Tag: zakres ruchu

Effectiveness of neck extensor stretching and strengthening in cyclist neck syndrome: a randomized controlled study utilizing Kinovea and NPRS

Nirmal Khanna R, Kamalakannan M, Hariharan J, Priyanga Seemathan, Priyadharshini V, Thiagarajan D, Durga N, Delphin Kavya D

 

Nirmal Khanna R et al. – Effectiveness of neck extensor stretching and strengthening in cyclist neck syndrome: a randomized controlled study utilizing Kinovea and NPRS –  Fizjoterapia Polska 2025; 25(2); 238-244

DOI: https://doi.org/10.56984/8ZG00E1150

Abstract
Introduction. The condition known as cyclist neck syndrome, characterized by fatigue and the inability of the neck muscles to support the head, often results from prolonged cycling in an improper position. This repetitive strain on the neck extensor muscles commonly leads to reduced range of motion, pain, and impaired performance.
Aim of the study. To assess the effectiveness of neck extensor stretching and strengthening exercises in reducing symptoms of cyclist neck syndrome, improving range of motion, and enhancing overall neck function.
Materials and methods. A total of 50 participants diagnosed with cyclist neck syndrome were randomly selected. Inclusion criteria included individuals aged 20–50 years, cycling at least five times per week, and covering a minimum of 75 km per ride. Exclusion criteria encompassed a history of neck surgery, traumatic neck pain, spinal instability, rheumatological conditions, and recent neck interventions. Participants were divided into two groups of 25: Group A received conventional treatment plus neck extensor stretching and resistance training; Group B received only conventional treatment. Pre-treatment data were collected using the Numerical Pain Rating Scale (NPRS) and cervical range of motion (ROM) for flexion and extension, assessed with Kinovea software. The intervention lasted 4 weeks, with 4 sets per session, 15 repetitions per set, conducted 3 times per week.
Results. Post-treatment mean NPRS score for Group A was 2.16, compared to 5.2 for Group B. Group A showed improved post-treatment cervical ROM in flexion (67.04) and extension (53.4), whereas Group B showed 46 and 47.4, respectively. These results indicate that Group A achieved greater reductions in pain and better functional outcomes.
Conclusion. The findings support that incorporating neck extensor stretching and resistance training significantly improves symptoms and neck function in individuals with cyclist neck syndrome.
Key words
neck syndrome, extensor stretches, resistance training, range of motion
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Effectiveness of Mulligan “MWM” versus Spencer technique on functional ability in subjects with adhesive capsulitis of the shoulder joint

Sundar Rajan M S, Kotteeswaran K, Kamalakannan M, Hariharan J, Priyanga Seemathan, Delphin Kavya D, Dinesh S, Koteeswari Arumugam

 

Sundar Rajan M S et al. – Effectiveness of Mulligan “MWM” versus Spencer technique on functional ability in subjects with adhesive capsulitis of the shoulder joint –  Fizjoterapia Polska 2025; 25(2); 54-59

DOI: https://doi.org/10.56984/8ZG7D19F64U

Abstract
Background. Frozen shoulder, or adhesive capsulitis, is characterized by pain and progressive loss of both active and passive shoulder range of motion due to capsular contracture and fibrosis. The Spencer technique focuses on mobilizing the glenohumeral and scapulothoracic joints. The Mulligan technique combines active movement with passive accessory mobilization to achieve pain-free motion by restoring impaired accessory glide.
Objective. To evaluate the effectiveness of Mulligan “MWM” versus the Spencer technique in patients with adhesive capsulitis of the shoulder joint using range of motion (ROM) and the Shoulder Pain and Disability Index (SPADI).
Methods. Forty subjects meeting the inclusion and exclusion criteria were selected. The procedure was explained in detail, and informed consent was obtained before initiating the study. Pre- and post-test values were measured using ROM and SPADI. Participants were divided into two groups: Mulligan “MWM” with exercise (n = 20), and the Spencer technique with exercise (n = 20). Both groups received arm circles, pendulum stretch, towel stretch, wand exercise, wall climbing, and upper body stretch, three days a week for six weeks (2 sets of 10 repetitions with a 10-second hold).
Results. The data were statistically analyzed using an unpaired t-test. The Mulligan “MWM” group showed significantly greater improvement (p < 0.01) in pain reduction and functional ability compared to the Spencer technique, as measured by ROM and SPADI.
Conclusion. Mulligan “MWM” is more effective than the Spencer technique, when combined with exercise, in reducing pain and improving functional ability in individuals with adhesive capsulitis of the shoulder joint.

