Author: Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah

Predictors of Frontal Plane Knee Excursion during Functional Weight Bearing Tasks in Young Athletes

Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah

Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah – APredictors of Frontal Plane Knee Excursion during Functional Weight Bearing Tasks in Young Athletes. Fizjoterapia Polska 2020; 20(1); 106-112

Abstract
Background. The knee joint complex is one of the most commonly injured areas of the body in athletes. Excessive frontal plane displacement of the knee joint is considered a risk factor for multiple knee pathologies such as meniscal, anterior cruciate ligament and patellofemoral joint injuries, however, the biomechanical factors that contribute to this loading pattern need further investigations. Objective. The purpose of this study was to investigate clinical predictors of frontal plane knee excursion during single leg landing tasks. Methods. One hundred and twenty eight (male) football players participated in this study. Their mean age was (14.6 ± 1.7) years, mean BMI was (21.3 ± 2.1)kg/m2. The knee frontal plane projection angle was measured by digital video camera using single leg landing tasks after that clinical predictors affecting knee joint frontal plane projection angle assessed (tibiofemoral angle measured using digital video camera, peak isometric strength of hip and knee muscles strength assessed using portable HHD, static postural balance assessed using biodex balance system, foot posture assessed using foot posture index, knee proprioception assessed through measuring weightbearing joint position sense). Results. Statistical analysis using stepwise multiple regression indicated that of the included variables, only static tibiofemoral alignment, hip external/internal rotators ratio and knee joint position sense absolute error predict the knee frontal plane projection angle during landing tasks (r2 = 0.15, p = 0.00; r2 = −0.089, p = 0.00 and r2 = 0.336, p = 0.00 respectively). Together these variables only explained 30% of the variance in knee frontal plane projection angle. Conclusion. Tibiofemoral angle, knee joint proprioception and hip external/internal rotators ratio were found to play great role in controlling knee frontal plane motion, therefore the design of knee rehabilitation programs should include improving these factors to enable targeted prevention strategies to reduce injury rates.

Key words:
knee injuries, risk factors, kinematics, 2-dimensional motion analysis

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Analysis of pelvis statics in amateur swimmers and recreational runners

Paulina Majos, Marek Kiljański, Kamil Markowski, Zbigniew Śliwiński

P. Majos, M. Kiljański, K. Markowski, Z. Śliwiński – Analysis of pelvis statics in amateur swimmers and recreational runners. Fizjoterapia Polska 2020; 20(1); 100-105

 

Abstract
Introduction. In recent years, an increasing number of people are choosing to be physically active. The most popular sports include swimming, running or cycling. Disorders of pelvic statics can affect the incidence of injuries during physical activity.
Objective. The main objective of this study is to show the relationship between proper pelvic statics and the incidence of injuries during amateur running or swimming based on analysis of available literature.
Material and methods. A review of the current literature available on the given topic was carried out. The materials needed to analyze the topic come from specialized magazines and articles found on the Internet. Internet search engines were used: Google Scholar and PubMed.
Discussion. Running is a popular physical activity around the world. Musculoskeletal injuries in runners are common and can be attributed to the inability to control the pelvic balance in the frontal plane. The pelvis also plays a significant role in swimming. Its correct position allows you to maintain optimal movement of the lower limbs, which results in greater economy and increased speed.
Conclusions. Incorrect pelvic statics affect the incidence of injuries of the lower limb muscles. The pelvis position modifies the economics of walking, running and swimming. The symmetry of the pelvis during swimming determines the correct technique and increases the efficiency of the lower limbs.

Key words:
pelvis statics, gait economics, amateur swimming, lower limb muscle injuries

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Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy

Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada

Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada – Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy. Fizjoterapia Polska 2020; 20(1); 92-98

Abstract
Background and purpose. Children with hemiplegic cerebral palsy have impairments in fine motor skills above and beyond their unilateral impairments. The current study was conducted to compare the effect of hand-arm bimanual intensive therapy (HABIT) versus shock wave therapy on the affected upper extremity in children with hemiplegic cerebral palsy. Materials and methods. Thirty hemiplegic children ranged in age from 4 to 8 years with hand spasticity ranged between 1 and 1+ grades according to the Modified Ashworth Scale participated in this study. They were assigned randomly into two equal study groups. Group A received a designed physical therapy program and shock wave therapy one session 2000 shock, while the group B received the same physical therapy program in addition to bimanual arm therapy. Both groups received treatment sessions three times per week for three successive moths. Each child in the two groups was evaluated before and after the suggested treatment duration for detecting the level of hand performance using the Peabody Developmental Test of Motor Proficiency while, hand grip strength by a hand held dynamometer and active abduction and external rotation range of motion were measured by a standard universal goniometer. Results. The results revealed non-significant differences when comparing the pre-treatment mean values of all measuring variables for the two groups (p > 0.05), while significant improvement was observed in the two groups when comparing their pre and post treatment mean values. Also, significant differences were observed when comparing the post treatment results of the two groups in favor of the group B (p < 0.05). Conclusion. The results suggested that, hand-arm bimanual intensive therapy appears to have a positive impact on hand function in children with hemiplegic cerebral palsy.

