Tag: Agnieszka Przedborska

The impact of central stabilization exercises and classical massage on the quality of life of people suffering from cervical spine pain

Agnieszka Leszczyńska, Ada Sitek, Agnieszka Przedborska, Marcin Świątczak, Małgorzata Kilon, Katarzyna Glibov


Agnieszka Leszczyńska, Ada Sitek, Agnieszka Przedborska, Marcin Świątczak, Małgorzata Kilon, Katarzyna Glibov – The impact of central stabilization exercises and classical massage on the quality of life of people suffering from cervical spine pain. Fizjoterapia Polska 2023; 23(1); 178-185

DOI: https://doi.org/10.56984/8ZG07B3FB

Streszczenie
Introduction. Pain in the cervical spine affects about 22-70% of the population and the incidence of pain increases with age. Out of different types of therapies, most patients prefer a massage aimed at normalizing muscle tension and reducing pain. However, a comprehensive approach to a patient according to the Kinetic Control concept allows for the assessment of uncontrolled motion and enables the analysis of motion and its function. The assessment of motor errors as well as the re-education of muscle function is an important element in improving the range of motion and reducing pain in the cervical part of the spine.
Aim. Assessment of the impact of classical massage and central stabilization exercises on the quality of life of people with cervical spine pain.
Material and methods. The study covered 40 people (62,5% women, 37,5% men) aged 20 – 70 year who suffered from pain in the cervical spine. Two groups of 20 were formed. Group I was subjected to a series of classical massage, Group II performed exercises of central stabilization. The impact of both therapies was assessed by means of: the author’s own survey, the VAS scale, the NDI-PL form, and the measurement of the range of motion in the cervical spine. Quality of life was assessed using a 100-degree scale.
Results. VAS and NDI scores in both groups are significantly lower after treatment (p < 0,01), but it cannot be concluded that one form of therapy has had a better effect. The range of spine motion which was evaluated in the cervical segment significantly increased (p < 0,01) in both groups. It was noted that in terms of extension, central stabilization exercises proved to be more effective – the scope of extension increased on average by 1,3 units after exercises, whereas after massages only by 0,7 units (p = 0,045). Both therapies demonstrated effectiveness in the domain of general health (p = 0,54) – both massages and exercises (p = 0,01) brought patients a significant improvement.
Conclusions. Both therapies are effective in fighting cervical spine pain, however, better results were obtained in the group performing central stabilization exercises. The quality of life increased significantly in both groups of patients.
Key words:
Kinetic Control, Pressure Bio-Feedback Stabilizer, VAS and NDI scale
Słowa kluczowe:
Kinetic Control, Pressure Bio-Feedback Stabilizer, skala VAS i NDI
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Long-term evaluation of the quality of life of patients with osteoarthritis treated conservatively and surgically

Marcin Świątczak, Aneta Nowicka, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski

Marcin Świątczak, Aneta Nowicka, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski – Long-term evaluation of the quality of life of patients with osteoarthritis treated conservatively and surgically. Fizjoterapia Polska 2021; 21(3); 198-204

Abstract
Introduction. Osteoarthritis of the hip joint is one of the most common chronic diseases of the locomotor system. Total hip replacement (THR) is a treatment option of choice alongside conservative treatment. The aim of the study was the long-term assessment of the quality of life of patients after total hip replacement surgery and after conservative treatment.
Material and methods. The study group consisted of 35 patients diagnosed with many years of osteoarthritis of the hip who underwent THR with posterolateral surgical approach. The assessment was carried out at the Department of Orthopedics and Traumatology of the University Teaching Hospital WAM – CSW in Łódź. The control group consisted of 15 patients with long-term osteoarthritis of the hip, treated conservatively. Medical data were obtained from the history of the disease and the author’s questionnaire, while the World Health Organization Quality OF Life (WHOQOL) – BREF questionnaire was used to assess the quality of life.
The obtained results were statistically analyzed with the use of MS Office and the Student’s T-test, considering the results below p <0.05 as statistically significant.
Results. The assessment of domains was similar in both groups, the greatest dissonance was observed in the assessments of the somatic and social domains. Based on WHOQOL-BREF questionnaire, the majority of patients in the study group rated the quality of life from 60% to 70% of the maximum value, the highest psychological sphere, the least somatic. In the control group, the social domain obtained 78% of the maximum value, other domains – 74% of the maximum value.
Conclusions. Patients treated conservatively assessed their quality of life higher in all domains than patients who underwent THR. In both studied groups, the “positive” variant of the answer was the most frequently chosen in the WHOQOL-BREF questionnaire.
Key words:
quality of life, osteoarthrotic hip disease, alloplasty
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Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski – Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint. Fizjoterapia Polska 2021; 21(3); 134-142

