Tag: ból

深层组织按摩结合拉伸对非特异性下背痛患者的疼痛、活动范围和腰部功能的效果

Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Rina Yuniana, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Japhet Ndayisenga

 

Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Rina Yuniana, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Japhet Ndayisenga – Effectiveness of combined deep tissue massage and stretching on pain, range of motion, and waist function of non-specific low back pain. Fizjoterapia Polska 2023; 23(5); 42-46

DOI: https://doi.org/10.56984/8ZG20BE30

摘要
本研究旨在确定深层组织按摩结合拉伸（DTMS）对非特异性下背痛患者的活动范围（ROM）和腰部功能的有效性。这项研究是一项预实验研究，使用了前测和后测设计。研究样本由21人组成，他们都有非特异性下背痛，通过有目的的抽样技术选取。治疗采用了结合深层组织按摩和拉伸练习。治疗进行一次，持续30分钟。疼痛等级的测量使用了VAS（视觉模拟量表）工具。ROM使用了改良的Schober测试和指尖到地面的工具。腰部功能的测量使用了ODI（Oswestry Disability Index）工具。数据分析技术使用的是配对t检验。结果显示，深层组织按摩结合拉伸减少了疼痛，显著增加了ROM和腰部功能（p<0.05）。这项研究的结论是深层组织按摩和拉伸可以减少疼痛，增加ROM，改善腰部功能，因此可以应用于非特异性下背痛的患者。
关键词
深层组织按摩，拉伸，疼痛，活动范围，腰部功能，非特异性下背痛
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女性骑马爱好者的腰背疼痛发生率和妇科疾病与腰椎核心稳定肌肉强

Marta Siedlecka, Bartosz Aniśko, Katarzyna Placek, Małgorzata Wójcik

 

Marta Siedlecka, Bartosz Aniśko, Katarzyna Placek, Małgorzata Wójcik – Low back pain occurrences and gynecological disorders in female equestrians and strengthening of core stability muscles lumbar spine. Fizjoterapia Polska 2023; 23(4); 156-162

DOI: https://doi.org/10.56984/8ZG20A371

摘要
引言。参与业余马术活动的女性可能会遇到脊椎疼痛和下腹部不适。
研究目的。建立了一个研究假设，即训练负责稳定腰椎的肌肉可能对减轻女性骑马者的腰椎疼痛感和妇科疾病都有积极影响。研究旨在验证这一假设，并比较修订后的奥斯韦斯特里腰背疼痛残疾量表（波兰版本）和研究组与对照组之间的妇科不适症状作者问卷。
材料与方法。研究涉及23名年龄在22.23 ± 2.78岁之间的女性参与马术活动，研究组n = 11，对照组n = 12。所使用的问卷包括修订后的奥斯韦斯特里腰背疼痛残疾量表和作者编写的妇科不适症状问卷。在进行稳定肌肉锻炼的培训会前后，填写问卷。每天下午进行为期六周的锻炼培训（每种锻炼30次）。
结果。结果以图形形式呈现。
结论。为期六周的稳定肌肉锻炼对减轻腰背疼痛有积极影响，对妇科不适症状有轻微影响。
关键词：
骑马，疼痛，稳定肌肉，妇科功能障碍
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Physiotherapeutic methods of treatment of sexual disorders associated with pain

Damian Durlak


Damian Durlak – Fizjoterapeutyczne metody leczenia zaburzeń seksualnych związanych z bólem. Fizjoterapia Polska 2023; 23(1); 50-53

DOI: https://doi.org/10.56984/8ZG07B1A1

Streszczenie

In a holistic assessment of the patient’s health, it is worth considering not only the physiological and psychological, but also the sexual zone. It has a strong influence on the assessment of the quality of human life. Understanding a patient’s problems, especially when it comes to pain-related sexual dysfunction, is essential for successfully treating ailments. Physiotherapists can also use appropriate therapy to support drug and psychological treatment.

Słowa kluczowe:
physiotherapy, sexual dysfunction, pain, dyspareunia

Incidence of back pain in people practicing amateur horse riding

Ewa Puszczałowska-Lizis, Dominik Szymański, Piotr Pietrzak, Marcin Wilczyński


Ewa Puszczałowska-Lizis, Dominik Szymański, Piotr Pietrzak, Marcin Wilczyński – Incidence of back pain in people practicing amateur horse riding. Fizjoterapia Polska 2022; 22(4); 6-15

DOI: https://doi.org/10.56984/8ZG1A68mY

Abstract
Introduction. While riding a horse, proper seat requires the trunk positioning so that the rider’s centre of gravity overlaps with the horse’s centre of gravity. Seat errors can lead to repeated and cumulative spinal overloads. The aim of the study was to analyse the incidence of back pain in people who practice amateur horse riding.
Material and methods. The study involved 88 people aged 40-45 years, associated in equestrian centers. The research tool was the author’s questionnaire, Neck Disability Index (NDI) and Oswestry Distability Index (ODI). The collected research results were analysed with the use of Chi-square test and Mann-Whitney U test.
Results. Statistically significant relationships were found between the incidence of pain location and gender (p = 0.001), and also between between the gender and the opinion on the need to use physiotherapy in case of back problems (p = 0.049).
Conclusions. Women report pain in the lumbar and thoracic spine more frequently, while men report pain in the cervical section and entire spine. Women in a greater percentage than men believe that people who practice horse riding as an amateur should attend physiotherapy in case of pain.