Key words:
Cerebral palsy, Hemiplegic, Hand-arm bimanual intensive therapy, shock wave therapy

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The Influence of the Soft Torso Orthosis on Motor Functions of Children with Cerebral Palsy – Preliminary Research

Anna Kosiecz, Agnieszka Zdzienicka-Chyła, Jolanta Taczała, Krzysztof Krasowicz, Marta Kuśmierz, Jarosław Napiórkowski

A. Kosiecz, A. Zdzienicka-Chyła, J. Taczała, K. Krasowicz, M. Kuśmierz, J. Napiórkowski – The Influence of the Soft Torso Orthosis on Motor Functions of Children with Cerebral Palsy – Preliminary Research. Fizjoterapia Polska 2020; 20(1); 86-91

Abstract
Introduction. Soft orthopaedic equipment is increasingly used in therapy of children with cerebral palsy. The primary goal of using soft orthoses is to improve the patient’s functioning – their contribution to central stabilization and postural control is emphasized. The principal aim of applying soft orthotics is to enhance the patient’s functioning in everyday life.
Objective. Examination of the influence of using soft torso orthoses on motor skills of children with cerebral palsy.
Material and methods. Four children with cerebral palsy who could walk independently – level I or II according to the Gross Motor Function Classification System (GMFCS) – were qualified for the preliminary research. Motor skills were evaluated in accordance with the Gross Motor Function Measure (GMFM). Evaluation of the functional condition was repeated every 3 months for half a year. The children used soft torso orthoses for about 4 hours a day and participated in rehabilitation exercises with the same frequency as before the study.
Results: Improvement on motor functions, confirmed with an increase in GMFM score by 2.5% on average, was observed in all the children during 6 months.
Conclusions. A positive influence of using soft torso orthoses on improvement in the patients’ functional condition was observed, confirmed with higher GMFM scores.

Key words:
soft orthoses, cerebral palsy, gross motor skills, GMFM

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Ultrasound-cavitation versus Tripollar Radio-frequency lipolysis on decreasing the Waist circumference in pre-abdominal Surgical Patients: Randomized Clinical Trial

Shaimaa Abd El-Hamid Abase, Shereen Hamed El-Sayed

Shaimaa Abd El-Hamid Abase, Shereen Hamed El-Sayed – Ultrasound-cavitation versus Tripollar Radio-frequency lipolysis on decreasing the Waist circumference in pre-abdominal Surgical Patients: Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(1); 78-84

Abstract
Background. Obesity is a condition of abnormal accumulation of fat in adipose tissue. Central obesity has been firmly confirmed as a risk factor for increasing the incidence of coronary heart diseases, some skin disease, incisional hernia and more operational hemorrhage. Purpose. This study was carried out to evaluate the efficacy of ultrasound-cavitation therapy versus Tripollar-radiofrequency on abdominal obesity in pre-abdominal surgical patients. Material and Methods. Thirty participants with visceral adiposity divided to two groups; Group (A) include fifteen patients received Ultrasound-cavitation therapy (40k-Hz) for 30 min. once/week plus aerobic exercises (walking on treadmill for 30 min. 3 times\week) plus low calorie diet program. Group (B) includes fifteen patients managed by Tripollar-radiofrequency (1 MHz) for 30 min. once/week in addition to aerobic exercises (walking on treadmill for 30 min. three times/week) plus low calorie diet program. All individuals in the two groups were evaluated by Waist circumference and skin fold thickness before and after the treatment. Results. Statistical analysis revealed that the skin fold thickness by skin caliper and the waist circumference by tape measurement have reduced at the end of treatment in the both groups but the higher reduction in WC & skin fold thickness were in the ultrasound-cavitation group compared to radiofrequency group Conclusion. Ultrasound cavitation is more effective than Tripolar radiofrequency in decreasing fat mass in abdominal obesity.