Abstract
Objective. The objective of the study was to compare the level of functional efficiency and factors influencing it in women after the age of 50 with advanced osteoarthritis of the hip (coxarthrosis) or knee (gonarthrosis) joint.
Material and methods. The study included 70 women aged 50–90 years with coxarthrosis (n = 35) or gonarthrosis (n = 35), stage 3 according to the Kellegren-Lawrence scale.
The functional status was assessed based on the Tinetti test and the Two-scales test. The Likert scale rated pain, stiffness, and the difficulty of getting up and putting on socks. The quality of life was assessed using a 100-point scale.
Results. Women with coxarthrosis achieved worse results in the Tinetti test in the part concerning gait (p < 0.01) and balance (p < 0.05). Pain and stiffness determined the results of most tests. Patients with gonarthrosis had greater problems with walking on flat surfaces and with getting up from a chair (p < 0.001). Pain determined difficulties when walking and putting on socks, and stiffness influenced difficulties in walking, standing up, putting on socks, and the results of the Tinetti test.
Conclusions.
1. Stiffness and pain deteriorate functional efficiency in women with coxarthrosis and gonarthrosis.
2. Greater problems with gait and balance occur in women with coxarthrosis, while women with gonarthrosis have greater difficulties with walking on flat surfaces and getting up from a chair.
Key words:
osteoarthritis, hip joints, knee joints, functional efficiency, Tinetti test
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The effectiveness of rehabilitation by exercising central stability of the cervical spine in cognitive phase in patients with neck pain (pilot study)

Marcin Świątczak, Rafał Janiak, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski

Marcin Świątczak, Rafał Janiak, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski – The effectiveness of rehabilitation by exercising central stability of the cervical spine in cognitive phase in patients with neck pain (pilot study). Fizjoterapia Polska 2021; 21(3); 102-112

Abstract
Introduction. In present times, vast majority of patients with back ailments complain about pain in cervical spine area. The use of  exercises based on biofeedback as well as  patient’s full engagement and focus  are designed to restore sufficient control to deep stabilizers of the cervical spine, where  vestibular system plays a crucial role.  The following method is appropriate for patients who experience different types of pain since it will not inflict further damage or exacerbate existing degeneration in that segment.
Purpose of the study. The purpose of this study is to analyze how central stabilization exercises influence stability of the neck in cognitive phase and whether they minimize neck pain, correct and restore overall motor control to effectively improve everyday physical activity and activities of daily living.
Measures and test methods. The subject of this research were patients with neck pain syndrome. The group of participants took part in a three-week program, which involved exercising central stability of the neck. The test measures were: Numeric Rating Scale (NRS), measures of neck mobility, Neck Disability Index, repositioning to neutral spot, as well as The Dartmouth Coop Functional and Health Status Measures for Adults. The patients were examined before and after completing the program.
Results. The study has shown that neck pain decreased by 1.7 points in 80% of the respondents. It has been observed that after the program patients had experienced increased neck mobility by 1 centimeter on average in all ranges of motion. They have also reported improved everyday physical activity and greater physical fitness.
Conclusions. Exercising central stability of the cervical spine in cognitive phase are beneficial for: restoring motor control, relieving neck pain, increasing range of motion of the head, and improving everyday physical activity.
Key words:
central stability, cervical spine, cognitive
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Analysis of selected factors affecting rest pain in knee joint osteoarthritis

Beata Olesiak, Agnieszka Przedborska

Beata Olesiak, Agnieszka Przedborska – Analysis of selected factors affecting rest pain in knee joint osteoarthritis. Fizjoterapia Polska 2021; 21(2); 206-214

Abstract
Introduction. Knee pain is a clinical sign of osteoarthritis and an ongoing inflammatory process in the joint. Aim of the thesis. The purpose of this study was to evaluate the effect of BMI and degradative changes in patellofemoral joint cartilage on the level of knee pain at rest. Material and methods. The study group consisted of 150 patients with patellofemoral joint cartilage lesions. The classification of cartilage degradation according to Outerdridge was done by ultrasound. The level of pain at rest was assessed according to the VAS scale. The data was collected with usage of a self-made study protocol. Results. There was no statistically significant correlation between BMI and VAS pain complaints (rho = 0.099, p = 0.228). There was also no statistically significant correlation between degradative changes in the cartilage of the patellofemoral joint and the level of pain on the VAS scale (rho = 0.076, p = 0.353). Conclusions. BMI does not affect the severity of knee joint pain at rest. The extent of cartilage wear in the patellofemoral joint does not correlate with knee pain during physical inactivity.
Key words:
rest pain, femoropatellar joint, gonarthrosis, knee joint, Body Masse Index (BMI)
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Evaluation of therapeutic effectiveness of diathermy in patients with degenerative disease of the lumbar spine

