Tag: pain

Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship

Agata Grzyb, Anna Koralewska, Martyna Gruszka, Zuzanna Sobczak, Magdalena Drewnowska

A. Grzyb, A. Koralewska, M. Gruszka, Z. Sobczak, M. Drewnowska– Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship. Fizjoterapia Polska 2020; 20(4); 22-33

Abstract
Introduction. During the menopause, many changes are observed in a woman’s life. These processes have different backgrounds, but mainly they are caused by hormonal changes that have a huge impact on the functioning of the whole organism. These changes may cause, among others: insomnia, mood disorders, weight gain, and indirectly may affect the appearance of back pain.
Aim of the study. The main aim of the study was to recognize the incidence and severity of menopause symptoms, as well as to assess the degree of disability caused by pain in the thoracolumbar spine in the Silesian female population.
Material and method. The material consisted of 150 women between the ages of 40 and 60 from the Śląskie Voivodeship. The study used: the author’s questionnaire, Menopausal Symptom Assessment Scale (MRS) and the Oswestry Questionnaire. The collected material was subjected to statistical analysis.
Results. There was a wide variation in the incidence of menopause symptoms among respondents. Correlation analysis showed that there are statistically significant differences between all menopausal symptoms and lower back pain. Over half of the respondents (56.7%) struggled with excessive body weight. 79% of women have a moderate degree of disability.
Conclusions. The most common symptoms of menopause are psychological symptoms. The respondents have pain in the lumbar spine. The vast majority of women have a moderate degree of disability resulting from pain in the lower spine, the higher the body mass index result, the greater the sensation of somatic and vegetative symptoms and urogenital symptoms. The obtained data encourage a deeper and broader analysis of the phenomenon.

Key words:
pain, women, menopause

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对因退行性变化过程中产生颈椎疼痛的上班族所进行的两种水疗法的疗效比较

Ewa Puszczałowska-Lizis, Kamila Dobrucka, Izabela Zbrońska

E. Puszczałowska-Lizis, K. Dobrucka, I. Zbrońska – Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes. Fizjoterapia Polska 2019; 19(4); 126-135

摘要
简介。在现代文明时代，腰椎病痛成为医学和社会问题，在慢性病中的多种疼痛综合症、复发性质和疼痛持续性促使人们去寻求有效的诊断和治疗方法。研究目的在比较两种水疗法对减轻上班族颈椎退行性疾病的疼痛和消除功能限制方面的有效性。
材料和方法。共144名年龄在45-55岁间的女性上班族参与研究，她们参与退行性变化过程中所产生颈椎疼痛的康复治疗。根据所应用的康复计划不同，这些女患者被分成两组。实验工具包括颈椎功能测试（Valsalva、Kernig、压缩测试及牵引测试）、颈椎活动范围的线性测量、NRS量表及NDI指数等。分析时所采取的测试包括：卡方检验、学生 t检定、曼-怀-威三氏检验等。
结果。两组康复治疗结束后，在功能测试、颈椎活动范围、NRS标度值及NDI指数方面均观察到具统计学意义的显著改善。第二组患者所取得的研究结果差异比第一组更大。
结论。两种治疗计划的使用均有助于减轻疼痛并改善功能效率，然而接受包含泥疗法在内计划的患者所获得的改善程度更大。

关键词：
颈椎、疼痛、功能效率、浴疗法

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下腰痛综合症患者治疗采用物理疗法及中枢稳定训练的疗效比较

Paweł Gąsior

P. Gąsior – Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with lower back pain syndrome. Fizjoterapia Polska 2019; 19(4); 80-91

