Tag: skala Laitinena

Long-term follow-up results in the treatment of herniated discopathy in the lumbar spine

T. Rybak, W. Kuliński, A. Misztela, J. Mróz, R. Koczorowski

T. Rybak, W. Kuliński, A. Misztela, J. Mróz, R. Koczorowski – Long-term follow-up results in the treatment of herniated discopathy in the lumbar spine. Fizjoterapia Polska 2002; 2(1); 40-42

Abstract
Background. The purpose of our research was to measure the impact of cessation of the recommended rehabilitation program on the clinical status of patients with herniated discs in long-term follow-up. Material and methods. We examined 36 patients diagnosed by computer tomography with herniated disk, treated conservatively at the Physical Medicine Department in 1998. Examinations were performed at one year and two years after the resolution of symptoms. The subjects were divided into 3 groups: Group I consisted of 18 patients (50%) who were still maintaining the recommended rehabilitation program at home; Group II included 9 patients undergoing periodic rehabilitation in an outpatient program; Group III was comprised of the remaining 9 patients, who had entirely abandoned the recommended program. Results. After one year 66,6% of the patients in groups I and II had moderate pain symptoms (up to 5 points on the Laitinen Scale), and 33,4% had pain symptoms periodically preventing work (6-11 points). In group III, 33,3% of the patients had >5 points, 33,3% had 6-11 points, and 33,4%had pain systems permanently preventing a return to work and independent living (>11 points).

Key words:
Outcome, Laitinen Scale, conservative treatment

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Mobilisation of proximal radioulnar joint and functioning of the arm after forearm fracture

Marek Woszczak, Katarzyna Syrewicz, Marcel Kotkowski, Marek Kiljański

M. Woszczak, K. Syrewicz, M. Kotkowski, M. Kiljański – Mobilisation of proximal radioulnar joint and functioning of the arm after forearm fracture. FP 2015; 15(1); 58-73

Abstract

Research objective. The research aims to evaluate the effect of mobilisation of proximal radioulnar articulation on the hand function after a forearm fracture.
Material and methods. The research involved 60 patients over the age of 50 who were subject to treatment for limitation of hand function resulting from a forearm fracture. The respondents were randomly divided into equal research and control groups and subjected to a series of ten physiotherapy treatments, including low-frequency electromagnetic field therapy, blue filter Sollux lamp and physiotherapy in the form of free active exercises of the elbow, wrist and fingers. The research group also underwent the mobilisation of proximal radioulnar articulation using the Kaltenborn-Evjenth method.
Results. The analysis of the data obtained showed that mobilisation of proximal radioulnar articulation improved the clinical and functional condition of patients after a forearm fracture.
Conclusions. The respondents who went through a rehabilitation program which included mobilisation of proximal radioulnar articulation, assessed their pain level as being lower. They also achieved a wider range of dorsiflexion, palmar flexion, ulnar and radial deviation as well as supination and pronation motion in the radioulnar joint. Additionally, therapy that included the mobilisation resulted in improved strength of cylindrical grip.

Key words:
injury, forearm fracture, mobilisation, VAS scale, Laitinen scale

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