Pub Date : 2019-03-06DOI: 10.33607/rmske.v2i13.695
L. Varzaityte, R. Savickas, Liepa Šiupinienė, Vilija Varanienė
Background. The speech and language disorders for stroke patients are associate with bigger morbidity, mortality, hypofunction, but the literature fndings are controversial. The aim of the study is to analyse the influence of speech and language disorders on the effectiveness of rehabilitation of individuals who suffered stroke. Subjects and methods. The study involved 64 individuals with stroke who were treated at LUHSH KK Neurorehabilitation subdivision during the years 2008 and 2010. In this analysis a retrospective data from hospital medical records forms was used. The effectiveness of rehabilitation was assessed by a change of results of functional independence measurement (FIM) and mini-mental state examination (MMSE) tests during rehabilitation. The factors that may influence the effectiveness of rehabilitation (age, gender, type of speech and language disorder) were analysed. Results. The analysis revealed that rehabilitation was effective and effcient for individuals who suffered stroke both in the right and the left side, and the difference was not statistically signifcant. The FIM results of individuals with speech disorders before rehabilitation were worse, comparing to those who had speech and language disorder. The difference was statistically significant (p = 0.004). But after rehabilitation, although the FIM results of subjects with speech impairments remained lower, the difference was not statistically signifcant (p = 0.367). The difference between FIM results after rehabilitation among separate aphasia groups was not statistically signifcant. But there was a statistically signifcant difference, comparing MMSE results before and after rehabilitation (p = 0.02). Conclusions. The inpatient rehabilitation was effective for stroke patients. The age and gender did not have statistically signifcant influence. The speech and language disorders did not have statistically signifcant influence to recovery of cognitive dysfunction for stroke patients in the early period of rehabilitation.Keywords: stroke, speech and language disorder, rehabilitation.
{"title":"The Influence of Speech and Language Disorders on the Effectiveness of Rehabilitation of Individuals who Suffered Stroke","authors":"L. Varzaityte, R. Savickas, Liepa Šiupinienė, Vilija Varanienė","doi":"10.33607/rmske.v2i13.695","DOIUrl":"https://doi.org/10.33607/rmske.v2i13.695","url":null,"abstract":"Background. The speech and language disorders for stroke patients are associate with bigger morbidity, mortality, hypofunction, but the literature fndings are controversial. The aim of the study is to analyse the influence of speech and language disorders on the effectiveness of rehabilitation of individuals who suffered stroke. Subjects and methods. The study involved 64 individuals with stroke who were treated at LUHSH KK Neurorehabilitation subdivision during the years 2008 and 2010. In this analysis a retrospective data from hospital medical records forms was used. The effectiveness of rehabilitation was assessed by a change of results of functional independence measurement (FIM) and mini-mental state examination (MMSE) tests during rehabilitation. The factors that may influence the effectiveness of rehabilitation (age, gender, type of speech and language disorder) were analysed. Results. The analysis revealed that rehabilitation was effective and effcient for individuals who suffered stroke both in the right and the left side, and the difference was not statistically signifcant. The FIM results of individuals with speech disorders before rehabilitation were worse, comparing to those who had speech and language disorder. The difference was statistically significant (p = 0.004). But after rehabilitation, although the FIM results of subjects with speech impairments remained lower, the difference was not statistically signifcant (p = 0.367). The difference between FIM results after rehabilitation among separate aphasia groups was not statistically signifcant. But there was a statistically signifcant difference, comparing MMSE results before and after rehabilitation (p = 0.02). Conclusions. The inpatient rehabilitation was effective for stroke patients. The age and gender did not have statistically signifcant influence. The speech and language disorders did not have statistically signifcant influence to recovery of cognitive dysfunction for stroke patients in the early period of rehabilitation.Keywords: stroke, speech and language disorder, rehabilitation. ","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45555205","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}
Pub Date : 2019-01-01DOI: 10.33607/RMSKE.V1I14.701
J. Sučylaitė, Jurgita Platakytė
Background. This article analyzes aggressive behaviour of schizophrenic child and its characteristics. It examines what factors provoke aggressive behaviour, what activities are useful to strengthen their social adaptation. There are scientific articles with discussions about schizophrenic patients’ feelings, neurobiological activities, but it is a lack of concrete case analyses, helpful to understand psychological and social causes of schizophrenic patient aggressive behaviour, and to create methodical techniques how to work with these children having goal to reduce aggressive behaviour. The aim of this article is to explore psychosocial environmental impact on aggressiveness of children, suffering from schizophrenia. Methods. Qualitative research was selected, phenomenological observation and a short interview with children’s mothers and nurses were used for data collection, and the examination of the documents (drawings) was used, too. Data were summarized using qualitative content analysis, as well as grounded theory strategy. The study involved four school-age patients with schizophrenia. Recorded materials of observations