Tag: ultradźwięki

Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef – Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 20-25

Abstract
Background. Thoracic kyphosis is one of the manifestations of post-menopausal spinal osteoporosis so it is preferable to prevent incidence of kyphosis related to estrogen deficiency especially for premenopausal whose kyphosis start to be developed. Purpose. The aim of this study was to detect the effect of cold and ultrasonic therapy on postural kyphosis with middle back pain in pre and post-menopausal women. Materials and Methods. Sixty non-osteoporotic pre and post-menopausal women between the ages of 40 and 60 years, assigned randomly into 3 groups equal in numbers; each group consisted of 10 pre and 10 post-menopausal women; Group (A) received physiotherapy program followed by cold therapy, Group (B) received ultrasonic therapy followed by physiotherapy program, and Group (C) received ultrasonic then the physiotherapy program followed by cold therapy. The three groups followed the same physiotherapy program in form of strengthening, stretching and postural reeducation, three sessions per week for three months. The kyphotic index and pain were assessed by flexicurve ruler and visual analogue scale (VAS) respectively pre- and post-interventions. Results. Within the three groups (A, B & C) the kyphotic index and pain showed significant decrease (P < 0.0001) post treatment in both pre- and post-menopausal conditions, while they showed clinical improvement and non-significant difference (P > 0.05) when compared pre to post-menopause conditions in the pre- and post-treatment. The clinical improvement in the kyphotic index in group (A), (B) & (C) at pre as well as post-menopausal conditions were equal [(↓8.44% & ↓7.1%), (↓7.7% &↓8.12%) & (↓9.68% &↓11.08%)] and VAS were [ (↓32%&↓35%), (↓40% & 30%) & (↓37.55%, ↓31.57%)] respectively post treatment. Conclusion. Adding cold and ultrasound therapy to physiotherapy program have a clinical impact in reducing kyphosis and pain in pre- and post-menopausal women.
Key words:
cold, ultrasonic, menopause, kyphosis, flexicurve ruler
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Effect of high-frequency continous-wave ultrasound on the stability of human erythrocytes

Iwona Pyszczek, Jan Talar, Marta Cychner, Jolanta Kujawa

Iwona Pyszczek, Jan Talar, Marta Cychner, Jolanta Kujawa – Effect of high-frequency continous-wave ultrasound on the stability of human erythrocytes. Fizjoterapia Polska 2002; 2(3); 203-208

Abstract
Background. The aim of this study was to investigate the effect of high – frequency continuous – wave ultrasound (1 MHz) on the haemolysis of human erythrocytes. Material and methods. Red blood cell suspensions in PBS were irradiated at 37°C for 10 min with 1 MHz continuous – wave ultrasound, using a range of intensities equivalent to those employed by ultrasonic physiotherapy equipment (0.3 – 1.5 W/cm2). Results. The temperature in the sample during sonication was measured. Erythrocyte exposure to continuous – wave ultrasound (ultrasonic intensity &gt; 0,3 W/cm2) resulted in a significant cell haemolysis, accompanied by the temperature rise (41°C for 1,5 W/cm2). However, the heat alone did not induce red blood cells haemolysis. Conclusions. This suggests that mechanical component (acoustic cavitation) is responsible for the damage to the red blood cells after ultrasound irradiation.

Key words:
ultrasounds, haemolysis, temperature

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Effect of high-frequency continuous – wave ultrasound on the osmotic stability of human erythrocytes

Iwona Pyszczek, Ilya B. Zavodnik, Jolanta Kujawa, Jan Talar

Iwona Pyszczek, Ilya B. Zavodnik, Jolanta Kujawa, Jan Talar – Effect of high-frequency continuous – wave ultrasound on the osmotic stability of human erythrocytes. Fizjoterapia Polska 2003; 3(1); 16-20

