Author: Justyna Rdzanek

Evaluation of the effectiveness of selected physical therapy programs in patients with 1st and 2nd degree spondylolisthesis on the basis of stabilographic tests and muscle torque in statistics

Justyna Rdzanek

J. Rdzanek – Evaluation of the effectiveness of selected physical therapy programs in patients with 1st and 2nd degree spondylolisthesis on the basis of stabilographic tests and muscle torque in statistics. Fizjoterapia Polska 2020; 20(2); 6-19

Abstract

Objective. The objective of the study was to assess the effectiveness of the proposed treatment programs for patients with 1st and 2nd degree spondylolisthesis.
Material and method. The study involved 40 patients aged 50-80 with radiologically diagnosed 1st and 2nd degree spondylolisthesis. The subjects were randomly divided into two groups: a group treated according to the standard program used in NFZ (National Health Fund) institutions and a group treated according to the proprietary rehabilitation program. In each of the patients, the intensity of pain was measured, and stabilographic measurements, torque measurements during flexion and extension of the torso under static conditions were carried out.
Results. Mann-Whitney U analysis showed significant differences for most variables measured between treatment groups (p < 0.05). According to the results of descriptive statistics, patients treated using the method of a routine rehabilitation program applied at an NFZ institution achieved significantly higher results in the measurement of the intensity of pain PO and during stabilographic tests, standing on both legs with both eyes closed PO [mm] than patients treated using myofascial trigger point therapy (p < 0.05). On the other hand, significantly higher results in stabilographic measurements with open eyes PO [mm] and when straightening the torso under static conditions (Nm) were achieved by a group of patients treated using myofascial trigger point therapy (p < 0.05).
Conclusions. The results of the study allowed for the evaluation of the effectiveness of the proposed treatment programs for patients with 1st and 2nd degree spondylolisthesis, and then to decide on the modification of routinely used treatment programs for this disease in NFZ institutions.

Key words: spondylolisthesis, spine work, low back pain, treatment

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Computer-assisted rehabilitation of aphasia in the assessment of Polish patients – the results of a proprietary survey

Anna Obszyńska-Litwiniec, Dariusz Boguszewski, Monika Lewandowska, Izabela Korabiewska, Maria Kłoda, Andrzej Ochal, Dariusz Białoszewski

A. Obszyńska-Litwiniec, D. Boguszewski, M. Lewandowska, I. Korabiewska, M. Kłoda, A. Ochal, D. Białoszewski – Computer-assisted rehabilitation of aphasia in the assessment of Polish patients – the results of a proprietary survey. Fizjoterapia Polska 2020; 20(1); 188-194

Abstract
Objective. The objective of the study was to determine the general level of acceptance for the use of the AfaSystem computer tool to assist in aphasia rehabilitation among Polish patients, as well as to learn patients’ subjective opinions about the positive and negative aspects of working with the program.
Material and methods. 32 patients covered by 2-month therapy using AfaSystem participated in a proprietary survey concerning the level of satisfaction with the use of software in therapy. In the first part of the survey, patients made an overall assessment of the program on a scale of 1 to 5. In the second part, they indicated the most important advantages of such therapy and the difficulties encountered.
Results. Patients indicated that their level of satisfaction with the use of the program was very high. The most important advantages were the increased motivation to exercise, therapy attractiveness, low rehabilitation costs, as well as the ease of use of the program. The disadvantages included limited possibilities of material individualization, the lack of video material and the lack of interactivity.
Conclusions.
1. The use of the AfaSystem computer tool in the rehabilitation process is accepted by patients with post-stroke aphasia.
2. Patients handle the program well and find it attractive.
3. It is advisable to supplement the functionality of the software with high-quality audiovisual materials, extensive individualization of the exercise material, as well as interactivity.