and interviews were analyzed as the text. Results. Schizophrenic child has learned aggressive behaviour in the family; social rejection or sudden loss of warm emotional contact strengthened aggressiveness; aggressive actions occurred spontaneously and were directed to the imme diate surroundings; these actions were incomprehensible to people; emergence of noise provoked aggressive actions. Aggressive behaviour is associated with insecurity, low self-esteem, failure to understand the cause of aggressive behavior attacks reinforces alienation and hostility to the social world. Unconscious aggressiveness intensifes during its performance, so the behaviour is completely out of control; its consequences are related to the personality’s social devaluation. All these things are experienced as an access to the catastrophe from which the man cannot be saved, so the children focus on the crumbling world and inadequate attempts to escape, provoking conflicts. Quiet environment and drawing strengthens the self-esteem of individuals and calms. Conclusion. Personalized, targeted organization of leisure, responding to the interests of children with schizophrenia, creates the psychosocial environment, where the child’s safety increases, and aggressive behaviour trend reduces.Keywords: children with schizophrenia, aggressive behaviour, psychosocial environment, drawing.
{"title":"Environmental Influence on the Aggressiveness in Children with Schizophrenia","authors":"J. Sučylaitė, Jurgita Platakytė","doi":"10.33607/RMSKE.V1I14.701","DOIUrl":"https://doi.org/10.33607/RMSKE.V1I14.701","url":null,"abstract":"Background. This article analyzes aggressive behaviour of schizophrenic child and its characteristics. It examines what factors provoke aggressive behaviour, what activities are useful to strengthen their social adaptation. There are scientific articles with discussions about schizophrenic patients’ feelings, neurobiological activities, but it is a lack of concrete case analyses, helpful to understand psychological and social causes of schizophrenic patient aggressive behaviour, and to create methodical techniques how to work with these children having goal to reduce aggressive behaviour. The aim of this article is to explore psychosocial environmental impact on aggressiveness of children, suffering from schizophrenia. Methods. Qualitative research was selected, phenomenological observation and a short interview with children’s mothers and nurses were used for data collection, and the examination of the documents (drawings) was used, too. Data were summarized using qualitative content analysis, as well as grounded theory strategy. The study involved four school-age patients with schizophrenia. Recorded materials of observations and interviews were analyzed as the text. Results. Schizophrenic child has learned aggressive behaviour in the family; social rejection or sudden loss of warm emotional contact strengthened aggressiveness; aggressive actions occurred spontaneously and were directed to the imme diate surroundings; these actions were incomprehensible to people; emergence of noise provoked aggressive actions. Aggressive behaviour is associated with insecurity, low self-esteem, failure to understand the cause of aggressive behavior attacks reinforces alienation and hostility to the social world. Unconscious aggressiveness intensifes during its performance, so the behaviour is completely out of control; its consequences are related to the personality’s social devaluation. All these things are experienced as an access to the catastrophe from which the man cannot be saved, so the children focus on the crumbling world and inadequate attempts to escape, provoking conflicts. Quiet environment and drawing strengthens the self-esteem of individuals and calms. Conclusion. Personalized, targeted organization of leisure, responding to the interests of children with schizophrenia, creates the psychosocial environment, where the child’s safety increases, and aggressive behaviour trend reduces.Keywords: children with schizophrenia, aggressive behaviour, psychosocial environment, drawing.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456664","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}
Background. Lateral ankle ligament injuries are most common in sports, which affects athletes in all ages. It has been found that lateral ankle ligaments are injured in 1 of 10000 physically active people. Higher sports level professional players and amateurs need to return to sport early with no physical, psychological and economic consequences. Studies search for the most effective treatment after lateral ankle ligament injuries. Research aim – to perform a systematic review and determine the effect of early physiotherapy on pain and function after lateral ankle ligament injury. Methods. We conducted literature search using the Pubmed, Ebsco, Pedro, Google scholar databases, and chose controlled trials where early physiotherapy orientated to pain and function was used. Results. In control groups where traditional immobilization with RICE method was used, pain decreased to 1.96 ± 1.33 points, in the intervention groups who had early physiotherapy and RICE method, pain decreased to 1.53 ± 1.23 points. Effect size in control groups was r = 0.55 points, in the intervention groups it was r = 0.54 points. In control groups who had traditional immobilization with RICE method, function increased to 68.67 ± 16.79 point, in the intervention groups who had early physiotherapy and RICE method, function increased to 75.61 ± 13.27 points. Effect size in control groups was r = 0.82 points, in the intervention groups r = 0.88 point. Conclusions. Early physiotherapy orientated to pain and functions after lateral ankle ligaments injury helps to reduce pain faster and increases function, and helps return back to work and sports activities.Keywords: lateral ankle ligament, injuries, early physiotherapy.