Abstract
Background. The aim of our research was to investigate the effect of high-frequency continuous-wave ultrasound (1 MHz) on the osmotic stability of human erythrocytes. Material and methods. Red blood cell suspensions in PBS were irradiated at 37°C for 10 min with 1 MHz continuous-wave ultrasound, using a range of intensities equivalent to those employed by ultrasonic physiotherapy equipment (0.5-1.5 W/cm2). After ultrasound exposure, the erythrocytes were incubated for 30 min in buffered NaCl solutions and osmotic hemolysis was measured. Results. Our results indicate that sonication induced an increase in the osmotic stability of human erythrocytes, especially at the ultrasonic intensity of 1.0 W/cm2. In this case a considerable increase in the critical hemolytic volume of erythrocytes was observed. Conclusions. These results point to a significant biomodulation effect of high-frequency continuous-wave ultrasound on human erythrocytes, especially at the membrane level.

Key words:
ultrasounds, human erythrocytes, osmotic stability, critical hemolytic volume

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The impact of high-frequency continuous-wave ultrasound on the fluidity of human erythrocyte membranes

Iwona Pyszczek, Małgorzata Łukowicz, Marta Cychner, Jolanta Kujawa, Jan Talar

Iwona Pyszczek, Małgorzata Łukowicz, Marta Cychner, Jolanta Kujawa, Jan Talar – The impact of high-frequency continuous-wave ultrasound on the fluidity of human erythrocyte membranes. Fizjoterapia Polska 2003; 3(2); 175-179

Abstract
Background. The aim of this study was to investigate the effect of high-frequency continuous-wave ultrasound (1 MHz) on the fluidity of the lipid bilayer in human erythrocytes. Material and methods. Red blood cell suspensions in PBS (obtained from healthy donors) were irradiated at 37°C for 10 min with 1 MHz continuous-wave ultrasound, using a range of intensities equivalent to those employed by the ultrasonic devices used in physicotherapy (0.2-1.0 W/cm2). The fluidity of the lipid bilayer in human erythrocyte membranes was measured using a new method: spectrofluorimetry. Results. Our results indicate that sonication with ultrasonic intensity &gt; 0.7 W/cm2 induced a slight decrease in the fluidity of the lipid bilayer in human erythrocytes. Conclusions. The reported results suggest that high-frequency continuous-wave ultrasound has a biomodulating impact on human erythrocytes, especially at the membrane level.

Key words:
ultrasounds, human erythrocytes, lipid bilayer fluidity

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The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król – The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries. Fizjoterapia Polska 2007; 7(2), 107-123

Abstract

Background. The study assessed the effectiveness of a multi-modality therapy for shoulder rotator cuff injuries. The treatment included kinesitherapy, classic massage therapy, cryotherapy and ‘the combination treatment’ (ultrasound plus electrical stimulation). The effects of cryotherapy and the combination treatment for rotator cuff injuries were compared. Materials and methods. The study involved 30 patients with confirmed chronic symptoms of rotator cuff injury. The patients were assigned at random to two groups. Exercises and classic massage of the shoulder area (according to a uniform program) were used in both groups. Additionally, one group (Group A) was exposed to a combination treatment comprising ultrasound and electric stimulation of trigger points in the rotator cuff muscles, whereas Group B was treated with cryotherapy of the shoulder area. Criteria for assessing treatment effectiveness included changes in mobility of the shoulder joint, strength of the rotators, and the presence and intensity of pain. Results and Conclusions. The treatment produced significant and positive effects in both groups. Treatment effects were somewhat better in Group A than in Group B, with statistically significant between-group differences with respect to pain reduction and improved mobility and strength of some muscles. Multi-modality physiotherapy including kinesitherapy and the combination therapy (ultrasound and TENS) is an effective method for treating the sequelae of rotator cuff injuries. Direct combination therapy of myofascial trigger points offers somewhat better results than cryotherapy.

