Tag: krioterapia

Porównanie krioterapii i fonoforezy kortykosteroidowej w leczeniu blizn keloidowych: Randomizowane badanie kliniczne

Mai Mahmoud Abo Sabee, Amal Mohamed Abd El Baky, Tarek Ahmed Amer, Nessrin Afify Abd El Rasheed


Mai Mahmoud Abo Sabee, Amal Mohamed Abd El Baky, Tarek Ahmed Amer, Nessrin Afify Abd El Rasheed – Cryotherapy versus corticosteroid phonophoresis in the treatment of keloid scars: A randomized clinical trial. Fizjoterapia Polska 2023; 23(3); 70-75

DOI: https://doi.org/10.56984/8ZG143318

Streszczenie
Wstęp. Blizny keloidowe negatywnie wpływają na fizyczne i psychiczne samopoczucie pacjentów, powodując ból i świąd. Istnieje wiele metod leczenia blizn keloidowych poprzez modulację i poprawę ich charakterystyki.
Cel. Badanie i porównanie efektów krioterapii i fonoforezy kortykosteroidowej u pacjentów z bliznami keloidowymi.
Metody. Badanie było randomizowanym badaniem klinicznym. Sześćdziesięciu pacjentów – zarówno mężczyzn (28) jak i kobiet (32) z bliznami keloidowymi – podzielono na dwie równe grupy. Grupa A otrzymywała krioterapię przez 12 tygodni (n=30), podczas gdy Grupa B była poddawana fonoforezie kortykosteroidowej przez ten sam okres czasu (n=30). Oceny przeprowadzono przed leczeniem, po 6 tygodniach i po 12 tygodniach leczenia.
Wyniki. Porównania po leczeniu między dwiema grupami wykazały istotne statystycznie zmniejszenie VSS zarówno po 6 tygodniach, jak i po 12 tygodniach leczenia na korzyść Grupy A (p < 0,05).
Wnioski. Krioterapia wykazała znacząco lepszy wpływ na pomiary blizn u pacjentów z bliznami keloidowymi niż fonoforeza kortykosteroidowa.

Słowa kluczowe:
krioterapia, fonoforeza, blizny keloidowe

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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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The possibilities of applications of the physical therapy in the spastic treatment

Sylwia Dziedzic, Anna Straburzyńska-Lupa

Sylwia Dziedzic, Anna Straburzyńska-Lupa – The possibilities of applications of the physical therapy in the spastic treatment. Fizjoterapia Polska 2004; 4(2); 93-99

Abstract

This article begins with a description of the pathophysiology and symptomatology of spasticity. The pathophysiology of spasticity is complex, depending on interactions between opening and closing, stimulating and inhibiting pathways and centers located both in the spine and above the spine. Spasticity results from dysfunction of the upper motor neuron, i.e. structures lying in the vicinity of the cerebral cortex, the subcortical regions, the brainstem, and the spinal cord, and the numerous connections between them. In the clinical picture of spasticity we can distinguish disturbances in the regulation of muscle tension and strength, difficulties in maintaining body posture, and the occurrence of spastic cramps and clonus. As a consequence of these symptoms the patient may experience pain and limb deformity. The article describes several different methods of evaluating spasticity (including a modified version of the 6-point Ashworth Scale). Based on an extensive review of the literature, the authors discuss various methods of managing spasticity, with particular attention to physicotherapy. Some of these techniques have a mechanism of action that is already well understood and constitute a valuable means to supplement the treatment of spasticity; others are only just being introduced to therapy or are still in the research phase. Among the techniques used in the treatment of spasticity the authors discuss kinesitherapy, thermotherapy, electrotherapy, and magnetotherapy.

Key words:
Physical Medicine, Cryotherapy, electrotherapy
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Influence of extremely low temperatures on selected human motor activities

Joanna Łuczak, Joanna Michalik

Joanna Łuczak, Joanna Michalik – Influence of extremely low temperatures on selected human motor activities. Fizjoterapia Polska 2006; 6(3); 206-211