{"title":"Effect of Early Physiotherapy after Lateral Ankle Ligament Injury on Pain and Function. Systematic Review","authors":"Ieva Masiulytė, Vygintė Gasiulytė, Giedrė Jurgelaitienė","doi":"10.33607/RMSKE.V1I16.741","DOIUrl":"https://doi.org/10.33607/RMSKE.V1I16.741","url":null,"abstract":"Background. Lateral ankle ligament injuries are most common in sports, which affects athletes in all ages. It has been found that lateral ankle ligaments are injured in 1 of 10000 physically active people. Higher sports level professional players and amateurs need to return to sport early with no physical, psychological and economic consequences. Studies search for the most effective treatment after lateral ankle ligament injuries. Research aim – to perform a systematic review and determine the effect of early physiotherapy on pain and function after lateral ankle ligament injury. Methods. We conducted literature search using the Pubmed, Ebsco, Pedro, Google scholar databases, and chose controlled trials where early physiotherapy orientated to pain and function was used. Results. In control groups where traditional immobilization with RICE method was used, pain decreased to 1.96 ± 1.33 points, in the intervention groups who had early physiotherapy and RICE method, pain decreased to 1.53 ± 1.23 points. Effect size in control groups was r = 0.55 points, in the intervention groups it was r = 0.54 points. In control groups who had traditional immobilization with RICE method, function increased to 68.67 ± 16.79 point, in the intervention groups who had early physiotherapy and RICE method, function increased to 75.61 ± 13.27 points. Effect size in control groups was r = 0.82 points, in the intervention groups r = 0.88 point. Conclusions. Early physiotherapy orientated to pain and functions after lateral ankle ligaments injury helps to reduce pain faster and increases function, and helps return back to work and sports activities.Keywords: lateral ankle ligament, injuries, early physiotherapy.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456715","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}
Pub Date : 2019-01-01DOI: 10.33607/RMSKE.V1I14.698
V. Juodžbalienė, Dovilė Krasauskytė, Dovilė Valatkienė
Research background. The imbalance between the jaw and neck muscle activity occurs as a compensatory mechanism in order to stabilize the jaw and neck structural parts in temporomandibular joint (TMJ) disorders (Ries et al., 2008). Changes occur in posture control system if any biomechanical unit varies (Ritzel et al., 2007). One system compensates the unusually active other body system in upper cross syndrome (UCS) (Tharcher et al., 2011). This syndrome is characterized by shortened upper trapezius, pectoralis major and romboids and week middle and lower trapezius, serratus anterior and deep neck flexors (Moore, 2004; Tharcher et al., 2011). Thus, it is believed that there may be a direct link between the upper cross syndrome and temporomandibular joint dysfunction. Purpose. Explore relationship between temporomandibular joint dysfunction and upper crossed syndrome in women. Methods. Thirty female volunteers participated in the study, and they were divided into groups according to trigger points in the shoulder and neck muscles: group 1 – painful shoulder and neck muscles (32.65 ± 12.34 years), group 2 – painless shoulder and neck muscles (34.5 ± 10.95 years). Survey was carried out assessing TMJ function during observation, palpation, evaluation of the sagittal craniovertebral angle, the neck and shoulder muscle length, strength, pain and deep neck muscle endurance was examined. Results. It was found that TMJ function was strongly associated with the UCS: trapezius pain as well as upper trapezius and scalenus length. TMJ disorders were associated with headache in both groups. Weak connection between deep neck muscle endurance and TMJ dysfunction was identifed. Conclusions. TMJ mobility is partly related to UCS, and TMJ functional disorders related to headache and sagittal craniovertebral angle. UCS specifc changes, such as pectoralis muscle length changes and impaired deep neck muscle endurance are not related to TMJ dysfunction.Keywords: temporomandibular joint, the upper crossed syndrome, muscle length, headache.