Key words:

injuries of rotator cuff, physiotherapy, ultrasound, electrical stimulation, cryotherapy, combination treatment

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Changes of skin temperature after ultrasounds continuous and impulse waves

Joanna Szymańska, Janusz Nowotny

Joanna Szymańska, Janusz Nowotny – Changes of skin temperature after ultrasounds continuous and impulse waves. Fizjoterapia Polska 2008; 8(2); 161-169

Abstract
Background. Ultrasounds (UD) are used in medicine from about 70 years. The biological mechanism of ultrasounds is a complex and versatile process and the energy, if absorbed in adequate amount, may activate many reactions in tissues. UD have thermal and post-thermal effects and are regarded as the most important deeply thermal procedures. Thermal effects can be easily observed as tissue temperature increases, but not all results of UD can be explained as only influence of thermal factor. Currently, we are looking for an explanation of these effects in mechanical and physiochemical factors which closely coexist. Find the occurrence changes of the skin temperature under the influence of ultrasounds with use continuous and impulse wave and verify if these waves develop the same or different reflectoric impact. Material and method. This study covered 30 people. In few days-long intervals every of the examined patient was tracted with local ultrasounds used continuous and impulse waves. Additionally there was used pyrometr for non-contact measurement of temperature in order to record post-operative changes of skin surface temperature. Results. This study suggest that under the influence of a single ultrasound application with used continuous and impulse wave, immediately after treatment there is observed increase of skin temperature which lasts to the end of measurement. Changes of the skin temperature could be observed in treated and reflectoric areas.Conclusions. Study show that, after ultrasounds therapy is observe the skin temperature increases. Changes of the skin temperature confirm these effects in the treated please and reflectoric areas.
Key words:
ultrasounds, continuous and impulse wave, skin temperature, removed reactions
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The efficacy of ultrasound and electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease

Marta Szlachta, Anna Polak, Beata Błaszczyk, Agnieszka Kluszczyńska-Galas, Janusz Kubacki, Piotr Król

Marta Szlachta, Anna Polak, Beata Błaszczyk, Agnieszka Kluszczyńska-Galas, Janusz Kubacki, Piotr Król – The efficacy of ultrasound and electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease. Fizjoterapia Polska 2009; 9(3); 211-222

Abstract
Background. The study aimed to evaluate the efficacy of ultrasound and Ketonal (ketoprofen) electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease. Materiał and methods. Forty-six persons randomly assigned to two groups were investigated. Group A consisted of 23 per-sons aged 53-72 years. Group B comprised 23 patients whose age ranged from 54 to 60 years. The knee joint rangę of motion and muscle strength were assessed in all patients immediately before treatment and on completion ofa course of physical thera-py Group A was treated with ultrasound (1 MHz; 0.5-1.0 W/cm2; 20%; 1-3 min/cm2), while Group B was subjected to electropho-nophoretic treatment (0.1 mA/cm2; 1 MHz; 0.5-1.0 W/cm2; 20%; 1-3 min/cm2; 2% Ketonal). A total of 10 procedures were admini-stered to each patient over two weeks. Results. The knee-joint rangę of motion and strength ofthe knee flexors and extensors improved significantly in both groups after treatment in comparison to baseline values. There was no statistically significant inerease in the muscle strength ofthe knee rotators. An inter-group comparison of treatment effects showed that the ranges of the passive and active flexion, passive and active extension and strength of the flexor and extensor muscles of the knee joint had inereased morę significantly in group B than in group A. Conclusions. The treatment applied in both comparative groups was effective. Electrophonophoresis led to slightly better treatment outeomes than ultrasound.
Key words:
degenerative disease, ultrasound, electrophonophoresis, knee joint
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Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król – Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries. Fizjoterapia Polska 2010; 10(2); 123-135

Abstract
Background: The study aimed to assess and compare the effectiveness of Ketonal (ketoprofenum) iontophoresis and a combination therapy involving ultrasound and electrical stimulation in the treatment of rotator cuff injuries. Materials and methods: The study involved 30 patients with symptoms of rotator cuff injuries. The patients were randomly assigned to two groups. Patients in Group A received Ketonal iontophoresis. Patients in Group B received a combination therapy involving ultrasound and electrical stimulation to trigger points of the supraspinatus and other shoulder rotator muscles. Treatment efficacy was assessed by analysing changes in shoulder range of motion, supraspinatus strength, and the occurrence and intensity of pain. Results: The treatment produced significant effects in both groups. Treatment effects in Group B were somewhat better than those in Group A, with significant differences in pain resolution and improved range of active abduction. Conclusions: Ketonal iontophoresis and combination treatment are effective methods for treating the sequelae of rotator cuff injuries. The combination treatment applied directly to myofascial trigger points produced somewhat better results than Ketonal iontophoresis.
Key words:
rotator cuff, iontophoresis, ultrasound, TENS, electrical stimulation
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Evaluation of efficacy of interferential current and ultrasound therapy in patients with spinal pain

