Tag: wizualna skala analogowa

Effect of extracorporeal shockwave therapy on chronic anal fissure: prospective repeated measures study

Amr B Salama, Mohamed Samy Abdrabo, Esraa H Rostom

Amr B Salama, Mohamed Samy Abdrabo, Esraa H Rostom – Effect of extracorporeal shockwave therapy on chronic anal fissure: prospective repeated measures study. Fizjoterapia Polska 2022; 22(1); 94-98

Abstract
Purpose. The current study aimed to assess the effect of Extracorporeal Shockwave in management of chronic anal fissure (CAF).
Methods. Twenty patients with CAF of both sexes; aged 18–50, and symptomatic for 6 months or more with therapies. Patients received Extracorporeal Shockwave Therapy (ESWT), two sessions/week for 3 weeks. Visual analogue score (VAS) was used to measure pain intensity, Wexner constipation score was used to measure severity of constipation, as well as assessment of CAF healing by observation. Assessment were done before, after 3 weeks then after 3 months as a follow-up.
Results. The results revealed that means of VAS, Wexner constipation score and healing of CAF were significantly improved after 3 weeks of ESWT and after the follow-up period (P < 0.05).
Conclusions. Shock waves therapy may be considered as an effective conservative and safe modality in the treatment of CAF cases with respect to the short-term follow-up.
Key words:
chronic anal fissures, shock waves, visual analogue score, wexner constipation score
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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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Effect of Laser Acu-Cupping on Chronic Mechanical Low Back Pain in Elderly Women: A randomized controlled trial

Manar A. Abouzied, Akram A. Said, Heba A. Abd El-ghaffar, Mohammed A. Mousa

Manar A. Abouzied, Akram A. Said, Heba A. Abd El-ghaffar, Mohammed A. Mousa – Effect of Laser Acu-Cupping on Chronic Mechanical Low Back Pain in Elderly Women: A randomized controlled trial. Fizjoterapia Polska 2021; 21(2); 48-54

Abstract
Aim. Low back pain (LBP) is the most prevalent health condition that contributes to pain and fatigue in older adults. The purpose of this study was to determine the performance of laser acu-cupping in relieving chronic mechanical low back pain (MLBP) in elderly people. Materials and Methods. This study involved sixty elderly women suffering from persistent low-back mechanical pain (MLBP). They were age-varying (65-75). Two linked groups random allocations were made to the research group (A) and control group (B), assigned to patients. The first group (A) consisted of 30 patients who received 10 minutes of laser acu-cupping device software (laser wavelength: 650 nm, laser output: 5 mW ± 20%) on the back, plus 6 weeks of standard physiotherapy, 3 sessions per week. The second group (B) consisted of 30 patients who completed a conventional 20-30-minute physiotherapy program of 3 sessions each week for 6 weeks plus medical treatment. To assess the pain level, the level of cortisol was used and the pain intensity was determined by the visual analogue scale. To assess functional impairment, the Oswestry disability index was analyzed. Results. showed that there was a significant decrease in cortisol level, VAS and ODI post-treatment compared with that pre-treatment in both groups (p > 0.001) with favorable results in group A. The percent of decrease of cortisol level, VAS, and ODI in the study group were 41.07, 60.84, and 37.69% respectively and that in the control group were 20.71, 37.52, and 16.31% respectively. Conclusions. Laser acu-cupping and conventional physiotherapy effectively reduced pain and inflammation in chronic mechanical LBP more than conventional physiotherapy alone.
Key words:
Cortisol Level, Visual Analogue Scale, Oswestry Disability Index
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