I. Doroniewicz, M. Matyja, J. Durmała, J. Pastuszak
Abstract Background: Regular physical therapy of people with Down syndrome improves the efficiency of such treatment. However, it remains unclear whether a discontinuation of the therapy over the period of summer holiday influences the effects of the therapeutic process. The aim of this study was to evaluate the effect of summer holiday on postural tone and quantitative parameters of body posture (angle of trunk rotation in the transverse plane and the spinal curvatures such as kyphosis or lordosis in the sagittal plane) in young people with Down syndrome. Material/Methods: Twenty one people aged 14 to 24 years were examined, with IQ scores from 54 to 35 on the Wechsler Intelligence scale. The experimental group was young people with Down syndrome whereas the control group were people with moderate intellectual disability without additional neurological, orthopaedic and other genetic disorders. The postural tone coefficient (PTC) and values of the spinal curvature (lordosis and kyphosis) and angle of trunk rotation (ATR) were evaluated twice. The first measurement was performed after 10 months of regular neurorehabilitation according to the neurodevelopment concept while the second - after 2 months of summer holiday. Results: During the holiday, the PTC value reduced significantly in the controls, from 0.40 to 0.37 (p=0.02), whereas in young people with Down syndrome, postural tone did not change significantly (p=0.33). In terms of the parameters of body posture, one significant change was observed in the group of patients with Down syndrome (kyphosis, p=0.00). Conclusions: No significant correlations were found between postural tone and values of kyphosis, lordosis and angle of trunk rotation, except for the relationship between PTC and angle of trunk rotation obtained in the main thoracic measurement (Th5- Th12, p=0.03).
{"title":"Effect of holiday on postural tone and selected parameters of body posture in young people with Down syndrome","authors":"I. Doroniewicz, M. Matyja, J. Durmała, J. Pastuszak","doi":"10.1515/pha-2015-0014","DOIUrl":"https://doi.org/10.1515/pha-2015-0014","url":null,"abstract":"Abstract Background: Regular physical therapy of people with Down syndrome improves the efficiency of such treatment. However, it remains unclear whether a discontinuation of the therapy over the period of summer holiday influences the effects of the therapeutic process. The aim of this study was to evaluate the effect of summer holiday on postural tone and quantitative parameters of body posture (angle of trunk rotation in the transverse plane and the spinal curvatures such as kyphosis or lordosis in the sagittal plane) in young people with Down syndrome. Material/Methods: Twenty one people aged 14 to 24 years were examined, with IQ scores from 54 to 35 on the Wechsler Intelligence scale. The experimental group was young people with Down syndrome whereas the control group were people with moderate intellectual disability without additional neurological, orthopaedic and other genetic disorders. The postural tone coefficient (PTC) and values of the spinal curvature (lordosis and kyphosis) and angle of trunk rotation (ATR) were evaluated twice. The first measurement was performed after 10 months of regular neurorehabilitation according to the neurodevelopment concept while the second - after 2 months of summer holiday. Results: During the holiday, the PTC value reduced significantly in the controls, from 0.40 to 0.37 (p=0.02), whereas in young people with Down syndrome, postural tone did not change significantly (p=0.33). In terms of the parameters of body posture, one significant change was observed in the group of patients with Down syndrome (kyphosis, p=0.00). Conclusions: No significant correlations were found between postural tone and values of kyphosis, lordosis and angle of trunk rotation, except for the relationship between PTC and angle of trunk rotation obtained in the main thoracic measurement (Th5- Th12, p=0.03).","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121335104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Małecki, Mirosław Kokosz, E. Saulicz, Izabela Świat-Borowczyk
Abstract Background: Low back pain is a common problem in ballroom dancers. In the United States of America about 23% of all injuries in dancers is low back pain. Low back pain in dancers can be related to the extended position of the spine during dancing. The activity of the abdominal muscles, such as transverse abdominis and multifidus muscles can play significant role in the pathomechanics of the problem. These muscles are important for stability of the pelvis and the lumbar spine. The purpose of the study was to estimate the effectiveness of stability exercises of the lumbo-pelvic-hip complex in reducing low back pain among ballroom dancers. Material/Methods: 30 professional dancers (mean age of 19 years) both males and females participated in the research. Subjects were randomised into two groups. Dancers from the first group continued normal dance training with extra stability training (the experimental group). Participants from the second group continued normal dance training only, without any modifications (the control group). The pain rate was measured by the Numerical Pain Rating Scale. The stability muscles activity was estimated with the biofeedback pressure unit in supine and prone position. Results: After 6 weeks of stability trainings in dancers from experimental group low back pain significantly decreased and the stability muscles activity improved (p < 0.05). Conclusions: Results of the study show that stability exercises can be effective in reducing low back pain in ballroom dancers. However, prolonged observations and research comparing different training regimens (e.g. general exercises or Pilates) are needed.
