Tag: Ewa Grymel-Kulesza

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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