Key words:
horse riding, spine, pain, physiotherapy

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Influence of classical massage on pain and functional state of people with lumbar discopathy

Ewa Puszczałowska-Lizis, Paweł Rychter, Sławomir Jandziś, Patryk Zygmunt

Ewa Puszczałowska-Lizis, Paweł Rychter, Sławomir Jandziś, Patryk Zygmunt – Influence of classical massage on pain and functional state of people with lumbar discopathy. Fizjoterapia Polska 2021; 21(3); 8-18

Abstract
Introduction. Pain in the lumbar spine is a medical and social problem in highly developed countries. In Europe, about 25-43% of people suffer from them. Approximately 25-60% of patients suffer from chronic, progressive ailments, which lead to both incapacity for work and limitation of activities of daily living. The aim of the study was to assess the impact of classic massage on pain and functional state of people with lumbar discopathy.
Material and methods. The study included 61 people aged 45–50, attending therapy at the Independent Public Health Care Facility in Leżajsk due to pain in the lumbar spine. Patients were classified into 2 groups, depending on the applied rehabilitation program. The research tool was the NRS scale and questionnaires: ODI i RMDQ. The Chi-square test, Mann-Whitney U test, Wilcoxon test, Pearson linear correlation and Spearman rank correlation were used for analyses.
Results. After treatment statistically significant reduction of pain and improvement of functional efficiency were noted in both groups. A statistically significant positive relationship was found between the amount of improvement in functional capacity assessed by the ODI questionnaire and the age of patients (R = 0.43; p = 0.026).
Conclusions. Classical massage has an effect on relieving pain and improving functional performance in people with lumbar discopathy. There are relationships between functional performance and age in people with lumbar discopathy. The improvement in functional performance is smaller with age. Body build is not a factor affecting the severity of pain and functional performance of people with lumbar discopathy.
Key words:
lumbar spine, pain, functional efficiency
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The thermogram of cervical spinal pain syndrome as an attempt to objectivize pain

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Janusz Otfinowski

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Janusz Otfinowski – The thermogram of cervical spinal pain syndrome as an attempt to objectivize pain. Fizjoterapia Polska 2003; 3(3); 250-255

Abstract

Background. This paper describes the features of thermovisual images in cervical spinal pain syndrome and their variability over the course of rehabilitation, and makes an effort to specify the interdependence of these characteristics and pain relief. Material and methods. Thermovisual tests were performed on 71 patients in rehabilitation for cervical spine pain syndrome.Results. The thermovisual image of the cervical spinal region in patients with pain syndrome is different from that of healthy persons. It is characterized by considerable asymmetry of temperature and increased hyperthermia in the neck and shoulders. Over the course of rehabilitation a distinct evolution could be seen in the direction of temperature symmetry in this region. Conclusion. There is a significant correlation between pain relief and the features of the thermovisual image.

Key words:
thermovision, pain, rehabilitation
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Transcutaneous electrical-nerve-stymulation tens onto level of fear at ill with chronic pain of section loin of spine

Iwona Demczyszak, Zdzisława Wrzosek, Wojciech Hagner

Iwona Demczyszak, Zdzisława Wrzosek, Wojciech Hagner – Transcutaneous electrical-nerve-stymulation tens onto level of fear at ill with chronic pain of section loin of spine. Fizjoterapia Polska 2004; 4(1); 8-12

Abstract

Background. The transcutaneous electrical nerve stimulation was to evaluate of work usefulness of and examining of applied method of treatment onto level of fear at ill with chronic pain in ground of spine. Material and methods. Investigation degeneration were moved in group of 59 patients with symptoms of chronic pain in after-effect of changes-disfiguring section of loin spine. Level of fear in studied group ISCL were estimated behind help of questionnaire. Heal conduct hugged endeavors with use of impulses TENS as well as heal practices. Results. The statistical tests dependence was showed between level of fear in studied group and results of treatment. Sex was not essential meaning in formation both guilds as state of fear in studied group. Conclusions. Applied method of treatment contributed to lower of level of fear in studied group and results confirmed usefulness in treatment ill with symptoms of chronic pain.