{"title":"The effectiveness of stability training of the lumbo-pelvic-hip complex in ballroom dancers with low back pain","authors":"J. Małecki, Mirosław Kokosz, E. Saulicz, Izabela Świat-Borowczyk","doi":"10.1515/pha-2015-0010","DOIUrl":"https://doi.org/10.1515/pha-2015-0010","url":null,"abstract":"Abstract Background: Low back pain is a common problem in ballroom dancers. In the United States of America about 23% of all injuries in dancers is low back pain. Low back pain in dancers can be related to the extended position of the spine during dancing. The activity of the abdominal muscles, such as transverse abdominis and multifidus muscles can play significant role in the pathomechanics of the problem. These muscles are important for stability of the pelvis and the lumbar spine. The purpose of the study was to estimate the effectiveness of stability exercises of the lumbo-pelvic-hip complex in reducing low back pain among ballroom dancers. Material/Methods: 30 professional dancers (mean age of 19 years) both males and females participated in the research. Subjects were randomised into two groups. Dancers from the first group continued normal dance training with extra stability training (the experimental group). Participants from the second group continued normal dance training only, without any modifications (the control group). The pain rate was measured by the Numerical Pain Rating Scale. The stability muscles activity was estimated with the biofeedback pressure unit in supine and prone position. Results: After 6 weeks of stability trainings in dancers from experimental group low back pain significantly decreased and the stability muscles activity improved (p < 0.05). Conclusions: Results of the study show that stability exercises can be effective in reducing low back pain in ballroom dancers. However, prolonged observations and research comparing different training regimens (e.g. general exercises or Pilates) are needed.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121809955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Background: Pelvic floor dysfunctions, among which urinary incontinence is the most onerous symptom, pose a serious social problem whose significance is probable to grow together with the process of an ageing society and more frequent incontinence episodes in menopausal women. The growing absence of professionally active people suffering from incontinence is prone to result both from plans to raise the retirement age and the process of an ageing society. The concept of Corefit system has been created to meet the incontinent women’s expectations. The above mentioned system is based on an individualized sensomotoric training programme as well as the re-education of incorrect motor patterns resulting in pelvic floor muscle overload. What is also essential for Corefit system effectiveness is monitoring the process of facilitation, which enables constant training plan correction.
{"title":"The principle of system Corefit in rehabilitation of pelvic floor disorders for women in menopause period","authors":"I. Žak, E. Saulicz, P. Linek, M. Saulicz","doi":"10.1515/pha-2015-0009","DOIUrl":"https://doi.org/10.1515/pha-2015-0009","url":null,"abstract":"Abstract Background: Pelvic floor dysfunctions, among which urinary incontinence is the most onerous symptom, pose a serious social problem whose significance is probable to grow together with the process of an ageing society and more frequent incontinence episodes in menopausal women. The growing absence of professionally active people suffering from incontinence is prone to result both from plans to raise the retirement age and the process of an ageing society. The concept of Corefit system has been created to meet the incontinent women’s expectations. The above mentioned system is based on an individualized sensomotoric training programme as well as the re-education of incorrect motor patterns resulting in pelvic floor muscle overload. What is also essential for Corefit system effectiveness is monitoring the process of facilitation, which enables constant training plan correction.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128263335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Posłuszny, A. Myśliwiec, E. Saulicz, G. Mikolajowski, P. Linek, M. Saulicz, Myśliwiec Andrzej
Abstract Background: In the physiotherapeutic practice, the need for measurements of e.g. range of motion or strength of the cervical spine muscles results from a variety of degenerative processes in the area of the head, cervical spine and shoulder girdle. In Poland, we designed a measurement stand based on the equipment described in foreign literature. Validation of the measurement stand was performed in order to determine the usefulness of this stand for measurements of maximal strength and muscle torques for the isometric contraction of the cervical spine muscles. Material/Methods: A group of 13 women was examined to validate the device. The criteria for inclusion into the study group were adult age, no back pain and head pain syndromes. Validation of the equipment consisted in the calculation of the intraclass correlation coefficient (ICC). Three measurements were performed for each movement in three planes: initial measurement (I), second measurement after 15 minutes (II) and the third measurement after a week (III). The ICC coefficient was calculated based on the methodology discussed in the study by Shrout and Fleiss (1979). Results: The results of the measurements reached the "excellent" level of the ICC coefficient between the first and the second test. In the case of the first and the third tests, the ICC coefficient reached the "good" level for the movements in the sagittal and transverse planes and the "excellent" level for the movements in the frontal plane. Conclusions: The measurement system used in the measurement stand designed by the authors of the present study can be successfully used for comparative studies of several groups or repeated examinations of the same study group after application of a specific therapeutic procedure.The stand cannot be used for evaluation whether the results obtained are consistent with the standards for specific populations or for comparison with the results obtained from other devices.
