Tag: visual analogue scale

Effect of visceral osteopathic manipulations on low back pain caused by visceral dysfunctions

ALshimaa Mokhtar Darwesh, Zahra Mohamed Hassan Serry, Shawky Abd El-Hamid Fouad, Heba Ahmed Ali Abdeen

ALshimaa Mokhtar Darwesh, Zahra Mohamed Hassan Serry, Shawky Abd El-Hamid Fouad, Heba Ahmed Ali Abdeen – Effect of visceral osteopathic manipulations on low back pain caused by visceral dysfunctions. Fizjoterapia Polska 2021; 21(5); 44-49

Abstract
Purpose. To assess the efficacy of visceral osteopathy for low back pain (LBP) caused by visceral dysfunctions.
Methods. Randomized controlled trial. This research included forty participants ranged in age from 25 to 40 years old who were suffering from LBP due to visceral dysfunctions. They were split into two classes of the same size; Study group (A) received visceral osteopathic manipulations once a_week for three weeks and Control group (B) received analgesic drugs only for three weeks. Visual analogue scale (VAS), Owestry disability index (ODI) and Modified Schober’s test (MST) were evaluated for all participants in both groups before and after treatment.
Results: The comparison between both groups revealed significant decrease in VAS and ODI (p < 0.05) as well as significant increase in MST (p < 0.05) in favor of study group (A) post treatment.
Conclusion: Osteopathy is effective in pain management and functional status improvements in LBP patients.
Key words:
osteopathy, low back pain, visceral dysfunction, visual analogue scale, Owestry disability index, Schober’s test
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Thermovisual imaging in diagnostics and outcome monitoring in disorders of the knee

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Joanna Błaszczyk-Suszyńska, Mirosław Janiszewski

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Joanna Błaszczyk-Suszyńska, Mirosław Janiszewski – Thermovisual imaging in diagnostics and outcome monitoring in disorders of the knee. Fizjoterapia Polska 2004; 4(4); 323-330

Abstract

Background. This article presents an analysis of prospective studies completed to date on the application of thermovisual imaging in the diagnosis and outcome monitoring of disorders of the knee joint. Material and methods. Three prospective studies were analyzed. Thermovisual exams were performed on the knees in a group of 170 patients with pain symptoms and 45 patients without knee pain. The intensity of the pain and joint dysfunction were evaluated on the basis of results from the Visual Analogue Scale (VAS), a specially developed patient chart, and the Knee-Leg Temperature Index (KLTI). Results. In the control group, the KLTI ranged from -1.5°C to -0.1°C. In the experimental group, the KLTI was between -1.8°C and +1.8°C before treatment, as compared to a range from -1.6°C to +1°C after treatment. Statistical analysis showed that the level of perceived pain and degree of dysfunction correlated with changes in the KLTI.Conclusions. The application of thermovisual examination with calculation of the KLTI is a valuable supplement in the evaluation of outcome in knee disorders. The sensitivity and specificity of the KLTI is high in knee pain syndrome. The method used to analyze the thermovisual image should be modified when there are disease conditions that may alter the skin surface temperature distribution in the lower extremity.

Key words:
knee pain, Visual Analogue Scale, Knee-Leg Temperature Index (KLTI)
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Muscle Energy Technique versus Static Stretch on Forward Head Posture in patients with Mechanical Neck pain: Randomized controlled trial

Haidy S. Roshdy, Maher A. Elkeblawy, Soheir S. Rezkallah, Mohmed M. Elkeblawy

Haidy S. Roshdy, Maher A. Elkeblawy, Soheir S. Rezkallah, Mohmed M. Elkeblawy – Muscle Energy Technique versus Static Stretch on Forward Head Posture in patients with Mechanical Neck pain: Randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 208-214

Abstract
Background. Mechanical neck pain (MNP) is one of the most common disorders that originates from poor postural habits and bad ergonomics. Forward head posture (FHP) was highly correlated to MNP. Muscle energy technique (MET) and stretching are easy widespread therapeutic techniques that are known for their effects in improving tissue extensibility, relieving pain and promoting function.
Objective. A randomized controlled trial was designed to compare the effect of MET versus static stretching in terms of FHP, pain and disability in patients with MNP.
Methods. Thirty participants (3 males and 27 females, 18-30 years old) were randomly allocated into one of 3 groups: group (A) received MET+ hydrocollator pack+ postural education, group (B) received stretching and strengthening exercises+ hydrocollator pack+ postural education, group (C) control group received hydrocollator pack+ postural education, 3 sessions /week for 4 weeks. Evaluation was done pre-treatment, post-treatment and after 6-weeks of follow-up. Results: There were significant improvement (p<0.05) in all tested variables in all groups post-treatment except disability in control group. There was significant improvement of pain in all groups, disability in experimental groups and FHP in stretching group only at the follow-up. There were no significant differences between groups in all measured variables.
Conclusion. MET has equal effect to that of static stretching regarding pain and function even after 6-weeks of follow-up. Stretching showed better improvement in FHP correction that persists. Postural education is effective in pain management and seems to have a role in preserving long-term outcome.
Key words:
Forward Head Posture, Mechanical Neck Pain, Muscle Energy Technique, Static stretching, Visual Analogue Scale, Neck Disability Index, Craniovertebral angle
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Effect of pulsed electromagnetic therapy on foot ulcers in type I diabetic adolescents: A Randomized Controlled Trial

Sahar Mahmoud Mohamed El Sayed, Mohsen Mohamed ElSayyad, Omaima M Kattabei, Soheir Shehata Rezkallah, Zainab Ali El-Saadany

Emad Makram Ghattas, Wagdy William Amin Younan, Mina Nashat Halim Farag, Marwa Mahmoud Mahfouz Mahmoud – Effect of pulsed electromagnetic therapy on foot ulcers in type I diabetic adolescents: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(5); 198-204

Abstract
Background. Studying effect of pulsed electromagnetic fields on foot ulcer in type I diabetic adolescents is a strategy for determining its efficacy to accelerate diabetic wound healing. Objective. To investigate the effect of low frequency, low intensity, pulsed electromagnetic fields (PEMFs) on skin wound healing in type I diabetic adolescents. Methods. Forty type I diabetic adolescents of both genders (22 girls and 18 boys) ranged in age from 12 to 17 years contributed in this study; they were assigned randomly into two equal groups (20 adolescents each). Subjects in control group (A) received only traditional medical treatment for 6 weeks (n = 20), whereas subjects in study group (B) received pulsed electromagnetic waves in addition to the same traditional medical treatment (n = 20). Pulsed electromagnetic was performed every other day for 6 weeks with up to 20 minutes of treatment per session. They complicated with foot ulcer and were referred from the pediatricians of the outpatient clinic in diabetes institute and Abu Rish hospital for children to participate in the study. The following parameters, including photographic method for wound assessment and visual analogue scale, were measured before and after the treatment course. Results. Comparing both groups post-treatment revealed statistically significant reductions in the total score of photographic wound assessment tool and visual analogue scale (p<0.05) in favor of group (B). Conclusion. Pulsed electromagnetic therapy is an effective additional tool to physical therapy program in foot ulcers in type I diabetic adolescents as it plays an important role in increasing healing rate of foot ulcer for those adolescents.
Key words:
Type I diabetes, foot ulcer, photographic method, visual analogue scale, pulsed electromagnetic therapy
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