Key words:
aphasia, speech rehabilitation, computer program

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Effect of Buteyko Breathing Technique on Exercise Tolerance in Patients Under Renal Haemodialysis: A Randomized Controlled Trial

Samy Ahmed Abdou Zaher, Nesreen Ghareeb El Nahas, Zahra Mohamed Serry, Mohamed Mehrez Nageeb

Samy Ahmed Abdou Zaher, Nesreen Ghareeb El Nahas, Zahra Mohamed Serry, Mohamed Mehrez Nageeb – Effect of Buteyko Breathing Technique on Exercise Tolerance in Patients Under Renal Haemodialysis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 180-186

Streszczenie
Background. The aim of this study was to determine the effect of Buteyko breathing on tolerance in patients under renal haemodialysis. Methods. Sixty patients under renal haemodialysis from 1-3 years selected from the outpatient’s clinic of the Mit Ghamer Nephrology and Urology Hospital. The patient’s age ranged between 45 to 55 years. They were assigned into two equal in number groups. Group (A) consist of 30 patients of 22 males and 8 females who received a program of Buteyko Breathing Exercise, Group (B) consist of 30 patients of 22 males and 8 females who received a program of diaphragmatic and localized breathing exercise. The treatment program continued for 12 weeks (3 sessions of exercise per week). Laboratory investigations for Arterial blood gases (pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and 6-minute walking test (Borg scale) are measured at the beginning and after the treatment program for all patients of the two groups. Results. The results of this study revealed that there were significantly decreased in (pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and Borg scale at the first & end)within normal range at post treatment compared to pre-treatment within group A and group B. moreover, there were no significant differences in pre-(pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and Borg scale at the first & end) and post-(pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and Borg scale at the first & end) between group A and group B. the overall improvement percentages for all measured variables were 22.00% for Buteyko group (group A) vs. 30.43% for diaphragmatic + localized group (group B). Conclusions. The finding indicated that the overall improvement percentage was higher with diaphragmatic + localized group (group B) than Buteyko group (group A).

Słowa kluczowe:
Haemodialysis, Buteyko, Blood gases, Borg scale

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Effectiveness of manual therapy in pain syndromes originating from the cervical spine

Mariana Szczepaniuk, Zbigniew Śliwiński, Kamil Markowski, Grzegorz Śliwiński

 

M. Szczepaniuk, Z. Śliwiński, K. Markowski, G. Śliwiński – Effectiveness of manual therapy in pain syndromes originating from the cervical spine. Fizjoterapia Polska 2020; 20(1); 170-179

Abstract
Introduction. Cervical pain is a common problem worldwide and is increasingly prevalent. The structure of the cervical segment, as well as its biomechanics, contributes to this. The highest number of cases has been observed among professionally active people, however, the most vulnerable are people practicing a profession involving long-term sitting in one position for several hours. The spine is often overloaded due to long periods of remaining in unnatural and uncomfortable static positions. Pain is most often the result of changes in the paravertebral tissues occurring on a structural background. This problem affects 60–90% of the population and occurs in people aged 25–65. The main methods of treating pain syndromes include: kinesitherapy, i.e. movement therapy, physical procedures and various special methods, including the McKenzie method, PNF or manual therapy.
Objective The objective of the study was to assess the effectiveness of treating people with pain syndromes originating from the cervical spine with various physiotherapy methods.
Material and methods. The PubMed database was searched electronically using keywords such as ‘manual therapy’, ‘PNF’, ‘McKenzie method’, ‘pain syndromes’, ‘cervical spine pain syndrome’, ‘cervical spine’, ‘neck pain’, ‘neck pain therapy’ and the relevant studies were examined. Twenty-two publications were found, containing treatment of cervical spine pain syndromes using various methods, which were further analyzed. These articles were published between 2006 and 2019. Based on the analysis of titles and abstracts, five studies were excluded. Then another three studies were excluded based on the analysis of full texts. In total, 8 studies were excluded. Finally, the analysis of data contained in 14 studies was performed.
Results. It has been observed that pain is one of the most common symptoms of cervical spine disorders. Most often it is assessed using the VAS visual-analog scale. Based on the analysis of 14 studies, it is found that after the application of special physiotherapy techniques, pain is reduced.
Conclusions. Based on the analysis performed, it is concluded that the most commonly used method of measuring pain in patients before and after therapy is the VAS visual-analogue scale. After analyzing the results of selected studies, it can be clearly stated that special methods have a beneficial effect on reducing pain in patients with cervical pain syndrome, based on the average values before and after therapy.