Agnieszka Przedborska, Jan W. Raczkowski, Małgorzata Misztal

Agnieszka Przedborska, Jan W. Raczkowski, Małgorzata Misztal – Evaluation of therapeutic effectiveness of diathermy in patients with degenerative disease of the lumbar spine. Fizjoterapia Polska 2021; 21(2); 70-76

Abstract
Introduction. Diathermy is one of the stimuli used in treatment of degenerative spine disease. Endogenous heat alleviates the symptoms of the disease. Diathermy treatments differ due to wave size and electromagnetic vibration frequency. Objective. Evaluation of the effectiveness of diathermy generated by short waves and radio waves in the treatment of patients with degenerative disease of the lumbar spine. Material and methods. The research was carried out on a group of 68 people with degenerative disease of the lumbar spine, divided into two groups. The study group consisted of 36 people who underwent therapy with radio waves using the Thermo TK device. The comparison group consisted of 32 people who underwent shortwave diathermy treatments. Therapeutic effectiveness was evaluated on the basis of pain assessment according to the VAS scale and the Laitinen pain scale as well as the range of motion measured with the Schober test and the Thomayer test. Results. In both groups, a statistically significant (p <0.0001) pain reduction after therapy according to the Laitinen pain scale was observed (Me (IQR) before and after therapy , respectively: in the study group: 6.5 (5-9) scores vs. 4 (3-5.5) scores and in the comparison group: 6 (5-8) scores vs. 4 (3-5) scores) and according to the VAS scale – in the study group: 6 (5-7.5) scores vs. 4 (3-4) scores and in the comparison group: 6 (5-7.5) scores vs. 3 (3-5) scores. The Thomayer test and the Schober test results also improved significantly in each group. Conclusions. Regardless of the wavelength generating endogenous heat, both treatments reduce pain and improve the range of motion of the lumbar spine in patients with degenerative spine disease.
Key words:
spine, degenerative disease, diathermy, radio waves
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针对不同部位以深度电磁刺激治疗腰椎骶部疼痛的有效性评估

Agnieszka Przedborska, Małgorzata Kilon, Agnieszka Leszczyńska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, M. Kilon, A. Leszczyńska, M. Misztal, J. W. Raczkowski – Assessment of the effectiveness of deep electromagnetic stimulation in the treatment of low back pain depending on the area of application. Fizjoterapia Polska 2019; 19(2); 148-156

摘要
简介。与骨盆底肌肉张力降低相关的中枢稳定机制紊乱有可能是腰椎疼痛综合征产生的原因。研究目的在评估对脊椎疼痛妇女的腰椎骶部或骨盆底肌肉进行深度电磁刺激的效用。
材料和方法。共109名脊椎骨关节炎女性患者参与研究，分为两组进行。研究组中有45名女性，治疗周期包括对骨盆底肌肉进行10次的深度电磁刺激。对等组中有64名女性，其治疗应用部位在腰部周围。以VAS量表为基础评估治疗的有效性及运动功能和自理能力的评估。
结果。观察到两组均在以VAS量表为基础的脊椎疼痛上显著降低 – Me（IQR）为：研究组在治疗前5 (4-7)及治疗后2 (1-3)，而对等组在治疗前6 (4-7)及治疗后3 (2-4)。移动和日常活动能力也获得显著改善，然而获得的治疗效果不持久，研究组中半数患者的镇痛效果最多维持2个月（IQR: 1-4），对等组则最多4个月（IQR: 2-6）。
结论。无论应用的部位为何，深度电磁刺激可减轻患腰椎骶骨综合症女性的疼痛并改善其步态功能和自理能力。2. 对腰椎骶骨周围施以治疗将使镇痛时间持续较久。

关键词：
腰椎疼痛、骨关节炎、骨盆底肌肉、电磁刺激

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影响髋关节内置假体患者功能敏捷的因素

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Agnieszka Leszczyńska, Jan W. Raczkowski

M. Kilon, A. Przedborska, J. Kostka, A. Leszczyńska, J. W. Raczkowski – Factors influencing functional performance of patients after hip joint arthroplasty. Fizjoterapia Polska 2019; 19(2); 122-128