研究背景。在颞下颌关节(TMJ)疾病中,下颌和颈部肌肉活动的不平衡是一种代偿机制,目的是稳定下颌和颈部结构部位(Ries et al., 2008)。如果任何生物力学单元发生变化,姿势控制系统也会发生变化(Ritzel et al., 2007)。在上交叉综合征(UCS)中,一个系统补偿异常活跃的另一个身体系统(Tharcher et al., 2011)。该综合征的特征是上斜方肌、胸大肌和菱形肌缩短,中、下斜方肌、前锯肌和深颈屈肌缩短(Moore, 2004;Tharcher et al., 2011)。因此,我们认为上交叉综合征与颞下颌关节功能障碍之间可能存在直接联系。目的。探讨女性颞下颌关节功能障碍与上交叉综合征的关系。方法。30名女性志愿者参与研究,根据肩颈肌肉的触发点分为两组:1组肩颈肌肉疼痛(32.65±12.34岁),2组肩颈肌肉无痛(34.5±10.95岁)。观察、触诊时进行TMJ功能评估调查,评估颅椎矢状角,检查颈肩肌长度、力量、疼痛和深颈肌耐力。结果。我们发现TMJ功能与UCS、斜方肌疼痛以及上斜方肌和斜角肌长度密切相关。两组患者均与头痛相关。深颈肌耐力与颞下颌关节功能障碍之间存在微弱联系。结论。颞下颌关节活动与UCS部分相关,颞下颌关节功能障碍与头痛和矢状颅椎角相关。UCS特异性改变,如胸肌长度改变和深颈肌耐力受损与TMJ功能障碍无关。关键词:颞下颌关节,上交叉综合征,肌长,头痛。
{"title":"Correlation between Functional Disorders of Temporomadibular Joint and Upper Crossed Syndrome","authors":"V. Juodžbalienė, Dovilė Krasauskytė, Dovilė Valatkienė","doi":"10.33607/RMSKE.V1I14.698","DOIUrl":"https://doi.org/10.33607/RMSKE.V1I14.698","url":null,"abstract":"Research background. The imbalance between the jaw and neck muscle activity occurs as a compensatory mechanism in order to stabilize the jaw and neck structural parts in temporomandibular joint (TMJ) disorders (Ries et al., 2008). Changes occur in posture control system if any biomechanical unit varies (Ritzel et al., 2007). One system compensates the unusually active other body system in upper cross syndrome (UCS) (Tharcher et al., 2011). This syndrome is characterized by shortened upper trapezius, pectoralis major and romboids and week middle and lower trapezius, serratus anterior and deep neck flexors (Moore, 2004; Tharcher et al., 2011). Thus, it is believed that there may be a direct link between the upper cross syndrome and temporomandibular joint dysfunction. Purpose. Explore relationship between temporomandibular joint dysfunction and upper crossed syndrome in women. Methods. Thirty female volunteers participated in the study, and they were divided into groups according to trigger points in the shoulder and neck muscles: group 1 – painful shoulder and neck muscles (32.65 ± 12.34 years), group 2 – painless shoulder and neck muscles (34.5 ± 10.95 years). Survey was carried out assessing TMJ function during observation, palpation, evaluation of the sagittal craniovertebral angle, the neck and shoulder muscle length, strength, pain and deep neck muscle endurance was examined. Results. It was found that TMJ function was strongly associated with the UCS: trapezius pain as well as upper trapezius and scalenus length. TMJ disorders were associated with headache in both groups. Weak connection between deep neck muscle endurance and TMJ dysfunction was identifed. Conclusions. TMJ mobility is partly related to UCS, and TMJ functional disorders related to headache and sagittal craniovertebral angle. UCS specifc changes, such as pectoralis muscle length changes and impaired deep neck muscle endurance are not related to TMJ dysfunction.Keywords: temporomandibular joint, the upper crossed syndrome, muscle length, headache.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456585","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}
Research background. Physical therapy is one of the main methods of rehabilitation in order to maintain and improve hand function for patients with rheumatoid arthritis. It is supposed that kinesiotaping method can be successfully used in patients with RA during the physical therapy to improve hand function. The aim of the research was to evaluate the effect of kinesiotaping on hand function in patients with Rheumatoid Arthritis. Methods. The study involved 22 subjects (100% women) who had Rheumatoid Arthritis. Subjects were randomly divided into two groups: the research group consisted of 10 individuals, they received kinesiotaping and exercise program, and the control group consisted of 12 individuals, only exercise was applied to them. The study lasted for 2 months, the procedures were performed three times a week. Range of motion of the wrist was measured using the goniometry method, the handgrip strength was assessed using a dynamometer. Modifed Keitel Function test and Modifed Arthritis Impact Measurement Scale (AIMS II) were used to evaluate hand function. Results. Range of motion of the wrist after physical therapy increased in both groups, but in the research group the right and the left wrist flexion and the left wrist extension were signifcantly higher than in