Key words:
cervical spine pain syndrome, McKenzie method, PNF method, manual therapy

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Mechanical Response of Hip and Knee Muscles Following Randomized Crossover Trials in Patellofemoral Pain Syndrome

Hamada A. Hamada, Hossam E. Fawaz, Ghada Koura, Noran A. Elbehary, Salam M. Elhafez

Hamada A. Hamada, Hossam E. Fawaz, Ghada Koura, Noran A. Elbehary, Salam M. Elhafez – Mechanical Response of Hip and Knee Muscles Following Randomized Crossover Trials in Patellofemoral Pain Syndrome. Fizjoterapia Polska 2020; 20(1); 160-168

Abstract
Background. Faulty hip kinematics during weight bearing activities is proposed to contribute to patellofemoral pain syndrome (PFPS). However, limited information exists to determine the effectiveness of exercises programs that not only act on the knee joint, but also on the hip joint in patients with PFPS. Purpose. The purpose of this study was to compare between the effect of the starting with hip strengthening exercises before knee exercises program and the starting with knee exercises program before hip strengthening exercises on pain intensity, Kujala questionnaire scale, quadriceps angle (Q-angle), anteversion angle, and eccentric peak torques (PT) for hip abductors, external rotators, and knee extensors in patients with PFPS. Materials and Methods. Twenty-four patients suffering from PFPS were randomly assigned into two equal groups of twelve. Group (A): their mean age, weight, height and BMI values were 23.33 ± 5.39 years, 71.16 ± 13.05 kg, 164.75 ± 4.5 cm, and 26.21 ± 4.71 kg/m² respectively. They received hip abductors and external rotators strengthening exercises for three weeks followed by knee extensors strengthening exercises and stretching exercises for hamstring quadriceps, iliotibial band and gastrocnemus for another three weeks. Group (B): their mean age, weight, height and BMI values were 23.16 ± 6.33 years, 69.41 ± 18.14 kg, 164.66 ± 7.27 cm, and 25.2 ± 6.2 kg/m² respectively. They received knee extensors strengthening exercises and stretching exercises for hamstring, quadriceps, iliotibial band and gastrocnemus for three weeks followed by hip abductors and external rotators strengthening exercises for another three weeks. Both groups received three to four sessions per week for six weeks. Pain level, Kujala scale, Q-angle, anteversion angle, and isokinetic eccentric PT for hip abductors, external rotators, and knee extensors were recorded before, after three weeks, and after six weeks of exercises. Results. 2×3 Mixed Design MANOVA revealed that there was a significant reduction in level of perceived pain and improvement of Kujala scale in group (A) compared with group (B) after six weeks of exercise (p < 0.05). However, there was no significant difference in the Q-angle, anteversion angle, and isokinetic eccentric PT for hip abductors, external rotators, and knee extensors between the tested groups after six weeks of exercise (p > 0.05). Conclusion. Starting rehabilitation program with hip strengthening exercises before knee exercises program is more effective than starting with knee exercises program before hip strengthening exercises in reducing pain and improving knee function in patients with PFPS. Consequently, this may help physiotherapists in designing the most effective and efficient prevention and rehabilitation programs for patients suffering from PFPS.

Key words:
Patellofemoral Pain Syndrome, Hip, Knee, Strengthening Exercises, Q -Angle, Anteversion Angle

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Progressive spastic four-limb paresis. Suspected Strumpell-Lorrain disease. Case study

Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka, Marcin Jelitto, Izabela Korabiewska, Karen Shahnazaryan, Dariusz Białoszewski

M. Kłoda, G. Brzuszkiewicz-Kuźmicka, M. Jelitto, I. Korabiewska, K. Shahnazaryan, D. Białoszewski – Progressive spastic four-limb paresis. Suspected Strumpell-Lorrain disease. Case study. Fizjoterapia Polska 2020; 20(1); 150-159

Abstract
Strumpell–Lorrain disease is a rare progressive disease also called hereditary spastic paraplegia. It is a genetic neurological disorder with a diverse course, characterized by usually very severe progressive spastic paresis of the lower limbs. It is one of the neurodegenerative diseases of the motor neuron.
The subject of the study was a 27-year-old woman with suspected hereditary spastic tetraplegia.
The subject experienced the first symptoms of the disease at the age of six. The patient’s parents observed toe walking and frequent falls due to improper foot placement.
Physiotherapeutic procedures were aimed at improving stability of the torso and functional improvement of the patient, including daily activities along with the extension of the time spent outside the bed. Improvement of her motor functions, including faster performance of activities in a shorter time.
Physiotherapy has a significant role in the treatment of patients with neuromuscular disorders. It applies to functional, physical, psychological and social aspects. Patients with this type of disease are very often lonely and unhappy, which affects their mental health. The possibility of participating in physiotherapeutic procedures means that such a person not only improves his/her physical condition; it also strongly affects mental health and improves functioning in society.