{"title":"Validation of the device for evaluation of muscular strength in the cervical spine region","authors":"A. Posłuszny, A. Myśliwiec, E. Saulicz, G. Mikolajowski, P. Linek, M. Saulicz, Myśliwiec Andrzej","doi":"10.1515/pha-2015-0008","DOIUrl":"https://doi.org/10.1515/pha-2015-0008","url":null,"abstract":"Abstract Background: In the physiotherapeutic practice, the need for measurements of e.g. range of motion or strength of the cervical spine muscles results from a variety of degenerative processes in the area of the head, cervical spine and shoulder girdle. In Poland, we designed a measurement stand based on the equipment described in foreign literature. Validation of the measurement stand was performed in order to determine the usefulness of this stand for measurements of maximal strength and muscle torques for the isometric contraction of the cervical spine muscles. Material/Methods: A group of 13 women was examined to validate the device. The criteria for inclusion into the study group were adult age, no back pain and head pain syndromes. Validation of the equipment consisted in the calculation of the intraclass correlation coefficient (ICC). Three measurements were performed for each movement in three planes: initial measurement (I), second measurement after 15 minutes (II) and the third measurement after a week (III). The ICC coefficient was calculated based on the methodology discussed in the study by Shrout and Fleiss (1979). Results: The results of the measurements reached the \"excellent\" level of the ICC coefficient between the first and the second test. In the case of the first and the third tests, the ICC coefficient reached the \"good\" level for the movements in the sagittal and transverse planes and the \"excellent\" level for the movements in the frontal plane. Conclusions: The measurement system used in the measurement stand designed by the authors of the present study can be successfully used for comparative studies of several groups or repeated examinations of the same study group after application of a specific therapeutic procedure.The stand cannot be used for evaluation whether the results obtained are consistent with the standards for specific populations or for comparison with the results obtained from other devices.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130261090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Background: World Health Organization considers obesity as the most serious health condition in the world today. This concerns not only adults but also children and young people. Obesity is the leading cause of increased morbidity, disabilities, mortality rates and deteriorated quality of life in society. Higher death risk due to cardiovascular diseases and certain cancerous conditions are also attributable to obesity. Some 40% adults in the world today are overweight and 13% are obese. These tendencies have also been observed in Poland. Specific components of comprehensive slimming treatments include dietary treatment, nutrition education, habits modification, increased level of physical activity, pharmacological treatment and surgical interventions. The basis in obesity treatment is to induce a negative energy balance. This status is typically achieved through dietary measures and increased energy expenditure. Helping prepare adequate individual therapeutic programs is a key to success in slimming of the obese patients. Mass reduction programs are prepared individually based on FITT formula, which takes into consideration four aspects of physical activity: frequency, intensity, time and type of physical activity. The role of physiotherapists in this process is essential. Individual therapeutic programs help adjust all the aspects of training to the health status of the obese patients, with respect to coexisting diseases.