Abstract
Background. The aim of the study was to evaluate the influence of extremely low temperatures (-100°C, -130°C, -160°C) on selected motor skills: flexibility, equilibrium, speed and dynamic abdominal muscles power. Material and methods. The study group covered 300 men, who permanently, by reason of their occupation, practice sports professionally. Participants were randomized into 3 groups attending to whole-body cryotherapy in following temperature: A -100°C, B -130°C and C -160°C. During each procedure patients were treated for 2 minutes in the cryochamber and then by 20 minutes exercise therapy. Before and after program consisted of 10 procedures 4 motor skills of patients were estimated and results were statistically analyzed using Wilcoxon test. Differences of motor skills were calculated separately for each person and findings of each study group were compared using Kruskal-Wallis test. Results. No statistically significant differences were found after matching of flexibility test results between groups treated in 3 different temperatures. Greatest improvement of equilibrium was noticed in group of patients attending to procedures in -160°C temperature (p<0.01). Change of speed was highest in the group of patients treated in -100°C, but average values was twice upper from other groups (p<0.0001). Increase of dynamic abdominal muscles power was also highest in group A — values were twice high from group C (p<0.001). Conclusions. Whole-body cryotherapy positively effects on selected human motor skills. The results of the short-term study not allowed choosing clearly from used temperatures which induced more positive improvement. A long-term research and the economic calculation are necessary to perform complete analysis.

Key words:
cryotherapy, whole-body cryotherapy, cryochamber, human motor skills

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Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński – Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens. Fizjoterapia Polska 2008; 8(3); 267-271

Abstract
Background. The aim of the study was to evaluate the effectiveness of cryotherapy and physiotherapy regimens in patients with indications for use of these procedures in the knee joint region or knee joints. Material and methods. The study was performed in the Cracow Rehabilitation Centre in 2008. The study involved a group of 38 patients who underwent cryotherapy of the knee joint region. The patients were dMded into two groups. Group 1 included patients who performed lower limb exercises immediately after the cryotherapy procedure, and patients in group 2 performed exercises 30 minutes following the cryotherapy procedure. Changes in thermograms were recorded in all patients. Results. Mean temperature in the affected knee joint before treatment was x=30.19°C in group 1 and 31.46°C in group 2. The differences between the study groups revealed in examination 2 were also not statistically significant. Examination 3 showed signi-ficant differences. The mean value of the temperature range was x=28.54C in Group 1 and 23.38°C in Group 2. The last exami-nation, performed 30 minutes after the completion of the cryogenic therapy procedure, showed a mean temperature of the treated knee joint of x=28.99°C in Group 1 and x=29.43C in Group 2. Conclusions. Tissue temperature in the knee joint region increased at a slower rate in patients who did not undergo kinesi-therapy immediately after cryotherapy of that region.
Key words:
knee joint, cryotherapy, thermovision, physiotherapy
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Assessment of changes in the excitability of the medial antebrachial cutaneous nerve caused by localised cooling procedures

Edyta Jarzębska, Anna Polak, Janusz Kubacki, Krzysztof Gieremek

Edyta Jarzębska, Anna Polak, Janusz Kubacki, Krzysztof Gieremek – Assessment of changes in the excitability of the medial antebrachial cutaneous nerve caused by localised cooling procedures. Fizjoterapia Polska 2009; 9(1); 39-50

Abstract
Background. The reasons for taking advantage of low temperatures for therapeutic purposes include their anaesthetic and anti-inflammatory effeets. The present stucly aimed to assess changes in the excitability of the medial antebrachial cutaneous nerve (MACN) resulting from local cryotherapeutic procedures. Materials and methods. The investigation involved 108 healthy volunteers aged 20-25 years and randomly assigned to three groups (A, B and C). Immediately before the cryotherapy procedure, skin temperature was measured in the area innen/ated by the medial antebrachial cutaneous nerve in all participants. The chronaxy of this nerve was also determined. Groups A and B subse-ąuently received cooling procedures at -10°C with a gel compress applied to the arm and forearm area (i. e. the area innen/ated by the MACN). In Group A, the compress was applied for 20 minutes and in Group B for 4 minutes. In Group C this area was sub-jected to a 2-minute cooling procedure using liquid nitrogen vapour at -160C. Chronaximetry and skin temperature measurements were repeated immediately on completion of the cooling procedure and 20 minutes later. Results. A statistically significant prolongation of chronaxy in relation to its baseline values was obsen/ed in Group A both immediately after the procedure and 20 minutes later. In Group B, statistically significant prolongation of chronaxy was seen between the values obtained immediately after the procedure and those measured before the procedure. In group C, chronaxy was signifi-cantly longer 20 minutes after the procedure vis-a-vis its baseline value. Conclusions. All cooling procedures applied reduced excitability of the medial antebrachial cutaneous nen/e. Decreased exci-tability was maintained over the longest period in Groups A and C.
Key words:
cutaneous nerve, excitability, cryotherapy
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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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The evaluation of the effectiveness of a cryotherapy treatment in patients with gonarthrosis

Kamila Wieczorek

Kamila Wieczorek – The evaluation of the effectiveness of a cryotherapy treatment in patients with gonarthrosis. Fizjoterapia Polska 2021; 21(2); 144-153

