Tag: elektrostymulacja

Effect of low level laser versus electrical stimulation on facial nerve regeneration in patients with Bell’s palsy: a randomized controlled trial

Ahmed Mohammed Fouad Shoman, Ashraf Hassan Saleh, Ahmed Mohamed Abdelhalim, Ahmed Nazmy Kassab


Ahmed Mohammed Fouad Shoman, Ashraf Hassan Saleh, Ahmed Mohamed Abdelhalim, Ahmed Nazmy Kassab – Effect of low level laser versus electrical stimulation on facial nerve regeneration in patients with Bell’s palsy: a randomized controlled trial. Fizjoterapia Polska 2022; 22(3); 16-23

Abstract
Purpose. This study was done to compare between the effect of low level laser and electrical stimulation on Bell’s palsy. Methods. A randomized controlled trial was done on 45 patients of both genders with Bell’s palsy; their ages ranged from 18–45 years. Patients were randomly divided into three equal groups. All groups (A, B & C) have received medical treatment. In addition, group (A) (Low level laser therapy), was treated with low level laser therapy, two sessions/ week for 6 weeks, while group (B) (ES group) was treated with electrical stimulation for the same time and group (C) (control) followed the traditional treatment, which consisted of massage and facial exercises. The primary outcome for the study was the degree of facial nerve regeneration assessed by facial nerve electromyographic sharp wave presence, while the secondary outcomes were facial motor function, assessed by House-Brackmann scale and the quality of life, measured by facial disability index. The outcomes were evaluated pre and after 6 weeks of the interventions. Results. There was a statistically significant difference (P = 0.0001) between the three groups regarding facial disability index score and House-Brackmann score in favor of laser group. Conclusion. Low level laser treatment is more effective than electrical stimulation and traditional treatment in achieving functional recovery in Bell’s palsy patients.

Key words:
facial palsy, low level laser therapy, electrical stimulation therapy

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Electrostimulation as an improved physical therapy treatment of lymphoedema

Krzysztof Gieremek, Jolanta Rojczyk-Chmarek, Zbigniew Śliwiński

Krzysztof Gieremek, Jolanta Rojczyk-Chmarek, Zbigniew Śliwiński – Electrostimulation as an improved physical therapy treatment of lymphoedema. Fizjoterapia Polska 2002; 2(4); 300-305

Abstract
Introduction. Morphological and electrophysiologic properties of unstriated muscles of lymphatic vessels were outlined in the present study. The most common disordes observed in lymphatic system, as well as the mechanism of lymphoedema were discussed. Well known and commonly applied means of physical therapy treatment such as external pressure, pneumatic compression, pressure-massage, manual drainage and therapeutic exercises were reviewed in this paper. Material and methods. The main subject of the present study is the orginal method of electrostymulation of unstriated muscles, which takes into consideration individual character of electrophysiological proper-tiesof muscles located in lymphatic vessels. Types of electrical impulses used in this treatment, programme modes (therapy and prophylactic mode), as well as methodology of the treatment were discussed in details. The examples of protocols used in treatment of particular conditions and their clinical aplication were presented as well.Conoclusion. The presented apparatus for application of described methods of electrostimulation in the first construction of this type, wich considers individual structure and function of lymphatic system. This method of stymulation would be probably useful in variety of medical conditions, where lymphoedema is a major therapeutic problem.

Key words:
Lymphatic System, lymphoedema, physical therapy treatment, electrostymulation

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Changes in floor reaction force while ascending and descending steps in patients undergoing physiotherapy after surgical repair of articular cartilage in the knee

Andrzej Czamara, Jerzy Widuchowski, Wojciech Widuchowski

Andrzej Czamara, Jerzy Widuchowski, Wojciech Widuchowski – Changes in floor reaction force while ascending and descending steps in patients undergoing physiotherapy after surgical repair of articular cartilage in the knee. Fizjoterapia Polska 2004; 4(4); 337-344

Abstract

Background. The goal of our research was to evaluate changes in vertical floor reaction force (N) in lower limbs of patients between the 14th and 18th week of physiotherapy after selected operations to surgically repair articular cartilage in the knee. Material and methods. We examined 55 persons, 25 of whom were recovering from surgical repair of articular cartilage in the knee. The subjects, divided into 4 groups, were examined on MTD-Balance tensometric platforms while ascending and descending steps (19 cm per step). We examined the changes in the vertical floor reaction force (N) in the operated and healthy limbs. The results obtained between the 14th and 18th weeks of physiotherapy were compared to those of persons without damage to cartilage. Results and conclusions. While ascending stairs, the patients and healthy controls showed a 20-28% increase in floor reaction force in comparison to standing on one leg. While descending, both the patients and the healthy controls showed 80-90% increases. The results were roughly similar and no statistically significant differences were observed.