Key words:
Obesity, Ultrasound-cavitation, HIFUS, Tripollar-Radiofrequency

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Body Weight Support Treadmill Training – a systematic review of meta-analyses

Marcin Błaszcz, Beata Stach

M.Błaszcz, B. Stach – Body Weight Support Treadmill Training – a systematic review of meta-analyses. Fizjoterapia Polska 2020; 20(1); 66-77

Abstract
Aim. Although the effectiveness of Body Weight Support Treadmill Training has already been confirmed in various patients, its superiority over other physiotherapeutic interventions is unclear. The aim of this review was to compare the effectiveness of BWSTT in relation to other methods in various patients group.
Material and methods. A systematic review of meta-analyses was performed with: Cochrane Database of Systematic Reviews, MEDLINE and PEDro from the beginning until January 2019. 1775 publications were identified, of which 4 metaanalyses and one systematic review were included.
Results. BWSTT was more effective than other physiotherapeutic interventions in short-term increasing gait endurance and speed in stroke patients walking independently, and in improving functionality after hip replacement. In terms of: increasing the chance of independent walking, improving gait endurance and speed in dependent stroke patients; increasing walking distance and speed after a spinal cord injury and increasing the walking speed and cadence and stride length in Parkinson’s disease BWSTT was not more effective than standard physiotherapy.
Conclusion. The use of BWSTT may be beneficial for stroke patients who walk independently and at people after hip replacement. In the other areas, insufficient evidences were found.

Key words:
Body Weight Support Treadmill Training, gait, body weight support, systematic review, meta-analysis

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Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel – Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial. Fizjoterapia Polska 2020; 20(1); 60-64

Streszczenie
Cel. Celem niniejszego badania była ocena skuteczności ćwiczeń aerobowych i ich wpływu na wskaźnik jakości snu Pittsburg, poziomy serotoniny, adrenaliny i noradrenaliny u osób starszych z przewlekłą bezsennością pierwotną. Materiał i metody. 40 starszych uczestników obu płci skarżących się na przewlekłą bezsenność pierwotną zostało losowo przydzielonych do dwóch równych grup: grupy kontrolnej i grupy badanej. Ich wiek wynosił od 60 do 70 lat. Grupa badana uczestniczyła w programie ćwiczeń aerobowych o umiarkowanym natężeniu przez 1 godzinę dziennie, trzy razy w tygodniu przez trzy miesiące, podczas gdy grupa kontrolna nie uczestniczyła w programie ćwiczeń, ale została poddana takiej samej ocenie jak grupa badana. Wskaźnik jakości snu Pittsburg, poziomy hormonów serotoniny, adrenaliny i noradrenaliny oceniano przed i po zastosowanym programie ćwiczeń.
Wyniki. Wskaźnik jakości snu Pittsburg (ang. Pittsburg Sleep Quality Index – PSQI) i poziom serotoniny wykazują znaczącą poprawę w grupie badanej oraz istotną różnicę między grupami na korzyści grupy badanej (p < 0,05). Jednakże, w zakresie poziomów epinefryny oraz norepinefryny nie zaobserwowano żadnych istotnych zmian. W grupie kontrolnej nie zaobserwowano istotnych zmian w zakresie mierzonych zmiennych (p > 0,05).
Wniosek. Wydaje się, że ćwiczenia aerobowe o umiarkowanej intensywności poprawiają sen, zwiększają poziom serotoniny u pacjentów z przewlekłą bezsennością pierwotną.

Słowa kluczowe:
Ćwiczenia aerobowe, osoby starsze, bezsenność pierwotna

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Risk factors and prevention of tumors of the central nervous system – analysis of the state of knowledge of physiotherapists and nurses

Damian Durlak

Damian Durlak – Risk factors and prevention of tumors of the central nervous system – analysis of the state of knowledge of physiotherapists and nurses. Fizjoterapia Polska 2020; 20(1); 44-59

Abstract
Introduction. Increasing number of patients at oncology wards makes the oncology one of the most important problems of medicine today. Highly qualified and experienced medical personnel can provide patients with medical care with the highest quality and allow them to regain health sooner.
Aim. The aim in this paper was to check if a correlation between education and experience of nurses and physiotherapists and level of knowledge about central nervous system cancers exists.
Material and research methods. A custom survey form has been used, containing questions about correct and incorrect body parameters, factors influencing development and course of central nervous system cancers, typical symptoms and diagnostic tests used and about respondents’ characteristics. The survey was conducted on a group of 125 medical personnel working in provincial and specialistic hospitals in Radom.
Results. The research has shown a statistically significant correlation between level of education and professional experience and level of knowledge of medical personnel.
Conclusions. It is significant to constantly increase the level of knowledge and acquire professional experience by medical personnel to provide oncology patients medical care with the highest quality. It is reasonable to promote raising qualifications by nurses and physiotherapists to refresh or increase knowledge.