the control group (p < 0.05). The hand grip strength after physical therapy signifcantly increased in the control and in the research groups (p < 0.05), but in the research group, it was significantly higher than in the control group (p < 0.05 ). Hand functional status assessed by using a modifed Keitel index improved in both groups (p < 0.05) was significantly better in the research group (p < 0.05). The hand function assessed by the Arthritis Impact Measure Scale signifcantly improved in both groups (p < 0.05), but no signifcant difference between the groups was observed (p > 0.05). Conclusion. Kinesiotaping in conjunction with physical therapy is more effective method than just physical therapy in order to increase the range of motion of the wrist, the hand grip strength and hand functional status of patients with RA.Keywords: rheumatoid arthritis, physical therapy, kinesiotaping.
{"title":"The Effect of Kinesiotaping on Hand Function in Patients with Rheumatoid Arthritis","authors":"Vilija Žebrauskaitė, Inesa Rimdeikienė, Gintarė Ušeckienė","doi":"10.33607/RMSKE.V1I14.702","DOIUrl":"https://doi.org/10.33607/RMSKE.V1I14.702","url":null,"abstract":"Research background. Physical therapy is one of the main methods of rehabilitation in order to maintain and improve hand function for patients with rheumatoid arthritis. It is supposed that kinesiotaping method can be successfully used in patients with RA during the physical therapy to improve hand function. The aim of the research was to evaluate the effect of kinesiotaping on hand function in patients with Rheumatoid Arthritis. Methods. The study involved 22 subjects (100% women) who had Rheumatoid Arthritis. Subjects were randomly divided into two groups: the research group consisted of 10 individuals, they received kinesiotaping and exercise program, and the control group consisted of 12 individuals, only exercise was applied to them. The study lasted for 2 months, the procedures were performed three times a week. Range of motion of the wrist was measured using the goniometry method, the handgrip strength was assessed using a dynamometer. Modifed Keitel Function test and Modifed Arthritis Impact Measurement Scale (AIMS II) were used to evaluate hand function. Results. Range of motion of the wrist after physical therapy increased in both groups, but in the research group the right and the left wrist flexion and the left wrist extension were signifcantly higher than in the control group (p < 0.05). The hand grip strength after physical therapy signifcantly increased in the control and in the research groups (p < 0.05), but in the research group, it was significantly higher than in the control group (p < 0.05 ). Hand functional status assessed by using a modifed Keitel index improved in both groups (p < 0.05) was significantly better in the research group (p < 0.05). The hand function assessed by the Arthritis Impact Measure Scale signifcantly improved in both groups (p < 0.05), but no signifcant difference between the groups was observed (p > 0.05). Conclusion. Kinesiotaping in conjunction with physical therapy is more effective method than just physical therapy in order to increase the range of motion of the wrist, the hand grip strength and hand functional status of patients with RA.Keywords: rheumatoid arthritis, physical therapy, kinesiotaping.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"12 12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456672","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}
Pub Date : 2019-01-01DOI: 10.33607/rmske.v1i14.697
M. Bruner, A. Kirkutis, J. Sučylaitė
Background. Pain after breast cancer surgery leads to long term disability. Music therapy is non-invasive, inexpensive supplementary therapy way, which helps to improve emotional and psychological condition, to reduce stress, anxiety and pain. Nevertheless, there is a lot of knowledge about the benefts of music therapy, and it is a lack of scientifc research, which could advocate for music therapy beneft after breast cancer surgery. Research aim. To evaluate music therapy effect on women pain after breast cancer surgery. Research tasks. To assess the pain of women using a visual analogue scale (VAS) before and after the application of music therapy in the study and control groups. Methods. An analysis of scientifc / medical