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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Physical fitness evaluation of drug addicts participating in the „Monar” rehabilitation program

Ryszard Zarzeczny, Rafał Rzońca, Dorota Zarzeczna, Anna Polak, Piotr Król

Ryszard Zarzeczny, Rafał Rzońca, Dorota Zarzeczna, Anna Polak, Piotr Król – Physical fitness evaluation of drug addicts participating in the „Monar” rehabilitation program. Fizjoterapia Polska 2011; 11(4); 341-349

Abstract
Background. The aim of this study was to investigate the changes of physical fitness level in drug addicts participating in an 18-month rehabilitation program organized by “Monar” Association Centre in Dębowiec. Materials and methods. The sample comprised 40 drug addicts participating in the rehabilitation program. Depending on the length of the therapy all patients were divided into 4 groups: 1) 0-3 months; 2) 4-6 months; 3) 7-9 months and 4) 16-18 months. Physical fitness of the patients was evaluated by the Harvard test, Ruffier test, Crampton test and volitional breath holding time. Results. the study outcome revealed a clear progress in the results obtained using the Harvard test and the volitional breath holding time. No significant between group differences were found in the Ruffier’s as well as in Crampton’s index. Conclusions. Physical fitness estimated by means of Harvard test and especially exercise tolerance of this test in drug-addicts who start treatment are low; however, they improve up to control level during the 18 month rehabilitation program. Exercise tests applied in the process of rehabilitation of drug addicts, based only on HR measurements in post-exercise recovery period may not properly reflect the real level of physical fitness.
Key words:
Physical Fitness, rehabilitation program, drug addicts
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