Tag: Jolanta Darowska-Olszewska

Application of the Kaltenborn-Evjenth Orthopaedic Manual Therapy Concept in the Treatment of Shoulder Impingement Syndrome

Jolanta Darowska-Olszewska, Natalia Rogaczewska, Justyna Sadowska, Zbigniew Śliwiński

J. Darowska-Olszewska, N. Rogaczewska, J. Sadowska, Z. Śliwiński – Application of the Kaltenborn-Evjenth Orthopaedic Manual Therapy Concept in the Treatment of Shoulder Impingement Syndrome. FP 2016;16(1);48-60

Abstract
Introduction. The aim of the study has been to evaluate the impact of the manual therapy according to the Kaltenborn-Evjenth Concept on the range of motion, joint play and the muscle strength in the shoulder joint, in patients with the shoulder impingement syndrome. In addition, the changes of the intensity of pain have been analysed.
Materials and Method. The total of 53 persons have been examined. The test group consisted of 42 patients with the shoulder impingement syndrome caused by the shoulder damage, with the diagnosis code of ICD 10: M75, while the control group encompassed 11 patients with the shoulder impingement syndrome caused by the cervical radiculopathy, diagnosis code of ICD10: M50. The patients had undergone the therapy every other day, for the period of 4 weeks. Measurements of the range of motion had been taken, the joint play and muscle strength in the shoulder joint had been evaluated. The pain experienced had been assessed according to the VAS scale. Before launching the therapy, and after it was completed, the patients filled out a questionnaire regarding the treatment. The results obtained constituted the indication for the direction of the orthopaedic manual treatment techniques, according to the Kaltenborn-Evjenth Concept.
Resulsts. The results of the research have shown, that the application of the Kaltenborn-Evjenth manual therapy has led to the increased motor activities and has helped to decrease the intensity of the shoulder pain in 100% of the examined patients.
Conclusions. The therapy according to the Katlenbor-Evjenth OMT Concept, applied in the cases of the shoulder impingement syndrome, has had a significant impact on the functional improvement of the shoulder joint and has contributed to the lowering of the intensity of pain.

Key words
shoulder impingement, Kaltenborn-Evjenth method, treatment, VAS pain scale

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Evaluation of Impact of the Application of Kinesio Taping and Standard Complete Decongestive Therapy on the Lymphedema in Women After Mastectomy

Jolanta Darowska-Olszewska, Zbigniew Śliwiński

J. Darowska-Olszewska, Z. Śliwiński – Evaluation of Impact of the Application of Kinesio Taping and Standard Complete Decongestive Therapy on the Lymphedema in Women After Mastectomy. FP 2016; 16 (3); 18-32

Abstract
Introduction. The objective of this study has been to evaluate treatment results in the upper extremity on the side after surgery, in women after the mastectomy procedure, with the application of the Standard Complete Decongestive Therapy and the Modified Complete Decongestive Therapy, where the multilayer bandaging has been replaced with the lymphatic applications of the Kinesio Taping method. The above objective has been verified by testing the following hypotheses:
1. Lymphatic applications of the Kinesio Taping method can replace the multilayer bandaging.
2. Kinesio Taping techniques affect the range of motion in the shoulder joint.
3. Kinesio Taping applications reduce pain in the upper extremity, on the side after surgery.
Materials and Methods. Total number of 24 women after the unilateral mastectomy have been examined. The test group encompassed 12 patients, to whom the lymphatic Kinesio Taping techniques have been applied. The control group constituted of 12 patients, who have been treated with the multilayer bandaging. Both groups, over the period of 15 days, have been subjected to a 30-minutes manual lymphatic drainage procedure and to 20 minutes of rehabilitation exercises. Before and after the therapy, the upper extremity circumference has been measured using a centimeter tape. The shoulder joint range of motion has been measured with a goniometer. The pain level has been assessed according to VAS scale.
Results. Analysis of the obtained results show, that the lymphatic tape applications used reduce lymphedema and pain sensation, and increase the range of motion in the shoulder joint on the side after surgery, in women after the mastectomy procedure.
Conclusions. The applied Kinesio Taping techniques, when compared with the multilayer bandaging of the Complete Decongestive Therapy, bring about the comparable results.

Key words:
lymphedema, Kinesio Taping, Complete Decongestive Therapy

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