literature was made. Quantitative research method was selected. Criteria for involvement into scientifc research were women after breast cancer surgery. In research group music therapy was applied. It consisted of 25 patients with an average age of 52.23 ± 9, 04 years. A control group consisted of 25 patients with an average age of 56.17 ± 7.84 years. Music therapy was not applied in control group. The research instrument was the VAS. The data were collected before the application of music therapy and after. Music therapy sessions were used after breast cancer surgery the whole period of rehabilitation. Sessions were held in a recreation room 6 times a week, session duration of 30 – minute. The Baroque and the New Age music were used in music therapy sessions. Listening to music, women were asked to close their eyes, relax and breathe deeply. To ensure the most accurate results of the study participants were asked to avoid listening additional music. Results. Before using music therapy the difference of pain intensity data (measured by VAS) was not statistically signifcant in the research and control groups. After music therapy the study group showed a statistically signifcant decrease in pain intensity: before music therapy pain intensity score of 6.54 ± 1.45, after music therapy – 3 ± 0.98 points (p < 0.001); control group pain intensity also decreased: before music therapy 5.58 ± 1.56 points, after music therapy 2.88 ± 1.91 points. Conclusion. After breast cancer surgery, and after the completed rehabilitation, pain decreased in the research group, where music therapy was applied (p < 0.001); in the control group, where music therapy was not applied, pain also decreased. (p < 0.05). Difference between the change of pain in study group and in control group was not statistically signifcant. Pain change in the study group was not signifcantly higher than the control group.Keywords: music therapy, pain, breast cancer.
{"title":"Music Therapy Effect on the Pain of Woman after Breast Cancer Surgery","authors":"M. Bruner, A. Kirkutis, J. Sučylaitė","doi":"10.33607/rmske.v1i14.697","DOIUrl":"https://doi.org/10.33607/rmske.v1i14.697","url":null,"abstract":"Background. Pain after breast cancer surgery leads to long term disability. Music therapy is non-invasive, inexpensive supplementary therapy way, which helps to improve emotional and psychological condition, to reduce stress, anxiety and pain. Nevertheless, there is a lot of knowledge about the benefts of music therapy, and it is a lack of scientifc research, which could advocate for music therapy beneft after breast cancer surgery. Research aim. To evaluate music therapy effect on women pain after breast cancer surgery. Research tasks. To assess the pain of women using a visual analogue scale (VAS) before and after the application of music therapy in the study and control groups. Methods. An analysis of scientifc / medical literature was made. Quantitative research method was selected. Criteria for involvement into scientifc research were women after breast cancer surgery. In research group music therapy was applied. It consisted of 25 patients with an average age of 52.23 ± 9, 04 years. A control group consisted of 25 patients with an average age of 56.17 ± 7.84 years. Music therapy was not applied in control group. The research instrument was the VAS. The data were collected before the application of music therapy and after. Music therapy sessions were used after breast cancer surgery the whole period of rehabilitation. Sessions were held in a recreation room 6 times a week, session duration of 30 – minute. The Baroque and the New Age music were used in music therapy sessions. Listening to music, women were asked to close their eyes, relax and breathe deeply. To ensure the most accurate results of the study participants were asked to avoid listening additional music. Results. Before using music therapy the difference of pain intensity data (measured by VAS) was not statistically signifcant in the research and control groups. After music therapy the study group showed a statistically signifcant decrease in pain intensity: before music therapy pain intensity score of 6.54 ± 1.45, after music therapy – 3 ± 0.98 points (p < 0.001); control group pain intensity also decreased: before music therapy 5.58 ± 1.56 points, after music therapy 2.88 ± 1.91 points. Conclusion. After breast cancer surgery, and after the completed rehabilitation, pain decreased in the research group, where music therapy was applied (p < 0.001); in the control group, where music therapy was not applied, pain also decreased. (p < 0.05). Difference between the change of pain in study group and in control group was not statistically signifcant. Pain change in the study group was not signifcantly higher than the control group.Keywords: music therapy, pain, breast cancer.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456575","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}