{"title":"Physiotherapy in the comprehensive treatment of obesity","authors":"J. Cieślińska-Świder","doi":"10.1515/pha-2015-0013","DOIUrl":"https://doi.org/10.1515/pha-2015-0013","url":null,"abstract":"Abstract Background: World Health Organization considers obesity as the most serious health condition in the world today. This concerns not only adults but also children and young people. Obesity is the leading cause of increased morbidity, disabilities, mortality rates and deteriorated quality of life in society. Higher death risk due to cardiovascular diseases and certain cancerous conditions are also attributable to obesity. Some 40% adults in the world today are overweight and 13% are obese. These tendencies have also been observed in Poland. Specific components of comprehensive slimming treatments include dietary treatment, nutrition education, habits modification, increased level of physical activity, pharmacological treatment and surgical interventions. The basis in obesity treatment is to induce a negative energy balance. This status is typically achieved through dietary measures and increased energy expenditure. Helping prepare adequate individual therapeutic programs is a key to success in slimming of the obese patients. Mass reduction programs are prepared individually based on FITT formula, which takes into consideration four aspects of physical activity: frequency, intensity, time and type of physical activity. The role of physiotherapists in this process is essential. Individual therapeutic programs help adjust all the aspects of training to the health status of the obese patients, with respect to coexisting diseases.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124773974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Research conducted in recent years suggests that neuromuscular electrical stimulation of the lower limb muscles (NMES) may be an alternative to physical training in patients with chronic heart failure (CHF). Through stimulating the work of the muscles, NMES raises the exercise tolerance, muscle mass and endurance in patients with CHF. A beneficial effect of NMES on muscle blood flow, aerobic enzymes activity, vascular endothelial function, decrease in pro-inflammatory cytokines and improvement of quality of life has been indicated. It must be emphasized that NMES procedures are comfortable for patients with CHF due to lower exercise load and therefore less intense symptoms of dyspnea. Moreover, these procedures may be conducted at home (after prior training). The possible side effects include temporary muscle soreness and skin impairment resulting from improper placement of electrodes (patients in ambulatory conditions).
{"title":"The Use of Neuromuscular Electrical Stimulation of the Lower Limbs Skeletal Muscles in Cardiac Rehabilitation of Patients With Chronic Heart Failure","authors":"Ewa Kucio, A. Polak, Cezary Kucio","doi":"10.1515/pha-2015-0005","DOIUrl":"https://doi.org/10.1515/pha-2015-0005","url":null,"abstract":"Abstract Research conducted in recent years suggests that neuromuscular electrical stimulation of the lower limb muscles (NMES) may be an alternative to physical training in patients with chronic heart failure (CHF). Through stimulating the work of the muscles, NMES raises the exercise tolerance, muscle mass and endurance in patients with CHF. A beneficial effect of NMES on muscle blood flow, aerobic enzymes activity, vascular endothelial function, decrease in pro-inflammatory cytokines and improvement of quality of life has been indicated. It must be emphasized that NMES procedures are comfortable for patients with CHF due to lower exercise load and therefore less intense symptoms of dyspnea. Moreover, these procedures may be conducted at home (after prior training). The possible side effects include temporary muscle soreness and skin impairment resulting from improper placement of electrodes (patients in ambulatory conditions).","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124397630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Knapik, Jerzy Rottermund, Aneta Warmuz-Wancisiewicz, Jolanta Witanowska
Abstract Background: Research of health determinants confirmed its beneficial relationships with the optimum level of physical activity at any age. The problem is the physical passivity of societies. In the elderly, this problem is of particular importance, which is conditioned by both biological factors and social. This justifies the diagnosis of relationships: the barrier activity - activity - well-being. Material/Methods: 393peoplewere tested:216women and 177men aged65 -85 years. A questionnaire with closed questions was used as a tool in the research. Physical activity was examined using selected questions of Baecke questionnaire, barriers to physical activity using a scale KCS, and self-assessment of health - by using the SF-36. Results: Correlation analysis of age and the activity showed a low relationship for the women and no relationship for the men. There were no differences in activity due to sex, either due to the occurrence of chronic diseases. There is a weak correlation between age and kinesiophobia among women, no relationship was found in the group of men. Prevalence of chronic diseases differentiated the level of kinesiophobia only in women. Analysis of health self-assessment showed a relatively well-being in the test - the average PC and MC were above 50 points. Conclusions: Women represent a lower level of physical activity than men, but at an older age, these differences are no longer statistically significant. However, the level of activity barriers is still higher. Aging is a process which varies greatly individually, and this applies to activity, its barriers, and self-assessment of health. Age is not a category that fully explains the complex issues depending on the variables examined.