摘要
简介。腰椎疼痛已成为社会性的问题，最常被提及的疼痛出现原因为以下各项：天生异常、退行性变化、炎症、癌症、受伤、超负荷疼痛、代谢紊乱、心理问题和社会问题等。腰痛治疗中最常使用运动疗法、物理治疗和药物治疗。
研究目的。下腰椎疼痛综合症患者治疗采用物理疗法及中枢稳定训练的疗效比较
材料和方法。该研究针对有下腰痛症状的40名患者进行（其中包括22名女性及18名男性），受试者被分为两组，A组接受一系列的物理治疗，B组进行中枢稳定训练，不包含物理治疗。治疗开始前及康复结束后，使用欧氏问卷调查表（ODI）及VAS量表评估疼痛程度及其对日常生活的影响。
研究结果。关于以VAS量表验证下腰疼痛主观评估的结果无显著差异，与治疗前的结果比较，两组在治疗后的疼痛感均显著降低（p < 0.01）。根据实验组的不同，ODI问卷调查证实在日常生活的舒适性上无显著差异（p < 0.05），两组治疗前后的结果比较有显著差异（p < 0.01）。尽管患者肯定此二种治疗对舒适度有所改善，然而皆无法更有效地改善日常生活的舒适度。
结论。中枢稳定练习在治疗下腰痛综合症所广泛采用的物理治疗中为有效的替代方法，或应有效地加以补充。自有研究明确显示出，物理治疗与中枢稳定练习概念比较下，并非更有效。

关键词：
中枢稳定、疼痛、腰椎区、物理治疗

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下颔骨和颈椎在口颔系统（US）疾病中的可动性评估

Magdalena Gębska, Aleksandra Szylińska, Katarzyna Weber-Nowakowska, Elżbieta Kubala, Wojciech Garczyński, Łukasz Kołodziej

M. Gębska, A. Szylińska, K. Weber-Nowakowska, E. Kubala, W. Garczyński, Ł. Kołodziej – Assessment of mobility of the mandible and cervical spine in the stomatognathic system disorders. Fizjoterapia Polska 2019; 19(2); 78-86

摘要
简介。口颔系统在头部、颈部、肩带的解剖结构甚至整个运动器官的生物力学关联方面，显示出以跨学科方法来治疗该系统功能障碍的必要性。
目的。咀嚼肌疼痛患者的颞下颔关节和颈椎的可动性评估，确定颞下颔关节可动性和颈椎间的关系。肌源性患者咬肌的生物电活动（sEMG）评估。
材料和方法。共50名年龄在20至37岁间确诊为肌源性疾病和疼痛的女性（第一组）接受试验。所进行的试验包括：主观（问卷）及客观（鲍曼US试验、咬肌的生物电活动、颈椎的可动性评估、疼痛数字量表）。对照组（第二组）由50名健康女性组成。
结果。咬肌周围的疼痛强度水平接近胸锁乳突肌肉周围的疼痛强度，确定口颔系统疼痛的患者颈椎的可动性范围有限，最大的差异发生在头部向右和向左旋转时，第一组和第二组在咬肌的生物电活动振幅值上存在统计学上的差异。
结论。下颔运动（打开、侧向活动）的限制和颈椎运动范围减小间存在关联。口颔系统肌源性疾病可能会导致颈部运动受干扰。

关键词：
口颔系统、颈椎、疼痛、咀嚼肌

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Evaluation of the importance of previous physiotherapeutic preparation in aspect of using TENS during childbirth among primiparous

Michał Kaczyński, Sławomir Jarząb, Michał Guła, Krzysztof Aleksandrowicz

M. Kaczyński, S. Jarząb, M. Guła, K. Aleksandrowicz – Evaluation of the importance of previous physiotherapeutic preparation in aspect of using TENS during childbirth among primiparous. FP 2014; 14(2); 60-66

Abstract

Introduction. For the purpose of the study has set the definition of what is the efficacy of transcutaneous electrical stimulation of nerves during labor using a portable apparatus without consultation over the use of this therapy by prior training and participation of a physiotherapist.
Materials and methods. The study included 30 primiparous. In the 18 women who start treatment preceded by a description of how the action electrostimulator by a physiotherapist, and 12 patients who have purchased their own devices for electrostimulation.
Results. In 94.43% of the primiparous of the training covered by a physiotherapist, and 50% of patients without consultation, TENS to a lesser or greater extent eliminates the pain of childbirth. In the group of patients after the training has been only one case of pharmacological analgesic administration. However, in the group without consulting the percentage was 25%.
Conclusions. TENS pain therapy is more effective if it is preceded by appropriate training or physiotherapy consultation regarding the use of the TENS machine. Patient after physiotherapy training showed a greater knowledge of the mode of action and use the apparatus to TENS therapy than patients who missed this stage.