Pub Date : 2019-01-01DOI: 10.33607/RMSKE.V2I15.703
A. Chizhov, A. Kirkutis, J. Andruskiene
Background. Human health is largely determined by the body’s resistance to various damaging factors and, in particular, the functional state of its immune system. The use of unique, new generation immunomodulators in prevention of diseases is promising. Goal of the research was to defne the perspectives in the application of immunocorrector Transfer factorTM in immunoprophylaxis programmes and immunorehabilitation analysing and summarizing scientifc articles. Methods. Systemic literature overview was performed, including 77 scientifc articles and conference proceedings in English, published in the period from 1949 to 2016. The main inclusion criterion was clinical trial or literature review, analysing the effect of immunocorrector on human health in cases of different disorders. Results. Transfer factors are molecules that communicate antigenic immunological information intracellularly from a donor to a recipient. Mammalian Transfer factors, including those of humans are small molecules between 3,500 and 10,000 Daltons. Transfer factor’s functions of cell-mediated immunity and non-specifc immunological activity differ from the functions of antibodies. Transfer factors are divided into three fractions: the inductors that provide rapid immune response and general readiness of the immune system; suppressors, which regulate the intensity of the immune response, preventing allergic and autoimmune reactions; antigen specifc Transfer factors with a set of certain antigens, allowing quick adjusting of the immune system to recognize many bacterial and viruses. Conclusions. Transfer factors have no side effects and are considered as highly effective in treatment of infectious, parasitic, oncological, dermatological, venereal and somatic diseases, so are highly recommended for preventive purposes and decreasing of aging.]Keywords: transfer factor, immunoprophylaxis, immunorehabilitation.
{"title":"Perspectives in the Application of Immunocorrector – transfer factor ™ in Immunoprophylaxis Programmes and Immunorehabilitation","authors":"A. Chizhov, A. Kirkutis, J. Andruskiene","doi":"10.33607/RMSKE.V2I15.703","DOIUrl":"https://doi.org/10.33607/RMSKE.V2I15.703","url":null,"abstract":"Background. Human health is largely determined by the body’s resistance to various damaging factors and, in particular, the functional state of its immune system. The use of unique, new generation immunomodulators in prevention of diseases is promising. Goal of the research was to defne the perspectives in the application of immunocorrector Transfer factorTM in immunoprophylaxis programmes and immunorehabilitation analysing and summarizing scientifc articles. Methods. Systemic literature overview was performed, including 77 scientifc articles and conference proceedings in English, published in the period from 1949 to 2016. The main inclusion criterion was clinical trial or literature review, analysing the effect of immunocorrector on human health in cases of different disorders. Results. Transfer factors are molecules that communicate antigenic immunological information intracellularly from a donor to a recipient. Mammalian Transfer factors, including those of humans are small molecules between 3,500 and 10,000 Daltons. Transfer factor’s functions of cell-mediated immunity and non-specifc immunological activity differ from the functions of antibodies. Transfer factors are divided into three fractions: the inductors that provide rapid immune response and general readiness of the immune system; suppressors, which regulate the intensity of the immune response, preventing allergic and autoimmune reactions; antigen specifc Transfer factors with a set of certain antigens, allowing quick adjusting of the immune system to recognize many bacterial and viruses. Conclusions. Transfer factors have no side effects and are considered as highly effective in treatment of infectious, parasitic, oncological, dermatological, venereal and somatic diseases, so are highly recommended for preventive purposes and decreasing of aging.]Keywords: transfer factor, immunoprophylaxis, immunorehabilitation.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456491","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}
