkowska

Zbigniew Kopański, Mariola Grabowska, Jan Tabak, Bożena Witkowska – Effect of systemic cryotherapy on serum antioxidant status in patients with rheumatoid arthritis. Fizjoterapia Polska 2006; 6(4); 334-338

Abstract
Background. Determination of total serum antioxidant status (TSAS) in patients with rheumatoid arthritis (RA) and determination of the effect of systemic cryotherapy on the systemic serum antioxidant pool in these patients. Material and methods. The prospective study included 130 patients (35 men and 95 women) aged 31 to 68 years, receiving treatment for RA. All patients underwent systemic cryotherapy. TSAS was determined at baseline and after completion of the cryogenic therapy (within one hour after the end of the last of a series of 10 cryogenic procedures — C1 follow-up, and 14 days after the end of the treatment — C2 follow-up). Results. There was wide variation in TSAS in the study population at baseline, from values well below reference values to values within the reference range. The patients were accordingly divided into two arms: one including patients (13.8% of the total) with TSAS values within the reference range (GB1), and one comprising patients (86.2% of the total) with TSAS values below the lower reference limit (GB2). The cryogenic therapy did not effect statistically significant changes in average TSAS values in GB1, whereas a statistically significant increase in average TSAS was seen in GB2 at C1 (immediately following completion of 10 cryotherapy procedures). 14 days later the average pool of serum antioxidants still remained at a high level, comparable with the values determined at C1. Conclusions. The cryogenic therapy increased TSAS in the vast majority of the patients. Substantial changes was characteristically observed in the patients with baseline TSAS below the lower reference limit.

Słowa kluczowe:
systemic cryotherapy, serum antioxidants, rheumatoid arthritis

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Rheumatoid arthritis and rheumatoid foot in physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski – Rheumatoid arthritis and rheumatoid foot in physiotherapy. Fizjoterapia Polska 2021; 21(2); 172-183

DOI: https://doi.org/10.56984/8ZG0DD753

Abstract
Rheumatic diseases are not fatal, but they result in shorter life expectancy of the patients suffering from them. This applies to all inflammatory rheumatic diseases, especially rheumatoid arthritis (RA). Rheumatic diseases, in which most of all the joint inflammatory process develops with progressive joint damage, are the cause of patients’ disability, prevent patients from working and everyday functioning, also at home, and affect all aspects of social life. The objective of rehabilitation in RA is to relieve pain, reduce or inhibit inflammation, and maintain the proper functioning of the locomotor system while slowing down or ceasing structural lesions in the joints.
Key words:
Rheumatoid arthritis, RA, rheumatoid foot, disability, orthopaedic equipment
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Efficiency of Siwan Traditional Therapy on Pulmonary Functions of Rheumatoid Arthritis Patients: A Pilot Study and A Randomized Controlled Trial

Howida A. Fouda, Azza A. Abd elhady, Mohamed M. Elbatanony, Nessren G. Elnahas, Khaled T. Turky

Howida A. Fouda, Azza A. Abd elhady, Mohamed M. Elbatanony, Nessren G. Elnahas, Khaled T. Turky – Efficiency of Siwan Traditional Therapy on Pulmonary Functions of Rheumatoid Arthritis Patients: A Pilot Study and A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(2); 20-25

Streszczenie

Objectives. To compare the effect of Siwan traditional therapy versus physiotherapy on pulmonary function and pain in rheumatoid arthritis (RA). Design. A Pilot study, a prospective, randomized, single-blind, pre-post-test, controlled trial. Methods. Eight patients with rheumatoid arthritis according to the American Rheumatism Association criteria 2010 participated in this study. They were randomly assigned into 2 equal groups. Group (A) received Siwan traditional therapy in the form of sand bath for 5 days, followed by massage with olive oil, while group (B) received physiotherapy for 5 sessions in the form of heat application, transcutaneous electrical nerve stimulation (TENS), aerobic and strengthening exercises. Pain severity was measured by visual analogue scale, while pulmonary function was measured by spirometer. Results. Comparing both groups post-treatment revealed non-significant differences in pain severity and pulmonary function (P > 0.05). However, Siwan therapy improved pain, forced vital capacity (FVC), volume of air exhaled forcefully in the first second (FEV1) and FEV1/FVC by 71.8%, 8.69%, 70.46% and 58.8% compared to traditional physiotherapy (14%, 2.25%, 0% and 2.59% respectively). Conclusion. Siwan therapy was associated with greater improvement percentages for pain and pulmonary function than traditional physiotherapy in patients with rheumatoid arthritis.