Abstract
The purpose of the study. The purpose of this study is to describe the results of the research on the patients’ evaluation regarding complaints and difficulties in their daily life, as well as on the assessment of their general health condition in terms of the rehabilitation of gonarthrosis before and after physiotherapy treatments, with and without the use of cryotherapy. Materials and methods. The research was carried out with the use of a survey questionnaire on a group of 40 patients. Each patient experienced osteoarthritis in at least one knee joint. The questionnaire consisted of questions related to the type of complaints and functioning difficulties in patients with gonarthrosis before and after rehabilitation, and to the type of performed treatments with emphasis put on cryotherapy and the assessment of general health improvement in patients after rehabilitation. Conclusions. According to the patients participating in the research, the improvement in rehabilitation of gonarthrosis with cryotherapy treatments is not greater than with other physiotherapy treatments.
Key words:
Cryotherapy, cold therapy, gonarthrosis
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Study of the effects of cryotherapy and diathermy on cutaneous nerve excitability in healthy people

Barbara Szpotowicz, Anna Polak, Krzysztof Gieremek, Cezary Kucio, Janusz Kubacki, Piotr Czech

Barbara Szpotowicz, Anna Polak, Krzysztof Gieremek, Cezary Kucio, Janusz Kubacki, Piotr Czech – Study of the effects of cryotherapy and diathermy on cutaneous nerve excitability in healthy people. Fizjoterapia Polska 2011; 11(2); 123-134

Abstract
The study was designed to assess the changes of sensory excilability of the medial anlebrachial culaneous nerve (MACN) following the application of cooling and diathermy procedures in healthy people. The study involved a group of 133 healthy volunteers (aged 19 – 36 years), randomly assigned to four comparison groups A, B, C and D. In all groups, the subjects skin temperature in the medial nerve area was measured, as well as sensory excitability of the nerve. The measurements were taken immediately before and after the cooling and heating procedures, and then 20 minutes after the respective procedure was terminated. Group A received 20-minute cryotherapeutic procedures with frozen gel packs (-10oC). Group B received two-minute cooling with liquid nitrogen (at -160°C). In group C 12-minute microwave diathermy procedures (100 W) were performed. Group D received 12-minute shortwave diathermy procedures (280 W).In groups A, B and C chronaxie measured immediately after the procedure and 20 minutes later was statistically significantly longer than before the procedure. In group D no statistically significant changes were observed in chronaxie.Cooling procedures applied to the culaneous nerve at the temperatures of -10°C and -160°C and microwave diathermy reduce sensory excitability. Shortwave diathermy does not affect the cutaneous nerve excitability.
Key words:
excitability, cutaneous nerve, Cryotherapy, Diathermy
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An investigation of the effects of local thermotherapy on neuromuscular excitability in healthy people

Anna Kamykowska, Cezary Kucio, Piotr Król, Ryszard Zarzeczny, Robert Roczniok

Anna Kamykowska, Cezary Kucio, Piotr Król, Ryszard Zarzeczny, Robert Roczniok – An investigation of the effects of local thermotherapy on neuromuscular excitability in healthy people. Fizjoterapia Polska 2011; 11(3); 241-252

Abstract
The goal of the investigation was to assess neuromuscular excitability changes brought about by local cooling and warming procedures in healthy people divided into comparative groups A, B, C and D were tested for neuromuscular excitability changes. In each group, the subjects’ skin temperature was measured above the median nerve and the excitability of the flexor pollicis longus muscle stimulated indirectly via the median nerve was assessed using chronaxiemetry. Then the groups of subjects underwent respective procedures. In group A, the subjects received a 12-minute cooling procedure with gel packs at -10ºC. In group B, the subjects were applied a 2-minute cooling procedure using liquid nitrogen vapours at the temperature of –160ºC. In group C, microwave diathermy (2450 MHz) was applied to the subjects for 12 minutes. The subjects in group D received a 12-minute shortwave diathermy procedure (27 MHz). Skin temperature and chronaxie were measured again as soon as the procedures were complete and then the measurements were repeated for the third and last time 20 minutes later. Cooling procedures with gels at the temperature of -10ºC and liquid nitrogen vapours at the temperature of -160ºC as well as shortwave diathermy at 280 W inhibit neuromuscular excitability. This effect is maintained for at least 20 minutes following the procedure. Heating with microwave diathermy at 100 W does not reduce neuromuscular excitability.
Key words:
Cryotherapy, thermotherapy, Diathermy, Neuromuscular stimulation, neuromuscular excitability
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