摘要
研究目的。研究目的在评估影响单侧髋关节成形术对患者功能状态的影响因素。
平衡和步态功能评估由下列测试进行：Tinetti、起立测试（Timed Up and Go, TUG）及以两种量表为基础计算的对称性指数（WS）。在平坦表面和楼梯行走时的疼痛感度及僵硬程度以李克特量表评估。进行简单和复杂日常活动能力评估时使用ADL Katz（Activities of Daily Living）和IADL Lawton（Instrumental Activities of Daily Living）量表，并以数值标示方式进行自我生活质量评估，此外也计算体重指数（BMI）。
材料和方法。共50名29至88岁间（平均年龄66.7 + 13岁）有单侧髋关节假体的患者（其中33名女性、17名男性）参与研究。
结果。患者年龄、疼痛及僵硬程度决定了大多数的测试结果和功能量表。疾病数量多的患者在Tinetti测试中的结果较差，只有上下楼梯时的强烈疼痛影响WS的结果。提出有较强烈疼痛和晨起僵硬的患者对其生活质量有较差评价。
结论。
年龄、晨起疼痛和僵硬对单侧髋关节假体患者的功能状态和生活质量有影响。BMI和手术后所经过的时间对患者状态无影响。

关键词：
髋关节成形术、生活质量、功能状态

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高频电流在膝关节骨性关节炎患者治疗中的应用

Agnieszka Przedborska, Ewa Pomorska, Marcin Świątczak, Małgorzata Staniszewska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, E. Pomorska, M. Świątczak, M. Staniszewska, M. Misztal, J. W. Raczkowski – Application of high frequency currents in treatment of patients with knee osteoarthritis. Fizjoterapia Polska 2018; 18(4); 112-121

摘要

前言。内源性热源于膝关节骨性关节炎患者治疗中广泛使用，技术的发展促成高频电流新方法的应用。
研究目的在评估治疗膝关节骨性关节炎患者的各种应用方法中，使用高频电流的有效性。
材料及方法。该研究针对111名膝关节骨性关节炎患者进行，将其分为二组，研究组中有61名，他们接受使用Thermo TK 设备的高频电流治疗。对照组中有50人，他们接受短波透热治疗。疗效根据VAS量表、莱蒂宁量表、膝关节周长和活动范围进行评估。
结果。两组经治疗后均确认根据莱蒂宁量表（治疗前后的中数（四分位间距IQR）：研究组：7（6-8）分对3（2-6）分，对照组：8（6-10）分对3.5（2-7）分）所测量的疼痛减轻具统计学意义（p<0.0001）。此外，在研究组中观察到具统计学意义（p=0.0031）的止痛药使用频率降低。治疗后，两组根据VAS量表测量在平坦表面行走和上楼梯时的疼痛症状缓和具统计学意义（p<0.0001），膝关节周长也减少（p<0.0001），而屈曲运动范围却显著增加（p<0.0001）。两组的镇痛效果持续时间类似。
结论。1. 无论何种类型的应用，高频电流都能减轻骨性关节炎患者的疼痛并改善其膝关节运动范围。2. 两组治疗的镇痛效果均不持久。

关键词：
膝关节、骨关节炎、高频电流

 

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骨盆底肌肉的深层电磁刺激对压迫性尿失禁患者腰骶部不适的影响

Agnieszka Przedborska, Małgorzata Kilon, Małgorzata Misztal, Jan W. Raczkowski

Agnieszka Przedborska, Małgorzata Kilon, Małgorzata Misztal, Jan W. Raczkowski – The effect of deep electromagnetic stimulation of pelvic floor muscles on low back pain in female patients with stress urinary incontinence. Fizjoterapia Polska 2018; 18(3); 46-54

摘要
研究目的。研究目的在评估骨盆底肌肉的深层电磁刺激对压迫性尿失禁女性患者腰骶部不适的影响。
材料及方法。该研究针对85名患慢性腰骶部疼痛综合征及尿失禁的女性进行，施以10次疗程系列的骨盆底深层电磁刺激，治疗的有效性评估以VAS量表、日常生活功能评估及尿失禁症状的严重程度变化为基础。
结果。治疗后可发现以VAS – Me(IQR) 量表为基础的脊柱疼痛严重程度在统计上显著减少，治疗前为5（4-7），治疗后为3（1-4），其移动能力及日常活力在统计上也有显著改善。尿失禁发生的频率在统计上显著减少且尿量也减少。所获得的疗效不具持久性，半数女性患者在止痛效果和尿失禁症状改善上只持续最多两个月（腰骶部疼痛的IQR：1-3个月，尿失禁症状的IQR：1-2个月）。
结论。1. 骨盆底肌肉的深层电磁刺激对腰椎骶椎部疼痛的缓和及压迫性尿失禁症状减少具有影响。2. 改善效果并不持久。

关键词：
腰椎疼痛、尿失禁、骨盆底肌肉、电磁刺激

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