{"title":"The Activity and Its Barriers and the Well-Being of Older Poles","authors":"A. Knapik, Jerzy Rottermund, Aneta Warmuz-Wancisiewicz, Jolanta Witanowska","doi":"10.1515/pha-2015-0002","DOIUrl":"https://doi.org/10.1515/pha-2015-0002","url":null,"abstract":"Abstract Background: Research of health determinants confirmed its beneficial relationships with the optimum level of physical activity at any age. The problem is the physical passivity of societies. In the elderly, this problem is of particular importance, which is conditioned by both biological factors and social. This justifies the diagnosis of relationships: the barrier activity - activity - well-being. Material/Methods: 393peoplewere tested:216women and 177men aged65 -85 years. A questionnaire with closed questions was used as a tool in the research. Physical activity was examined using selected questions of Baecke questionnaire, barriers to physical activity using a scale KCS, and self-assessment of health - by using the SF-36. Results: Correlation analysis of age and the activity showed a low relationship for the women and no relationship for the men. There were no differences in activity due to sex, either due to the occurrence of chronic diseases. There is a weak correlation between age and kinesiophobia among women, no relationship was found in the group of men. Prevalence of chronic diseases differentiated the level of kinesiophobia only in women. Analysis of health self-assessment showed a relatively well-being in the test - the average PC and MC were above 50 points. Conclusions: Women represent a lower level of physical activity than men, but at an older age, these differences are no longer statistically significant. However, the level of activity barriers is still higher. Aging is a process which varies greatly individually, and this applies to activity, its barriers, and self-assessment of health. Age is not a category that fully explains the complex issues depending on the variables examined.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132235711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Background: Chronic low back pain (LBP) is the most common cause of disability, hence multiple attempts have been undertaken to develop therapeutic strategies aimed at addressing the issue. The most commonly used strategies include motor control exercises of deep core muscles that stabilize the lower back. However, on the practical side, they require application of special devices, such as ultrasonography or electromyography as well as instructions and support provided by trained personnel. Despite the lack of high-quality empirical evidence, these exercises are extensively used in clinical practice. Narrative Review: The vast body of literature collected suggests that the cause of chronic LBP should be sought in the structural and functional alterations within different levels of the central nervous system. These alterations and maladaptations apply to both the molecular and tissue levels. Nevertheless, successful treatment of these changes is currently possible due to an affordable, cognitive therapeutic approach. It encompasses a number of strategies that aim to restore the normal function of the nervous system using brain plasticity processes. These include graded motor imagery, mirror therapy, graded exposure, pain education, sensory training and pain coping strategies. Conclusions: Lack of clear advantage in the application of the core stability exercises over other, potentially cheaper alternatives, implies a shift-paradigm from the existing biomedical model of chronic LBP treatment towards modern cognitive approaches. As results of numerous studies confirm the validity of the approach aimed at restoring the structure and function of the central nervous system in contrast to the still common concept of treatment of the peripheral tissues of the body, more rigorous systematic reviews and meta-analysis are required. Evidence from this kind of evaluation may contribute to the shift in current beliefs regarding the treatment of chronic LBP.
