Tag: ostroga piętowa

Ocena częstości występowania i stopnia nasilenia objawów nietrzymania moczu w grupie dorosłych kobiet aktywnych fizycznie

Maja Warzecha, Weronika Milka, Katarzyna Paluch, Anna Pępek, Jarosław Amarowicz

 

Maja Warzecha, Weronika Milka, Katarzyna Paluch, Anna Pępek, Jarosław Amarowicz – The frequency and severity of urinary incontinence symptoms in the group of adult physically active women –  Fizjoterapia Polska 2024; 24(5); 6-16

DOI: https://doi.org/10.56984/8ZG020CH32F

Streszczenie
Cel pracy. Celem badania była ocena częstości występowania i nasilenia objawów nietrzymania moczu (NTM) u dorosłych kobiet podejmujących aktywność fizyczną.
Materiał i metodyka. Do badań włączono 171 kwestionariuszy ankiet kobiet powyżej 18 roku życia podejmujących regularną aktywność fizyczną. W celu diagnostyki NTM wykorzystano kwestionariusz International Consultation on Incontinence Questionnaire– Urinary Incontinence Short Form. Zebrane wyniki zostały opracowane przy użyciu programów Microsoft Excel oraz pakietu IBM SPSS Statistics 29. Za próg istotności uznano wartości p < 0.05.
Wyniki. W grupie badanej (n = 171, śr. 33 lata) u 42,1% kobiet stwierdzono gubienie moczu podczas aktywności fizycznych. Najwięcej kobiet deklarowało wyciek moczu w trakcie treningu siłowego z dodatkowym obciążeniem zewnętrznym (14.1%), treningu biegowego (11.0%) oraz ćwiczeń ogólnokondycyjnych w formie zajęć fitness (8.9%). W badaniach nie wykazano istotnej (p > 0.05) zależności pomiędzy występowaniem NTM, a podejmowaną formą aktywności fizycznej, a także specyfiką treningu. Grupa kobiet z NTM była średnio o 5 lat starsza od grupy zdrowej (p < 0.001). Jednocześnie stwierdzono, że kobiety, które rodziły w przeszłości istotnie częściej (p < 0.001) deklarowały epizody popuszczania moczu, niż grupa nieródek.
Wnioski. Częstość występowania NTM u kobiet aktywnych fizycznie wskazuje na konieczność edukacji sportowców w tym temacie, ze szczególnym uwzględnieniem najbardziej predysponujących dyscyplin.
Słowa kluczowe
nietrzymanie moczu, wysiłkowe nietrzymanie moczu, sportowcy, ICIQ-SF
Słowa kluczowe
ostroga piętowa, fala uderzeniowa, rehabilitacja
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冲击波疗法对下跟骨骨刺患者功能的影响评估

Agata Pętek-Podymniak

 

Agata Pętek-Podymniak – Evaluation of the impact of shockwave therapy on the functioning of a patient with a lower calcaneal spur –  Fizjoterapia Polska 2024; 24(4); 6-12

DOI: https://doi.org/10.56984/8ZG01A8M5X1

摘要

引言
足跟痛的常见原因是跟骨骨刺的存在。这种情况可能会破坏后浅筋膜链，并可能导致身体远处区域的问题。在使用的物理疗法中，冲击波疗法被广泛应用。本研究的目的是评估冲击波疗法的有效性及其对腓肠肌张力的影响，腓肠肌是后筋膜链的一部分。

材料与方法
一名52岁左下跟骨骨刺的女性患者接受了为期六次的放射冲击波疗法，每周两次。疗效评估方法包括在治疗前、治疗后立即和治疗后五分钟，通过视觉模拟评分法（VAS）测量疼痛，并测量组织温度的变化。此外，使用肌电图（EMG）检查评估腓肠肌张力。

结果
治疗后立即观察到温度平均下降（从25.3°C降至24.45°C）。五分钟后，温度升至27.05°C，与初始测量相比有所增加。肌电图测量的腓肠肌静息张力下降，具体为：通道1从0.6 µV降至0.4 µV，通道2从4.3 µV降至3.2 µV。疼痛在视觉模拟评分中从7级降至2级。

结论
冲击波疗法在缓解跟骨骨刺引起的疼痛方面是一种有效的解决方案。腓肠肌静息张力的降低可减少后肌筋膜链中的过度张力，从而有助于降低沿该链远端区域发生继发性病变的风险。

关键词
跟骨骨刺, 冲击波疗法, 康复

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Efficacy of two different physiotherapeutic procedures in comprehensive therapy of plantar calcaneal spur

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk – Efficacy of two different physiotherapeutic procedures in comprehensive therapy of plantar calcaneal spur. Fizjoterapia Polska 2007; 7(2), 145-154