Key words
adhesive capsulitis, range of motion, SPADI, Mulligan “MWM”, Spencer technique

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Assessment of the impact of sport shooting on the functional status of the upper limbs

Adam Stręciwilk, Robert Irzmański, Małgorzata Kilon

Adam Stręciwilk, Robert Irzmański, Małgorzata Kilon – Assessment of the impact of sport shooting on the functional status of the upper limbs –  Fizjoterapia Polska 2025; 25(1); 289-295

DOI: https://doi.org/10.56984/8ZG007DBCZ8

Abstract
Aim of the study. The objective of this study was to evaluate the impact of sport shooting training on hand-grip-strength (HGS) and the range of motion (ROM) in the upper limb joints.
Material and Methods. A total of 55 individuals aged 16–70 years (mean age 38.23 ± 13.51) who actively practise sport shooting were included. Based on their experience, they were assigned to two groups. The study group (SG) consisted of 23 athletes with ≥4 years of training experience, and the control group (CG) included 32 athletes with < 4 years of training experience. A custom-designed questionnaire was used, and the functional status of the upper limbs was assessed using measurements of HGS and ROM in the shoulder joints. The Shapiro–Wilk test was used to verify the normal distribution of variables, while the Mann–Whitney U test was applied for between-group comparisons. A p-value < 0.05 was considered statistically significant.
Results. In the SG, the mean HGS for both hands was 53.65 ± 11.17, whereas in the CG it was 53.33 ± 8.89 (p > 0.05). No statistically significant differences in shoulder joint ROM were found between the two groups (p > 0.05). In both groups, sex had a statistically significant effect on HGS (p < 0.001). No correlation was observed between age and HGS in the SG (r = 0.183) or CG (r = 0.355), with r = 0.245 for both groups combined (p > 0.05).
Conclusions. The duration of sport shooting training did not affect HGS or shoulder joint ROM. Women achieved lower HGS values compared to men. Age did not influence HGS.
Key words
sport shooting, hand grip strength, range of motion, functional status of the upper limbs
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Sea cucumber phytochemical compounds consumed after maximal weight training intervention significantly influence the increased range of motion in healthy men

Fatkur Rohman Kafrawi, Novadri Ayubi, Anton Komaini, Sri Gusti Handayani, Junian Cahyanto Wibawa, Ainun Zulfikar Rizki, Alvin Afandi, Aulia Putri Srie Wardani, Muhammad Firman Halip, Procopio B. Dafun Jr.

Fatkur Rohman Kafrawi et al. – Sea cucumber phytochemical compounds consumed after maximal weight training intervention significantly influence the increased range of motion in healthy men –  Fizjoterapia Polska 2025; 25(1); 114-120

DOI: https://doi.org/10.56984/8ZG007DJBU1

Abstract
This study aims to analyze whether sea cucumber supplementation after weight training can increase ROM in healthy men. This experimental research employs a pre- and post-test control group design. Subjects were selected using a purposive sampling technique and divided into two groups: K1 (placebo) and K2 (sea cucumber supplementation, 500 mg). The supplementation was administered in capsule form. A total of 20 healthy men aged 20–25 years participated in the study. Data collection was conducted over three days, beginning with the collection of subject characteristics. Subsequently, the subjects performed a warm-up, followed by physical exercise. The training session involved weight training performed to exhaustion at maximum intensity.
Twenty-four hours after the weight training intervention, baseline ROM data was collected. Then, subjects were administered either a placebo or sea cucumber supplementation. Another ROM measurement was conducted 24 hours later.
The results showed that 500 mg of sea cucumber supplementation taken 24 hours after weight training significantly increased ROM in healthy men
(p < 0.05*). Moreover, a significant ROM increase was also observed in the control group (p < 0.05*). It can be concluded that 500 mg of sea cucumber supplementation 24 hours post-weight training effectively enhances ROM in healthy individuals. However, further laboratory studies on biomarkers associated with ROM are necessary to provide valid biochemical data. Regarding the control group’s significant ROM increase, it is possible that recovery processes had already begun within 48 hours, suggesting that participants may have naturally recovered within that time frame. Nevertheless, further laboratory investigations of biomarkers related to ROM are needed to ensure valid research data based on biochemical analyses.
Key words
sea cucumber, weight training, range of motion
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Effect of 4 weeks core stabilization exercise on muscle activity, range of motion and function in Lumbar Spondylosis

Lilima Patel, Shenbaga Sundaram Subramanian, Saju Binu Cherian, Anil Kumar Oraon, Manoj Kumar Behera