Key words:
pain, childbirth, TENS

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Evaluation of chosen electrotherapy methods efficiency in lower spine diseases in aspect of lowering usage of painkillers

Sławomir Jarząb, Michał Kaczyński, Michał Guła,
Krzysztof Aleksandrowicz, Małgorzata Paprocka-Borowicz

S. Jarząb, M. Kaczyński, M. Guła, K. Aleksandrowicz, M. Paprocka-Borowicz – Evaluation of chosen electrotherapy methods efficiency in lower spine diseases in aspect of lowering usage of painkillers. FP 2014; 14(3); 12-21

Abstract

Background. While aging, degenerative phase of spine and circular joints deepen, also traumatic diseases in movement system – it is all inseparably combined with pain. Alternatively to painkillers we can use methods such as electrotherapy. The purpose of the researches was to verify the efficiency of chosen methods in electrotherapy in field of fighting with pain in lower part of spine as well as to lower the amount of pharmacological painkillers that are taken.
Material and methods. The group that was researched was 74 patients (46 women and 28 men) suffering from lower part of spine disease. Each of these people had of three procedures of electrotherapy: TENS, Nemec currents, Bernard currents. There was an individual interview (questionnaire) contained basic information about the patient, diagnosis, information about painkillers taken and evaluation of pain ailment that was conducted 4 times. Individually for each patient there were chosen parameters allowing to evaluate the efficiency of the therapy in time period.
Results. The biggest group that stated long-term positive influence in overcoming pain (60.9%) was noticed in TENS group. The biggest group that stated positive temporary and immediate effect in overcoming pain (56%) was noticed in IF group, similarly like the most frequent positive subjective evaluation of the therapy (84%). Lowering the amount of medicines (painkillers) was noticed on similar level (50-60%) for therapy with interference current and TENS.
Conclusions. The most effective long-term method in therapy of treatment pain in the lower part of spine is TENS. The biggest effectiveness in immediate action and short-term in overcoming pain in spine lumber vertebra shows therapy with interference stream – that can be a reason to use it directly before kinesitherapy. Electrotherapy can and should be used as an alternative way for pharmacological painkillers.

Key words:
pain, spain, electrotherapy

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Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders

Magdalena Gębska, Danuta Lietz-Kijak, Krystyna Opalko,
Ewelina Żyżniewska-Banaszak, Zbigniew Śliwiński, Marek Kiljański

M. Gębska, D. Lietz-Kijak, K. Opalko, E. Żyżniewska-Banaszak, Z. Śliwiński, M. Kiljański – Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders. FP 2015; 15(2); 60-67

Abstract

Introduction. In last years there has been considerable development of physiotherapy methods used in dentistry. Among them is the manual therapy as a_form of treatment of functional disorders of the stomatognathic system muscular origin. This method is still very popular among dentists. This is because a_small number of literature, and a_small amount of physiotherapists involved in manual therapy in order to eliminate the symptom of pain.
Aim of the study. determined the effect of relaxing and analgesic masseter muscles under the influence of the use of manual therapy.
Material and methods. study was performed in 20 females, aged from 40 to 45  pain diagnosed as a_disorder of the stomatognathic system. In patients conducted physical examination and clinical examination, electromyographic study of masseter muscles and pain assessment using the VAS scale. Then, the test group received manual therapy treatments.
Results. After completion of therapy and analysis of the results showed a_decrease in the electrical potentials studied muscle and decrease of the VAS scale

Key words:
stomatognathic system, manual therapy, electromyography, pain, VAS scale

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Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists

Łukasz Kopacz, Danuta Lietz-Kijak, Artur Perz, Elżbieta Kubala, Paulina Strzelecka, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, D. Lietz-Kijak, A. Perz, El. Kubala, P. Strzelecka, E. Kijak, Z. Śliwiński, M. Kiljański: Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists. Fizjoterapia Polska 2015;15(3);36-44