Key words:
tensometric platform, weight bearing, isometric exercises, electrostimulation
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150 years of electrostimulation. The development of electrostimulation methods between years 1855 and 2005

Janusz Orzech

Janusz Orzech – 150 years of electrostimulation. The development of electrostimulation methods between years 1855 and 2005. Fizjoterapia Polska 2006; 6(3); 185-191

Abstract
The ongoing expansion of electrotherapy methods has led to the conspicuous growth of terminological turmoil in the Polish and international literature. The information provided on the subject of electrostimulation is often incomplete and even incorrect, making it harder to come up with a systematic approach of interventions, especially from a scientific and didactic point of view. In order to establish the unified definition and systematics of electrostimulation, a review of available and mainly source literature has been conducted, concerning the history of invention and development of different electrotherapy methods from the very early therapeutic application of electricity in 1855 by Duchenne till the year 2005. The analysis of scientific publications proves that, from the physiotherapeutic point of view, the history of electrical stimulation of human tissues is vast and concerns 150 years of research and experiments on bringing new different techniques to life. We observe the ongoing improvement and extension of applied methods whilst only one of them — the Franklinization method — has been discontinued from the physical therapy practice in most of the countries worldwide. Concerning the substantial variability of present methods, the author suggests a following definition of electrostimulation: „The electrostimulation is an electro-the-rapeutic intervention leading to the striated or smooth muscle contraction of the normal and paralyzed tissues with additional positive effects on blood and lymphatic circulation along with the analgesic action”. The author also suggests retaining English terms and abbreviations for the electrostimulation interventions, i. e. NMES, ESDM, FES, TENS, ATES, and propo-ses incorporation of the unified systematics of electrostimulation methods.

Key words:
electrostimulation, history of electrostimulation, methods of electrostimulation, systematic review

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The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król – The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries. Fizjoterapia Polska 2007; 7(2), 107-123

Abstract

Background. The study assessed the effectiveness of a multi-modality therapy for shoulder rotator cuff injuries. The treatment included kinesitherapy, classic massage therapy, cryotherapy and ‘the combination treatment’ (ultrasound plus electrical stimulation). The effects of cryotherapy and the combination treatment for rotator cuff injuries were compared. Materials and methods. The study involved 30 patients with confirmed chronic symptoms of rotator cuff injury. The patients were assigned at random to two groups. Exercises and classic massage of the shoulder area (according to a uniform program) were used in both groups. Additionally, one group (Group A) was exposed to a combination treatment comprising ultrasound and electric stimulation of trigger points in the rotator cuff muscles, whereas Group B was treated with cryotherapy of the shoulder area. Criteria for assessing treatment effectiveness included changes in mobility of the shoulder joint, strength of the rotators, and the presence and intensity of pain. Results and Conclusions. The treatment produced significant and positive effects in both groups. Treatment effects were somewhat better in Group A than in Group B, with statistically significant between-group differences with respect to pain reduction and improved mobility and strength of some muscles. Multi-modality physiotherapy including kinesitherapy and the combination therapy (ultrasound and TENS) is an effective method for treating the sequelae of rotator cuff injuries. Direct combination therapy of myofascial trigger points offers somewhat better results than cryotherapy.

Key words:

injuries of rotator cuff, physiotherapy, ultrasound, electrical stimulation, cryotherapy, combination treatment

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Assessment of the effectiveness of selected physical therapy procedures in the early post-operative period fol łowing ACL surgery. Pilot study

Anna Polak, Ewa Grymel-Kulesza, Janusz Kubacki, Piotr Król

Anna Polak, Ewa Grymel-Kulesza, Janusz Kubacki, Piotr Król – Assessment of the effectiveness of selected physical therapy procedures in the early post-operative period fol łowing ACL surgery. Pilot study. Fizjoterapia Polska 2010; 10(1); 12-24

Abstract
Background. The study aimed to assess the effectiveness ofa therapeutic regimen combining kinesiotherapy, cryotherapy and electrical stimulation in patients with a surgically treated anterior cruciate ligament (ACL). Materials and methods. Twenty-four patients with reconstructed ACL participated in the study. The patients were randomly divided into Groups A and B, each group containing 12 indMduals. Both groups received kinesiotherapy and cryotherapy according to the same programme, but Group B additionally received electrical stimulation. A therapeutic cycle comprised kinesiotherapy, cryotherapy and electrical stimulation procedures, ten of each kind. Sessions took place three times a week. The progress of healing in the patients was followed by assessing passive and active flexion at the knee, measuring the knee-joint circumference and load-testing of the limb.Results. After the treatment, both groups showed statistically significant improvements in flexion of the knee joint and reduced swelling of the joint. The leg-loading test performed after the treatment provided statistically significant improvement compared to pre-treatment data in both groups. No statistically significant differences were found between the two groups regarding treatment effectiveness.Conclusions. A combination of kinesiotherapy and cryotherapy is an effective adjunct to the treatment of patients with a surgically treated anterior cruciate ligament. The introduction of electrical stimulation did not offer additional therapeutic benefits.
Słowa kluczowe
anterior cruciate ligament, ACL, kinesiotherapy, cryotherapy, electrical stimulation
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Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król – Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries. Fizjoterapia Polska 2010; 10(2); 123-135

Abstract
Background: The study aimed to assess and compare the effectiveness of Ketonal (ketoprofenum) iontophoresis and a combination therapy involving ultrasound and electrical stimulation in the treatment of rotator cuff injuries. Materials and methods: The study involved 30 patients with symptoms of rotator cuff injuries. The patients were randomly assigned to two groups. Patients in Group A received Ketonal iontophoresis. Patients in Group B received a combination therapy involving ultrasound and electrical stimulation to trigger points of the supraspinatus and other shoulder rotator muscles. Treatment efficacy was assessed by analysing changes in shoulder range of motion, supraspinatus strength, and the occurrence and intensity of pain. Results: The treatment produced significant effects in both groups. Treatment effects in Group B were somewhat better than those in Group A, with significant differences in pain resolution and improved range of active abduction. Conclusions: Ketonal iontophoresis and combination treatment are effective methods for treating the sequelae of rotator cuff injuries. The combination treatment applied directly to myofascial trigger points produced somewhat better results than Ketonal iontophoresis.
Key words:
rotator cuff, iontophoresis, ultrasound, TENS, electrical stimulation
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