Lilima Patel, Shenbaga Sundaram Subramanian, Saju Binu Cherian, Anil Kumar Oraon, Manoj Kumar Behera – Effect of 4 weeks core stabilization exercise on muscle activity, range of motion and function in Lumbar Spondylosis –  Fizjoterapia Polska 2024; 24(5); 445-450

DOI: https://doi.org/10.56984/8ZG020CPQG4

Abstract Introduction. Lumbar spondylosis (LS) is a degenerative spine disorder associated with poor biomechanics, aging, and heredity. The transversus abdominis (TrA) and lumbar multifidus (LM) are two core muscles essential for spinal stability. Core stabilization exercises (CSE) can increase mobility, lessen pain, and improve muscular function. However, little is known about how well they work for LS patients. This study aims to assess the effects of a 4-week CSE program on muscle function, range of motion, and activity in LS. Aim of the study. To determine the effect of a 4-week core stabilization exercise program on muscle activity, range of motion, and lumbar function in LS. Materials and methods. A single-masked, randomized, controlled pilot experiment was conducted with 20 LS subjects (aged 40 to 70). Participants were randomly allocated to either the intervention or control group. Both groups performed standardized spinal exercises and stretching routines, but the intervention group also received CSE that targeted the TrA and LM muscles. The Oswestry Disability Index (ODI), lumbar range of motion (inclinometer), and muscle activity (surface electromyography) were used to assess outcomes. Statistical analyses used paired and independent sample t-tests with a 95% confidence interval. Results. The paired t-test showed significant improvements (p < 0.05) in the intervention group’s lumbar ROM, ODI scores, and TrA and LM muscle activation. The control group had substantial ROM and ODI improvements, with minor, non-significant changes in TrA. Independent t-tests revealed significant differences in ODI and MVIC of TrA and LM, favoring the intervention group, but no ROM differences between groups. Conclusion. CSE enhances lumbar function and muscle activation in LS subjects. These data point to their potential as an adjuvant rehabilitation technique.
Key words lumbar spondylosis, core stabilization, lumbar multifidus, transversus abdominis, range of motion, Oswestry Disability Index, surface electromyography
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The effect of foam roller on injury recovery in terms of increased joint range, decreased pain, and improved movement function in football: A literature review

Sabda Hussain As Shafi, Bm Wara Kushartanti, Novita Intan Arovah, Enggista Hendriko Delano, Wahyu Aji Nugroho, Anggun Saraswati

Sabda Hussain As Shafi, Bm Wara Kushartanti, Novita Intan Arovah, Enggista Hendriko Delano, Wahyu Aji Nugroho, Anggun Saraswati – The effect of foam roller on injury recovery in terms of increased joint range, decreased pain, and improved movement function in football: A literature review –  Fizjoterapia Polska 2024; 24(5); 179-185

DOI: https://doi.org/10.56984/8ZG020CE2ST

Abstract The sport of football often leads to injuries during training or competition due to both non-contact and contact incidents. Non-contact injuries are particularly common among football athletes due to the overuse of muscle tissue and joints, leading to injuries that interfere with the athlete’s physical activities. This research investigates the effects of foam rolling in the injury recovery process. Methods: Qualitative research with a literature review based on the PRISMA model, analyzing articles from 2018 to 2024. A total of 132 articles were initially identified, which were then narrowed down to 10 articles from sources such as Scopus, Google Scholar, and Semantic Scholar. Results: The findings from these 10 articles, which utilized samples and experimental models, indicate that foam rollers significantly increase the range of motion, enhance movement function, and decrease pain. Foam rolling can be effectively utilized in pre-match, post-match, and post-injury recovery scenarios. Conclusion: Proper and well-measured use of foam rollers can increase joint range, enhance movement function, and reduce pain in injury recovery, both in acute and chronic conditions according to physiological mechanisms. References from this literature review can serve as a basis for further research to refine the foam roller program in terms of intensity, indicators, and duration in injury recovery efforts.
Key words foam roller, pain, range of motion, injury
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Functional connections between the temporomandibular joint and the hip joint

Kamil Lenczewski, Małgorzata Wójcik

Kamil Lenczewski, Małgorzata Wójcik – Functional connections between the temporomandibular joint and the hip joint –  Fizjoterapia Polska 2024; 24(1); 122-125