Abstract

Introduction. Dentists, due to the conditions of their work, are exposed to many loads both physical and psychological. Considering the ergonomics of work, health status of this professional group should be considered primarily in terms of diseases of the spine, especially the cervical. This applies to all items in the work, both independently, as well as in team techniques, where apart from monotypy and monotony, there is always forced posture, and large static load, that contributing to a lot of degenerative arthritis changes of the cervical spine disorders, which are the result of the above-mentioned degenerations. Material and method. The study were conducted in the Department of Propedeutics and Dental Physicodiagnostics of the Pomeranian Medical University. The study group consisted of 36 fifth-year students of dentistry at the Faculty of Medical-Dentistry, Pomeranian Medical University in Szczecin with chronic pain of the cervical spine. Group of examined persons was subjected to the treatment with Kinesiology Taping method,  in which were used muscular and ligaments technique , accordance with the methodology. In the study has been used diagnostic survey method – a questionnaire. To assess the degree of feeling pain by the subjects were used a visual analogue scale VAS in the horizontal format in the range of 0-10.
Results. Considering the range of motion of the cervical spine flexion, the Kinesiology Taping method has improved in this movement, and extension range in the cervical spine improved more than the range of flexion. Taking the scope of the movement of the bend into the side, as well as the turn of the cervical spine in the test group were significantly improved, both in motion toward the right as and left. Examined in terms of assessing the level of the declared values of pain on VAS observed a significant reduction of this disease. Conclusion. Kinesiology Taping application also favorably influenced the range of motion of the cervical spine, while improving comfort work. Kinesiology Taping method applied among young dentists had a positive effect on the declared value of pain on the VAS, which transfers into a reduction. Considering the sex of patients, in the group of women has significantly improved the range of extension, while in men the range of flexion.

Key words:
Kinesiology Taping, pain, spine

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Impact of the deep electromagnetic stimulation on the level of the pain sensation in patients with the rheumatoid arthritis

Agnieszka Przedborska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, Ma. Misztal, J. W. Raczkowski – Impact of the deep electromagnetic stimulation on the level of the pain sensation in patients with the rheumatoid arthritisFP 2016;16(1);74-81

Abstract
Introduction. Treatment of the rheumatoid arthritis includes the simultaneous actions against the pain, the inflammation and to regulate the muscle tension. The search for new and effective methods of treatment is continuously under way. There appeared this new physical method of deep electromagnetic stimulation. The objective of this study is to evaluate the effectiveness of the treatment of pain with the deep electromagnetic stimulation method, in the rheumatoid arthritis disorder cases.
Materials and Methods. The research has been conducted on a group of 50 patients with the rheumatoid arthritis, who have undergone a series of 10 deep electromagnetic stimulation treatments, applied to the most painful joints. Evaluation of the effectiveness and efficiency of the therapy has been done on the basis of the VAS scale, the Laitinen scale, the assessment of duration of the morning stiffness, and the subjective assessment of the result of the treatment made by the patients.
Results. After the series of treatments, the statistically significant (p <0.0001) reduction of the pain intensity has been found, measured with the VAS and the Laitinen scale  (the respective median (IQR): 8 (7-8) before the treatment vs 4 (3-5) after the treatment in the VAS scale, and 10 (8-12) before the treatment vs 6 (4-8) after the treatment in the Laitinen scale. Also observed, has been the statistically significant (p <0.0001) reduction of the duration of the morning stiffness, respectively 108±27 minutes before the treatment vs 67±34 minutes after the treatment.
The factors significantly affecting the result of the treatment were: age, BMI and the severity of the disorder.
Conclusions. Deep electromagnetic stimulation is an effective therapy method in patients with the rheumatoid arthritis, it significantly reduces the intensity of pain, the amount of painkiller medications being taken, and the duration of the morning stiffness.

Key words:
rheumatoid arthritis, pain, deep electromagnetic stimulation

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