Abstract

Background. A plantar calcaneal spur causes pain in the area of the medial process of the calcaneal tuber. The pain is caused by localised pressure in the region of the plantar aponeurosis attachment to the calcaneal bone. Plantar calcaneal spurs are principally treated by physiotherapy techniques, with ultrasound as the most popular procedure. At present, phonophoresis is more and more frequently used. Phonophoresis is an ultrasound treatment in which the substance between the transducer and the skin is replaced with a medicine in gel form. The aim of this paper is to assess the efficacy of and compare ultrasound- and phonophoresis-based therapeutic procedures for calcaneal spur. Materials and methods. 40 patients treated for plantar calcaneal spur participated in the study. The patients were randomised into two groups: Group A was treated by phonophoresis and group B received an ultrasound treatment. The patients were between 35 and 80 years of age (mean age 57.3 years). The enrolment criteria for the study were: absence of concomitant systemic disease or generalised inflammatory conditions and no history of recent injuries. The following criteria of physiotherapeutic treatment efficacy were adopted for the study: subjective pain intensity using the VAS scale, the range of plantar flexion and supination as well as the strength of muscle groups of the longitudinal arch of the foot. In order to provide better insight, taking into account the risk factors for the calcaneal spur, the BMl as well as Bogdanov’s ankle bone angle, which determines the length of the longitudinal arch of the foot, were determined in both groups. Results. Plantar calcaneal spur patients are usually overweight and suffer from slight longitudinal flatfootedness. A significant reduction of pain intensity was observed in group A (at p<0.001), and in group B (p<0.01). There was also an improvement in both foot flexion and supinetion at p<0.001. The strength of foot flexors and supinators increased significantly in both groups, at p<0.001 in group A and p<0.05 in group B. Conclusions. The clinical profile of calcaneal spur patients mostly includes overweight and slight longitudinal flatfootedness. Phonophoresis is a significantly more effective physiotherapeutic procedure than ultrasound in the physiotherapeutic management of plantar calcaneal spurs.

Key words:

calcaneal spur, treatment, efficacy

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An attempt at using focused shockwave therapy to treat selected orthopedic diseases – a preliminary report

Andrzej Franek, Damian Kusz, Jacek Durmała, Piotr Król, Robert Wilk, Ewa Detko, Bartosz Wnuk, Paweł Dolibog, Edward Błaszczak, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj

Andrzej Franek, Damian Kusz, Jacek Durmała, Piotr Król, Robert Wilk, Ewa Detko, Bartosz Wnuk, Paweł Dolibog, Edward Błaszczak, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj – An attempt at using focused shockwave therapy to treat selected orthopedic diseases – a preliminary report. Fizjoterapia Polska 2012; 12(2); 147-158

Abstract
Background. Focused shockwaves have been successfully used in orthopaedics and physiotherapy for over twenty years. The aim of this study was to evaluate the usefulness of focused shockwaves in treating patients with osteonecrosis of the femoral head (OFH), as well as their effectiveness as a therapy for tennis elbow and symptomatic heel spurs.Material and methods. The study has covered to date 6 patients with osteonecrosis of the femoral head (OFH) (stages I, II and III on the ARCO scale), 10 patients with tennis elbow (TE) and 6 patients with symptomatic heel spurs (HS). The patients were treated using focused shockwaves.Results. After treatment ended, pain intensity was noted to be statistically significantly lower in all groups of patients. In the OFH patients functional improvement could also be observed, as well as increased strength of wrist flexors and extensors and of finger flexors in the TE patients. The OFH and HS patients obtained better results in tests carried out on the tensometric platform. Conclusion. Focused shockwave is an effective and safe physical modality for treating early stages of osteonecrosis of the femoral head, tennis elbow and symptomatic calcaneal spurs; its main advantage is good analgesic effect right after treatment. However, the delayed effects of the therapy need to be investigated to confirm its effectiveness.
Key words:
focused shockwave, necrosis of the femoral head, tennis elbow, calcaneal spurz
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Evaluation of the effect of ultrasound therapy on pressure ulcer healing

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król – Evaluation of the effect of ultrasound therapy on pressure ulcer healing. Fizjoterapia Polska 2012; 12(4); 363-378

Abstract
As well as being a long process, the treatment of pressure ulcers involves the application of different therapeutic methods. In treating soft tissue defects, including pressure ulcers, physical modalities are increasingly used.The experiment involved 24 patients (16 women and 8 men) with chronic stage II-IV pressure ulcers, who were distributed between two comparative groups, A and B. Group A consisted of 12 subjects (8 women and 4 men) whose mean age was 75.27 years (±19.24). The mean wound surface area in the group was 4.71 (±3,42 cm2). Group B (control) contained 12 subjects (8 women and 4 men) whose mean age was 77.21 (±10.32) years. The mean wound surface area in group B was 4.51 (±3,73 cm2). In addition to standard treatment for pressure ulcers that both groups received, group A patients were additionally administered ultrasound therapy (1 MHz; 0.5 W/cm2; 20%; 1 min/cm2). Healing processes were observed in both groups for 6 weeks. The wound surface area, diameter and linear measurements were found to decrease statistically significantly. Treatment results in the ultrasound group were somewhat better, but healing rates derived from changes in pressure ulcer surface areas, lengths, widths and diameters did not show the groups to be statistically significantly different (respectively 85.23% (±10.23), 78.21% (±18.16), 74.78% (±22.88), 80.23% (±7.88) in group A and 84.11% (±8.45), 74.98% (±13.12), 73.54% (±21.66), 79.01% (±8.11) in group B).Ultrasound therapy does not make pressure ulcers heal significantly faster, nor does it significantly reduce their surface areas, diameters and linear measurements.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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