Karolina Szulkowska, Magdalena Fronczek, Jolanta Kujawa

Karolina Szulkowska, Magdalena Fronczek, Jolanta Kujawa – Evaluation of efficacy of interferential current and ultrasound therapy in patients with spinal pain. Fizjoterapia Polska 2010; 10(3); 181-192

Abstract
Background. Comparative evaluation of analgesic efficacy of interferential current and ultrasound for the relief of pain radiation to the lower limbs in patients with a chronic spinal pain syndrome in the course of osteoarthritis. Material and methods. The study involved 100 individuals divided into two equal groups. Group A (n=50) patients received 10 ultrasound therapy sessions (0.8 W/cm2, 10 minutes). Group B (n=50) patients received 10 interferential current (IC) treatment sessions (10 minutes, 90-100 Hz). All volunteers completed questionnaires containing 42 questions. A subjective pain evaluation was performed using Visual-Analogue Scale of pain (VAS). The Oswestry Disability Scale was used to evaluate lumbosacral spine dysfunction.Results. The incidence of pain radiating to the buttocks decreased in both groups. In the ultrasound group, there was an insignificant reduction of pain radiation to the posterior part of the thighs, while after interferential current therapy pain radiation decreased by 50%. Pain radiation below the knees was reduced significantly in the group treated with interferential current. Conclusions. Interferential current therapy more effective than ultrasound for the reduction of pain radiation to the lower extremities in patients with chronic low back pain in the course of spondyloarthrosis.
Key words:
interferential current, ultrasound, spinal pain
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Efficacy of Ultrasound therapy versus conventional therapy on reducing multiple components of neuropathic pain in diabetic neuropathic patients – comparative study

Amany Gomaa Atiaa, Osama Fekry Al Balah, Khaled A Hameed Mostafa, Dina Nabil Abas, Heba Hazaa Abd El Wahab

Amany Gomaa Atiaa, Osama Fekry Al Balah, Khaled A Hameed Mostafa, Dina Nabil Abas, Heba Hazaa Abd El Wahab – Efficacy of Ultrasound therapy versus conventional therapy on reducing multiple components of neuropathic pain in diabetic neuropathic patients – comparative study. Fizjoterapia Polska 2021; 21(2); 154-158

Abstract
Background. As diabetic neuropathic pain is associated with various forms of pain sensations. This study was conducted to evaluate the efficacy of adding Ultrasound therapy (US) versus conventional medication only on variety of pain sensation in diabetic neuropathic patients. Materials and Methods. Thirty patients with diabetic neuropathy were recruited from diabetic clinic at Zagazig University Hospital. The Patients were randomly divided into two equal groups: group A [received US therapy beside the traditional medication] and group B (control group that received traditional medication only). Visual analog scale (VAS) and Neuropathic pain scale (NPS) were used for pain assessments. All assessments were conducted pre-treatment and eight weeks post treatment. Result. there was a significant reduction of VAS score, NPSQ1, NPSQ2, NPSQ3, NPSQ4, NPSQ6, NPSQ9, NPSQ10 deep (p < 0.05) at post treatment in compared to pre-treatment for group A. While there was a significant reduction of NPSQ4 (p < 0.05) at post treatment in compared to pre-treatment for group B. Conclusion. US therapy is an effective therapeutic modality in decreasing various forms of pain in diabetic neuropathic patients.
Key words:
pain, diabetic neuropathy, ultrasound, neuropathic pain scale
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