DOI: https://doi.org/10.56984/8ZG2EF8R1m

Abstract
Introduction. Some of the factors in the formation of temporomandibular joint disorders are changes in the central and peripheral nervous systems. In the context of creating connections between two joints, fascia and the concept of biotensegration are important. The tension created in the tissue is linearly distributed along the entire body. The creation of excessive tension within one structure can lead to the creation of identical tension in a distant structure.
Aim of the study. The research hypothesis was that soft tissue manual treatments of the temporomandibular joint, with a duration of 7 minutes per side would affect increased mobility in the hip joint for the motion of the abduction.
Results. The obtained value for the right and left hip joint shows a strong and positive correlation. This proves that the therapy performed had an effect on increasing the range of motion.
Conclusions. Myofascial release of the tissues of the temporomandibular joint had a positive effect on the increase in the range of motion for hip abduction.
Keywords
manual therapy, hip joint, range of motion, temporomandibular joint, myofascial chains

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Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease)

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease). Fizjoterapia Polska 2001; 1(3); 303-305

Abstract

The course of juvenile thoracic kyphosis, known as Scheuermann’s Diseases, brings about static and dynamic changes within the spine, the shoulder girdle, and the pelvic girdle, negatively affecting the patient’s posture. Changes in the spine due to growth deformities in the vertebral bodies lead to musculo-capsular spasms and adynamia in overextended muscles and ligaments.The basic aim of kinesitherapeutic procedures in the treatment of juvenile thoracic kyphosis is to restore normal muscular equilibrium by stretching the contracted muscles and strengthening the weakened ones. There are also exercises intended to improve the range of joint movement and to teach the patient to assume and maintain proper body posture. In cases of radiologically confirmed growth disorders affecting the vertebral bodies, treatment by extending corrective braces is required. In such cases kinesitherapy and physicotherapy are intended to prepare the patient to obtain good correction in the orthopedic brace and reduce the so-called “plaster losses”. The authors point out the value of kinesitherapy in the process of treating patients with juvenile thoracic kyphosis. A program of exercises intended to reconstruct a normal is also discussed.

Key words:
musculo-capsular spasms, adynamiarange of mobility, posture
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The application of a low-frequency impulse magnetic field in patients recovering from arthroscopic ablation of the medial meniscus

Piotr Wróbel, Rafał Trąbka

Piotr Wróbel, Rafał Trąbka – The application of a low-frequency impulse magnetic field in patients recovering from arthroscopic ablation of the medial meniscus. Fizjoterapia Polska 2003; 3(1); 31-37

Abstract
Background. The goal of the present study was to test the influence of a low-frequency impulse magnetic field on recovery from surgery by patients who have undergone surgical ablation of the medial meniscus. Material and methods. Our research involved 20 persons undergoing rehabilitation in a private physiotherapeutic practice. The clinical material was randomly divided into two numerically equal groups. The kinesitherapy program was identical in both groups, but the experimental group received magnetotherapy, while the control group did not. The rehabilitation program lasted for two 6-day cycles with a 1-day interval between. The patients in both groups were tested for range of movement in the knee, the strength of the femoral quadriceps, and the circumference of the affected limb, measured at the joint and 20 cm above the patella, before, during, and after rehabilitation. Results. In the experimental group the patients recovered normal range of movement somewhat faster. These patients also showed greater increases in limb circumference above the joint and greater reduction of edema in the joint itself. No significant differences were found in respect to muscle strength. Some patients from the control group showed a recurrence of edema, which did not take place in the experimental group. Conclusions. In view of the faster improvement in range of motion and the significant reduction of edema in the operated limb, the use of low-frequency impulse magnetic fields can be recommended for the rehabilitation of patients recovering from arthroscopic ablation of the medial meniscus.

Key words:
magnetic field intensity, magnetic field frequency, Knee Joint, range of movement

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Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study

Janusz Boczar, Łukasz Wojtyczek

Janusz Boczar, Łukasz Wojtyczek – Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study. Fizjoterapia Polska 2003; 3(4); 384-386

Abstract

Background. The purpose of this article is to present the neuromobilization technique as a useful procedure in physical therapy. Material and methods. The paper presents a case study of a male patient who was treated at the Subcarpathian Hospital in Krosno, Poland. In addition to various kinds of PT procedures, the neuromobilization technique was implemented in treatment. Results. We noted improvement in range of movement and muscle strength, and decreased pain after treatment. The patient regained a very high functional status. Conclusions. Neuromobilization is a successful method when used to treat patients with neurobiomechanical problems, and should be implemented in regular physiotherapy.

Key words:
range of movement, muscle strength, physical therapy, fracture of the sacrum
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