Key-words:
Strumpell–Lorrain disease, hereditary spastic paraplegia

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Effect of Early Weight-bearing Versus Late Weight on Ankle Range of Motion after Internal Fixation of Ankle Fracture: A Randomized Clinical Trial

Nagy Mohamed Awad Alazaly, Nadia Abd El Azeem Fayaz, Hamed Mohamed Elkhozamy, Ali Osman Almofty

Nagy Mohamed Awad Alazaly, Nadia Abd El Azeem Fayaz, Hamed Mohamed Elkhozamy, Ali Osman Almofty – Effect of Early Weight-bearing Versus Late Weight on Ankle Range of Motion after Internal Fixation of Ankle Fracture: A Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(1); 144-148

Abstract
Purpose. The aim of this study was to investigate the effect of early weight-bearing versus late weight on ankle range of motion after internal fixation of ankle fracture. Materials and Methods. Thirty patients participated in this study and assigned randomly into two groups; Group (A) received early weight-bearing protocol of rehabilitation (15 patients), and Group (B) received late weight-bearing protocol of rehabilitation (15 patients). Results. Within groups: there were significant reduction (P < 0.05) in pain severity and significant increase (P < 0.05) in range of motion (dorsi and planter flexion) at post treatment in compared to pre-treatment at both groups. While between groups; there was significant improvement (P < 0.05) in favour to group A in compared to group B for all outcome measures. Conclusion. This study proved that early weight-bearing rehabilitation program is more effective than late weight-bearing rehabilitation program after internal fixation of ankle fracture regarding pain and stiffness of ankle joint.

Key words:
Early Weight and Late Weight-bearing, Ankle Fracture, Internal Fixation

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Evaluation of pre and post operative physiotherapy using the Lysholm scale on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction

Sebastian Zduński, Witold Rongies

S. Zduński, W. Rongies – Evaluation of pre and post operative physiotherapy using the Lysholm scale on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction. Fizjoterapia Polska 2020; 20(1); 130-143

Abstract
Background. Most anterior cruciate ligament (ACL) injuries require surgery and physiotherapy. One important factor that determines physiotherapeutic success is achieving optimal function already before an ACL reconstruction surgery.
Material and methods. A total of 72 randomly enrolled patients, who had been diagnosed with a complete ACL tear and qualified for surgical reconstruction, were included in this study. The experimental group comprised 37 patients aged from 18 to 60 years (mean age 37 ± 10.3 years). All patients from this group underwent a physiotherapy regimen based on established rehabilitation practices over a period of 4 weeks preceding the surgery. The control group comprised 35 patients aged from 18 to 60 years (mean age 34 ± 10.0 years) who did not undergo any preoperative physiotherapy regimen.
Results. At the second time point, both the experimental and control groups exhibited significant improvement in Lysholm scores in comparison with baseline scores (p < 0.05). The Lysholm-Gillquist score in the experimental group was better in the experimental group. There was a significant difference in Lysholm functional knee scores in experimental and control subjects at postsurgical week 6 and 12 (p < 0.05).
Conclusions. 1. Physiotherapy in patients with a complete ACL tear is an important and beneficial factor improving knee function prior to ACL reconstruction.
2. Functional knee scores (assessed with the Lysholm scale) obtained in both groups after the reconstruction surgery confirmed the effectiveness of surgical procedures and physiotherapeutic protocols.