Słowa kluczowe: Siwan Traditional Therapy, Pulmonary Functions, Rheumatoid Arthritis

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The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications

Jacek Polechoński, Jolanta Rojczyk-Chmarek, Kajetan Słomka

J. Polechoński, J. Rojczyk-Chmarek, K. Słomka – The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications. Fizjoterapia Polska 2019; 19(1); 76-85

Abstract
Aim. The paper introduces a self-designed manipulandum built to assess the parameters of motion at the metacarpophalangeal joint of the index finger. The reliability of movement precision measurements is presented; potential diagnostic applications have been discussed.
Material and methods. The study group comprised 43 young men. Movement precision was evaluated with a self-designed manipulandum. The task was to repeatedly touch the target using an isolated movement. Two parameters were assessed, ie., time and distance to target. Measurement reliability was estimated with intraclass correlation analysis.
Results. 25 to 30 movement repetitions were required to achieve reliable measurements. The findings also reveal that movement repetition might result in movement learning.
Conclusions. provided a large number of repetitions are performed, the manipulandum enables reliable assessment of movement precision. Repetition does not pose a problem since a single trial only lasts for1-1.5 s; furthermore, movement at the metacarpophalangeal joint does not cause fatigue. The conditions of movement tasks should be modified to minimize the effect of movement learning. We believe the device under test might be applied to early diagnosis of rheumatic or neurological disease leading to functional compromise of the hand.

Key words:
manipulandum, movement precision, rheumatoid arthritis, fine motor skills

 

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Biomechanical aspects of elbow joint action in rheumatoid arthritis

Jolanta Rojczyk-Chmarek, Janusz Błaszczyk, Krzysztof Gieremek, Wojciech Cieśla, Jacek Polechoński

J. Rojczyk-Chmarek, J. Błaszczyk, K. Gieremek, W. Cieśla, J. Polechoński – Biomechanical aspects of elbow joint action in rheumatoid arthritis. FP 2014; 14(1); 6-16

Abstract

Functional limitations associated with RA-induce changes within the elbow joint and result in biomechanical disturbances. Objective data on the mobility of the affected articulation would facilitate the assessment of disease severity, selection of optimal physiotherapy interventions. Materials and Methods. Our study participants performed cyclic forearm extension and flexion elbow movements with different angular velocities. Biomechanical assessment comprised of spatiotemporal properties of cyclic movements. Spatial analysis of movement included the determination of movement direction (flexion, extension) and amplitude whereas the temporal analysis included the duration of particular movement phases as well as time-frequency analysis of a movement cycle. Results. The obtained results indicate that movement parameters in patients with rheumatoid arthritis differ significantly compared to normal ranges. Movement speed and amplitude as well as frequency and duration of movement are decreased. RA patients also exhibited considerable asymmetry of cyclic flexions and extensions of the elbow joint. Conclusion. It can be concluded that a biomechanical analysis using a manipulandum apparatus is a valuable diagnostic tool allowing objective evaluation of elbow function in rheumatoid arthritis. The measurements are highly sensitive, and hence, if performed in a larger patient population, they might help develop a classification of movement dysfunction in rheumatoid arthritis of the elbow joint. The analysis might also facilitate the assessment of hand dysfunction at various stages of RA development.