{"title":"Chronic Low Back Pain, Core Stability and Francis Bacon: Implications for Contemporary Physiotherapy – A Narrative Review","authors":"W. Adamczyk, E. Saulicz","doi":"10.1515/pha-2015-0006","DOIUrl":"https://doi.org/10.1515/pha-2015-0006","url":null,"abstract":"Abstract Background: Chronic low back pain (LBP) is the most common cause of disability, hence multiple attempts have been undertaken to develop therapeutic strategies aimed at addressing the issue. The most commonly used strategies include motor control exercises of deep core muscles that stabilize the lower back. However, on the practical side, they require application of special devices, such as ultrasonography or electromyography as well as instructions and support provided by trained personnel. Despite the lack of high-quality empirical evidence, these exercises are extensively used in clinical practice. Narrative Review: The vast body of literature collected suggests that the cause of chronic LBP should be sought in the structural and functional alterations within different levels of the central nervous system. These alterations and maladaptations apply to both the molecular and tissue levels. Nevertheless, successful treatment of these changes is currently possible due to an affordable, cognitive therapeutic approach. It encompasses a number of strategies that aim to restore the normal function of the nervous system using brain plasticity processes. These include graded motor imagery, mirror therapy, graded exposure, pain education, sensory training and pain coping strategies. Conclusions: Lack of clear advantage in the application of the core stability exercises over other, potentially cheaper alternatives, implies a shift-paradigm from the existing biomedical model of chronic LBP treatment towards modern cognitive approaches. As results of numerous studies confirm the validity of the approach aimed at restoring the structure and function of the central nervous system in contrast to the still common concept of treatment of the peripheral tissues of the body, more rigorous systematic reviews and meta-analysis are required. Evidence from this kind of evaluation may contribute to the shift in current beliefs regarding the treatment of chronic LBP.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114676042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Myśliwiec, E. Saulicz, M. Kuszewski, Michał Klapuch
Abstract Background: The vast majority of pain dysfunctions of the cervical spine is underlain by prolonged overload and one effective therapy is traction. The aim of this study is to assess the influence of cervical spine traction on changes in heart rate and arterial blood pressure in people with arterial hypertension and normotension. Material/Methods: The study involved a total of 168 patients, in whom chronic cervical spine pain syndrome of low intensity, with no radiation of symptoms and with no significant functional limitations occurred. The subjects were intentionally allocated into a group with arterial hypertension and a group with normotension. Results: The analysis of the obtained results showed that cervical spine traction does not strain the cardiovascular system. In the group of subjects with arterial hypertension, a linear value reduction of all the heart hemodynamic parameters measured in the successive trials was observed. The most significant difference between the initial and final test was observed in patients, in whom the traction procedure was only simulated. Conclusions: Cervical spine traction performed according to D. Saunders’ method does not constitute any threat to patients with arterial hypertension.
{"title":"Assessment of the Influence of Cervical Spine Traction on the Change of Heart Hemodynamic Parameters","authors":"A. Myśliwiec, E. Saulicz, M. Kuszewski, Michał Klapuch","doi":"10.1515/pha-2015-0003","DOIUrl":"https://doi.org/10.1515/pha-2015-0003","url":null,"abstract":"Abstract Background: The vast majority of pain dysfunctions of the cervical spine is underlain by prolonged overload and one effective therapy is traction. The aim of this study is to assess the influence of cervical spine traction on changes in heart rate and arterial blood pressure in people with arterial hypertension and normotension. Material/Methods: The study involved a total of 168 patients, in whom chronic cervical spine pain syndrome of low intensity, with no radiation of symptoms and with no significant functional limitations occurred. The subjects were intentionally allocated into a group with arterial hypertension and a group with normotension. Results: The analysis of the obtained results showed that cervical spine traction does not strain the cardiovascular system. In the group of subjects with arterial hypertension, a linear value reduction of all the heart hemodynamic parameters measured in the successive trials was observed. The most significant difference between the initial and final test was observed in patients, in whom the traction procedure was only simulated. Conclusions: Cervical spine traction performed according to D. Saunders’ method does not constitute any threat to patients with arterial hypertension.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122781709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract The question of the role of physical activity in preventing disability in neurological diseases is the issue which is not in doubt. There is well known that physical activity in Parkinson`s disease and in Multiple Sclerosis patients is less than is the case in the general population. Numerous scientific studies have confirmed the low physical activity of people with PD and MS. Improving physical activity delays the progress of physical disability and has the effect on increasing the quality of life in those two diseases. In this paper an descriptive review of the literature devoted to the effect of physical activity on risk of PD and its impact on disability progression in PD and MS has been presented. The different recommendations for physical activity and different methods of assessment have been described.
{"title":"Physical Activity in Prevention of Risk and Disability in Some Neurological Diseases","authors":"J. Opara","doi":"10.1515/pha-2015-0004","DOIUrl":"https://doi.org/10.1515/pha-2015-0004","url":null,"abstract":"Abstract The question of the role of physical activity in preventing disability in neurological diseases is the issue which is not in doubt. There is well known that physical activity in Parkinson`s disease and in Multiple Sclerosis patients is less than is the case in the general population. Numerous scientific studies have confirmed the low physical activity of people with PD and MS. Improving physical activity delays the progress of physical disability and has the effect on increasing the quality of life in those two diseases. In this paper an descriptive review of the literature devoted to the effect of physical activity on risk of PD and its impact on disability progression in PD and MS has been presented. The different recommendations for physical activity and different methods of assessment have been described.","PeriodicalId":151082,"journal":{"name":"Physiotherapy and Health Activity","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131697313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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