Key words:
level of knowledge, nurses, physiotherapists, cancers

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Changes in Rotator Cuff Strength Ratio, Shoulder Pain and Disability after Cervicothoracic Mobilization in Subjects with shoulder impingement syndrome

Ahmed M Elmelhat, Salwa F Abdelmagid, Ebtessam F Gomaa, Ahmed M Gad

Ahmed M Elmelhat, Salwa F Abdelmagid, Ebtessam F Gomaa, Ahmed M Gad – Changes in Rotator Cuff Strength Ratio, Shoulder Pain and Disability after Cervicothoracic Mobilization in Subjects with shoulder impingement syndrome. Fizjoterapia Polska 2020; 20(1); 36-42

Abstract
Background. Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain. Recently, attention has been given to the use of spinal manual therapy to treat shoulder pain. Methods. This study is a Randomized controlled trial. Overall, 35 patients with mean age (32 ± 6.47) years were participated in this study as SIS (stage I and II Neer’s classification) were randomized into 2 equal groups. The control group received only a treatment based on the most evidence-based treatment for SIS (Stretching of the posterior capsule, rotator cuff exercises, and scapular muscle training) while experimental group received Maitland’s rhythmic oscillatory central posteroanterior (PA) and transverse mobilization of cervico-thoracic spine (C7-T4 vertebra) with addition same physiotherapy program received by control group for 4 weeks. All patients in both groups were evaluated pre- and post-treatment with isometric rotator-strength ratio measured by Hand Held Dynamometer (HHD) Device. pain level and shoulder disability were measured by Shoulder Pain and Disability Index (SPADI). Results. Statistical analysis using pre and post treatment design indicated that there’s no significant difference between groups in the isometric rotator-strength ratio. However, a significant difference was found in pain level and shoulder disability index between groups. Conclusions. Cervicothoracic mobilization may be an effective intervention to treat pain and disability associated with shoulder impingement; however, the improvements associated with mobilization are not likely explained by changes in shoulder muscle strength.

Key words:
Manual Therapy, Shoulder Pain, Cervicothoracic, SPADI

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The evaluation of the imapct of flexion and extension angles and lateral torso flexion on the selected spine and pelvis parametres

Mirosław Mrozkowiak, Alicja Kaiser

M. Mrozkowiak, A. Kaiser – The evaluation of the imapct of flexion and extension angles and lateral torso flexion on the selected spine and pelvis parametres. Fizjoterapia Polska 2020; 20(1); 24-34

Abstract
The aim of the research was to assess the impact of flexion and extension angles and lateral torso flexion on the selected spine and pelvis parameters among the population of children aged between 7 and 15 years.
Material and methods. The research was conducted in randomly selected kindergartens and schools in the Warmia and Masuria region and the Pomerania region during six semi-annual editions. The study population consisted of 2,361 children. This allowed to record 16,608 observations of 31 parameters describing body posture using the photogrammetric method.
Results. The analysis of multiple regression with selection of the subset of the optimal set of variables included four parameters affecting the following: flexion angle and extension angle in the sagittal plane, angle of flexion to the left and to the right in the frontal plane. The set of variables included the parameters of the pelvis-spine complex.
Conclusions.
1. Spinal parameters are significantly and positively affected by the angle of torso extension in the sagittal plane and the angle of flexion to the left in the frontal plane and negatively influenced by the flexion angle in the sagittal plane.
2. The values of torso extension and flexion angles in the sagittal plane and torso flexion to the left and right in the frontal plane have a significant and positive impact on the total length of the spine (C7-S1) and the percentage of growth (DCK%), the Delta angle and the height of lumbar lordosis. The inclination angle of the lumbosacral spine, the total spinal length and the percentage of body height and the height of lumbar lordosis account for the parameters that are most dependent on the angles describing vertical orientation of the axial organ.
3. The significant negative impact on the spine parameters is remarkably lower. The most negatively dependent parameters include: lumbosacral inclination angle, the length and angle of thoracic kyphosis, and lumbar lordosis angle.
4. Hardly any influence of the analysed angles on pelvis parameters demonstrated herein requires further studies on the impact of foot parameters on the parameters of pelvis and spine.
5. The significant correlations of flexion and extension angles in the sagittal plane as well as the flexion angle in the frontal plane should be taken into consideration in the process of correcting body posture defects and errors.

Słowa kluczowe:
mora projection, spine and pelvis parameters

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