Key words:
rehabilitation, elbow, biomechanical, rheumatoid arthritis

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Assessment of the effects of rehabilitation interventions for patients with rhematoid arthritis using biomechanical analysis of elbow function

Jolanta Rojczyk-Chmarek, Joanna Cieślińska-Świder, Krzysztof Gieremek, Wojciech Cieśla, Jacek Polechoński

J. Rojczyk-Chmarek, J. Cieślińska-Świder, K. Gieremek, W. Cieśla, J. Polechoński – Assessment of the effects of rehabilitation interventions for patients with rhematoid arthritis using biomechanical analysis of elbow function. FP 2015; 15(1); 36-47

Abstract

Background. The aim of the investigations was to verify the effectiveness of a method of elbow function evaluation in patients with rhematoid arthritis. The method was expected to allow monitoring of disease progression and to help assess the effects of rehabilitation interventions.
Material and Methods. Cyclic flexion-extension movements in the elbow joint were examined in 82 individuals. The measurements were carried out with a computer-controlled unit for studying elbow movements (manipulandum). The study participants performed movements 1) of minimum speed, ie., the slowest possible movement, 2) of preferred speed consistent with patient preferences and habits, and 3) of maximum speed. The measurements were carried out before and after a 3-week rehabilitation program.
Results. The obtained results indicate that the rehabilitation intervention caused improvement in several parameters of the investigated movements. Movement amplitude (range of movement),  angular velocity (especially angular velocity of elbow extension) increased, the symmetry index decreased while no changes were observed in movement cycle duration for preferred and maximum speed.
Conclusions. The results indicate that this method of isokinetic movement evaluation allows objective assessment of articular pathologies and rehabilitation/pharmacotherapy outcomes. Our investigations suggest that, in order to obtain reliable information on the patient’s functional status, the measurements should be performed during preferred and maximum speed elbow movements. Information thereby obtained might be of considerable importance for selection of appropriate physiotherapy interventions.

Key words:
rehabilitation, elbow, biomechanical, rheumatoid arthritis

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Impact of the deep electromagnetic stimulation on the level of the pain sensation in patients with the rheumatoid arthritis

Agnieszka Przedborska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, Ma. Misztal, J. W. Raczkowski – Impact of the deep electromagnetic stimulation on the level of the pain sensation in patients with the rheumatoid arthritisFP 2016;16(1);74-81

Abstract
Introduction. Treatment of the rheumatoid arthritis includes the simultaneous actions against the pain, the inflammation and to regulate the muscle tension. The search for new and effective methods of treatment is continuously under way. There appeared this new physical method of deep electromagnetic stimulation. The objective of this study is to evaluate the effectiveness of the treatment of pain with the deep electromagnetic stimulation method, in the rheumatoid arthritis disorder cases.
Materials and Methods. The research has been conducted on a group of 50 patients with the rheumatoid arthritis, who have undergone a series of 10 deep electromagnetic stimulation treatments, applied to the most painful joints. Evaluation of the effectiveness and efficiency of the therapy has been done on the basis of the VAS scale, the Laitinen scale, the assessment of duration of the morning stiffness, and the subjective assessment of the result of the treatment made by the patients.
Results. After the series of treatments, the statistically significant (p <0.0001) reduction of the pain intensity has been found, measured with the VAS and the Laitinen scale  (the respective median (IQR): 8 (7-8) before the treatment vs 4 (3-5) after the treatment in the VAS scale, and 10 (8-12) before the treatment vs 6 (4-8) after the treatment in the Laitinen scale. Also observed, has been the statistically significant (p <0.0001) reduction of the duration of the morning stiffness, respectively 108±27 minutes before the treatment vs 67±34 minutes after the treatment.
The factors significantly affecting the result of the treatment were: age, BMI and the severity of the disorder.
Conclusions. Deep electromagnetic stimulation is an effective therapy method in patients with the rheumatoid arthritis, it significantly reduces the intensity of pain, the amount of painkiller medications being taken, and the duration of the morning stiffness.

Key words:
rheumatoid arthritis, pain, deep electromagnetic stimulation

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