Key words:
knee joint, anterior cruciate ligament, Lysholm-Gillquist scale

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Effect of 632 nm He-Ne Laser on Gram-Positive Bacteria in Deep Partial Thickness Pediatric Burn: A Prospective Double-Blind Randomized Controlled Trial

Nisreen Afify Abd El Rasheed, Maya Galal Aly, Rehab Hamid Sedik, Dalia Mohammed Mosaad, Ayman Noaman Elhenawy, Shaimaa Abd El-Hamid Abase, Hamada Ahmed Hamada

Nisreen Afify Abd El Rasheed, Maya Galal Aly, Rehab Hamid Sedik, Dalia Mohammed Mosaad, Ayman Noaman Elhenawy, Shaimaa Abd El-Hamid Abase, Hamada Ahmed Hamada – Effect of 632 nm He-Ne Laser on Gram-Positive Bacteria in Deep Partial Thickness Pediatric Burn: A Prospective Double-Blind Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 124-128

DOI: https://doi.org/10.56984/8ZG078683

Abstract

Background. Burns are one of the most common injuries in pediatric population, gram-positive bacteria is the main pathogens responsible for wound infection that is the leading cause of morbidity and sometimes mortality in growing children with burn. Low level laser is a new treatment option that is increasingly used in the field of wound healing. Aim. To investigate the effect of He-Ne laser on gram-positive bacteria and healing time of deep second-degree pediatric burn. Methods. Thirty children of both genders aged from 2 to 9 years old with 2nd degree upper limb burn infected with gram-positive bacteria participated in this study. They were randomly assigned into two equal groups; either the control group (group A) received systematic antibiotic and 10 minutes’ placebo laser light, or the laser group (group B) received 632 nm laser light, 6 J/cm2 scanning technique for 10 minutes. All patients received regular wound care (dressing). The study protocol was once a day, 3 times / week for one month. Pre and post-treatment evaluation of wound culture and the healing time was recorded for both groups. Results. Wound culture of all children in both groups were negative after two weeks of the study and wound healing time was significantly shorter in the laser group (14.6±5.7 days) than the control group (27±7.3 days). Conclusion. He-Ne laser is an effective option of treatment for 2nd-degree pediatric burn as it has a bactericidal effect on gram-positive bacteria and accelerates wound healing process significantly.

 

Key words:
pediatric burn, low-level laser therapy, positive-gram bacteria

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Zastosowanie testu Functional Movement Screen (FMS) w celu określenia ryzyka urazu narządu ruchu wśród strażaków i żołnierzy – badania pilotażowe

Joanna Jagiełka, Małgorzata Chochowska, Ewa Kamińska

J. Jagiełka, M. Chochowska, E. Kamińska – Application of the Functional Movement Screen (FMS) test to determine the risk of musculoskeletal injuries among firefighters and soldiers – pilot study. Fizjoterapia Polska 2020; 20(1); 114-123

Abstract
Objective. Work specificity of uniformed services is characterized by a significant risk of injuries that may cause resignation from military service and results in significant social and economic costs. Many injuries can be prevented if abnormal movement patterns are noticed and corrected at the right time.
The objective of the study was to assess the quality of movement patterns and determine the risk of injuries to the musculoskeletal system among young soldiers and firefighters using the Functional Movement Screen (FMS) test.
Material and methods. Sixty men aged 19-30 (average: 26.5 years) participated in the pilot study, including 30 soldiers (S) and 30 firefighters (F).
Results: In 5 out of 7 FMS tests, F obtained better results compared to S, however statistically significant differences were observed only in: deep squat test (F: 2.67 points vs S: 2.32 points; p = 0.020) and in-line lunge test (F: 2.87 points vs S: 2.42 points; p = 0.000). In addition, F obtained a statistically better final result of the FMS test (F: 17.50 points vs.
S: 16.97 points; p = 0.046). In both groups, the lowest results were obtained in the rotary stability test (F: 2.13 points;
S: 2.10 points) and the active straight leg raise test (F: 2.20 points; S: 2.00 points) .
Conclusions. The final FMS result in the groups F and S was in the upper limit of the middle range of scores (14-17 points), estimating the risk of injuries at the level of 25-35% and indicating the need for remedial procedures. FMS can be a useful tool in assessing the risk of injury to the musculoskeletal system in the case of employees of uniformed services and be part of their prevention.

Key words:
Functional Movement Screen, żołnierze, strażacy, ryzyko urazu, profilaktyka

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