Key words:
Pain, Fear, transcutaneous electrical nerve stimulation
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An evaluation of the effectiveness of two different thermal therapy procedures in the rehabilitation of patients with degenerative changes in the knee joint

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Jolanta Jaworek, Daniela Mosurska

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Jolanta Jaworek, Daniela Mosurska – An evaluation of the effectiveness of two different thermal therapy procedures in the rehabilitation of patients with degenerative changes in the knee joint. Fizjoterapia Polska 2004; 4(2); 157-162

Abstract

Background. The aim of our research was to evaluate and compare the analgesic effectiveness of thermal therapy in conjunction with magnetotherapy and active exercises without weight load to improve the functional efficiency of the knee joint with degenerative changes. Material and methods. The level of pain, range of movement, and strength of muscle groups in the knee joint were tested before and after rehabilitation in 48 patients, divided randomly into two groups of 24 people. Results. In both groups there was a reduction in the average level of reported pain, and in the flexion deficit in the knee joint. No changes were noted in the increase of average muscle strength in the flexors and extensors of the knee. Conclusions. In respect to analgesic action and improvement of function in a knee with degnerative changes, a rehabilitation program that includes local cryotherapy proved to be more effective that a program using Sollux lamp irradiation.

Key words:
gonarthrosis, pain, magnetotherapy, cryotherapy
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Methods of physiotherapy in treatment of intervertebral disc’s pathology in lumbar part of spine

Przemysław Lisiński, Agnieszka Jachowska, Włodzimierz Samborski

Przemysław Lisiński, Agnieszka Jachowska, Włodzimierz Samborski – Methods of physiotherapy in treatment of intervertebral disc’s pathology in lumbar part of spine. Fizjoterapia Polska 2006; 6(3); 222-227

Abstract
Background. Physiotherapy is very often the first step in a treatment of back pain. The aim of kinesis therapy is a probe of a damaged disc reposition. Beside of this kinesis therapy improve an elasticity of ligaments and makes stronger a paravertebral muscles. Physical therapy procedures plays significant role in a pain treatment in subjective categories of course. Material and methods. All participants of that study were selected by clinical examination and analyses of accessory investigations. Clinical examination was repeated after twenty days of treatment by different physiotherapeutic procedures. So forty patients were included in a treatment. Status of health was calculated by typical orthopedic procedure and total pain pattern questionnaire. The aim of study was to state if physiotherapy is useful method of pain treatment and to compare effects different groups of procedures. Results. All participants of that study state positive effects of a treatment which was used during twenty days. A majority of them described pain after a treatment as a small discomfort or did not feel pain at all. Beside of these findings they concluded that a frequency of pain appearance depressed in near all analyzed cases. Conclusion. Back pain caused by disc derangement positively responded on physiotherapeutic procedures. A selection of particular methods is not so important in effectiveness categories. The treatment is the most successful when kinesis therapy and physical therapy are joined.

Key words:
pain, lumbar spine, physiotherapy

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The evaluation of the efficacy of medical massage in degenerative changes of the lumbar spine

Waldemar Andrzejewski, Krzysztof Kassolik, Paweł Adam

Waldemar Andrzejewski, Krzysztof Kassolik, Paweł Adam – The evaluation of the efficacy of medical massage in degenerative changes of the lumbar spine. Fizjoterapia Polska 2006; 6(3); 198-205

Abstract
Background. Low back pain caused by degenerative changes is a common reason for long-term pharmacological treatment utilizing analgesic medications, anti-inflammatory medications and medication decreasing muscle tension. Also therapeutic methods from the realm of physiotherapy are used in the treatment: kinesitherapy, physiotherapy and massage. In the case of medical massage based on the principle of tensegrity, therapists have individual approach to the patient. They assess tonus of soft tissue of the motor apparatus, localize pain and the ways it spreads. Such approach increases the likelihood that the therapy will succeed and can improve its efficacy. The study is an attempt to evaluate the efficacy of medical massage performed in people with degenerative changes of the low back. Material and methods. The participants of the study were 30 people in the age range 42-65 (mean age 53.5): 19 women and 11 men, who reported to the physicians with low back pain. Medical examination and X-Ray images indicated degenerative changes in the lumbar spine. The procedures were performed 3 times a week for 2 weeks. Each procedure lasted 45-60 min. Health evaluation record was used to evaluate the efficacy of the therapy. Medical history of a patient was taken on the basis of the record and physical examination of pressure sensitivity of soft tissue of the motor apparatus was performed. Another tool of the research method was a survey checking the patient’s subjective assessment of the state of health as well as frequency and intensity of the lumbar spine pain and lower limbs pain. Results. Pressure sensitivity of the examined structures decreased or regressed in all patients as a result of the therapy. After a series of procedures, pain, overall feeling of well-being and current state of health improved to various degrees. In all cases, the incidence and intensity of pain in the lower limbs decreased after the therapy. Conclusions. Medical massage can be an effective method of physiotherapeutic treatment in cases of pain connected with degenerative changes of the lumbar spine.

Key words:
medical massage, degenerative changes of the lumbar spine, pain

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