Pub Date : 2019-01-01DOI: 10.33607/rmske.v2i15.704
Birutė Lašaitė, V. Dudonienė
Background. Wearing high-heeled shoes can cause posture distortions: the head position is tilted forward, increased lordosis of the lumbar spine anterior pelvic tilt, knees flexed with some knee ‘varus’, hyper-supination of the foot (Pannell, 2012). These changes cause muscle imbalance: abdominal core muscles, upper back erectors spinae get elongated and weakened, gluteal muscles are weakened. Hamstrings get slightly elongated but are not necessarily weakened. Hip flexors and lower back muscles get shortened and strengthened. Soleus and gastrocnemius muscles get shortened and strengthened. Aim of the study was to determine the long-term effect of wearing high-heeled shoes on women’s leg muscles and posture. Methods. Twenty nine women took part in the study. They were divided into two groups: those who met the research criteria and wore high heeled shoes and those, who did not. We used a questionnaire to assign participants to one of the research groups, and measured muscle strength using a hand-held dynamometer, we measured pressure distribution in a specifc foot area using a “Matscan” mat and evaluated posture according W. K. Hoeger’s method. Results. Strength of only three muscle groups differed between women wearing and not wearing high heels, muscle strength of thigh flexors, shin erector and feet plantar flexors in women regularly wearing high heels were greater compared to women that did not wear high heels. Measurements of static feet load distribution showed that in women wearing high-heeled shoes, 71.01% of weight went on heels and only 28.98% ‒ on toes and forefoot, while in women not wearing high heels weight was distributed equally ‒ 49.28% goes on heels and 50.72% on toes and forefeet. Study results showed that 41.3% of women regularly wearing high-heeled shoes had excellent posture, while 45.7% of women not wearing high-heeled shoes had excellent posture. Conclusions. Muscle strength of thigh flexors, shin erector and feet plantar flexors in women regularly wearing high heels was greater compared to women that did not wear high heels. Feet static support centre in women, who regularly wore high heeled shoes was distributed towards the heel while feet static support centre in women not wearing high heels was distributed equally along the foot. There were no signifcant differences evaluating posture in women wearing and not wearing high heels. The most common posture problems in women regularly wearing high-heeled shoes were: knees in varus position, head and abdomen in protraction, and increased lumbar lordosis.Keywords: high-heeled shoes, posture, muscle strength.
背景。穿高跟鞋会导致姿势扭曲:头向前倾斜,腰椎前凸增加,骨盆前倾,膝盖弯曲,膝盖“内翻”,脚过度旋后(Pannell, 2012)。这些变化导致肌肉不平衡:腹部核心肌群、上背竖肌脊柱被拉长和削弱,臀肌被削弱。腿筋会稍微拉长,但不一定会变弱。髋屈肌和下背部肌肉被缩短和加强。比目鱼肌和腓肠肌变短变强。这项研究的目的是确定穿高跟鞋对女性腿部肌肉和姿势的长期影响。方法。29名女性参加了这项研究。他们被分为两组:一组符合研究标准并穿高跟鞋,另一组不穿高跟鞋。我们使用问卷将参与者分配到一个研究小组,并使用手持式测力计测量肌肉力量,我们使用“Matscan”垫测量特定足部区域的压力分布,并根据W. K. Hoeger的方法评估姿势。结果。穿高跟鞋和不穿高跟鞋的女性只有三个肌肉群的力量不同,经常穿高跟鞋的女性大腿屈肌、胫骨竖肌和足底屈肌的肌肉力量比不穿高跟鞋的女性要大。对足部静态负荷分布的测量表明,穿高跟鞋的女性,71.01%的体重集中在高跟鞋上,只有28.98%的体重集中在脚趾和前足上,而不穿高跟鞋的女性,体重分布均匀,49.28%的体重集中在高跟鞋上,50.72%的体重集中在脚趾和前足上。研究结果显示,41.3%经常穿高跟鞋的女性体态优美,而45.7%不穿高跟鞋的女性体态优美。结论。与不穿高跟鞋的女性相比,经常穿高跟鞋的女性大腿屈肌、胫骨竖肌和足底屈肌的肌肉力量更大。经常穿高跟鞋的女性的足部静态支撑中心向脚跟方向分布,而不穿高跟鞋的女性的足部静态支撑中心则均匀地沿足部分布。穿高跟鞋和不穿高跟鞋的女性在评估姿势方面没有显著差异。经常穿高跟鞋的女性最常见的姿势问题是:膝盖内翻,头部和腹部前伸,腰椎前凸加重。关键词:高跟鞋,姿势,肌肉力量。
{"title":"The Influence of Long-Term Use Of High-Heeled Shoes for Women`s Posture and Lower Extremity Muscle Strength","authors":"Birutė Lašaitė, V. Dudonienė","doi":"10.33607/rmske.v2i15.704","DOIUrl":"https://doi.org/10.33607/rmske.v2i15.704","url":null,"abstract":"Background. Wearing high-heeled shoes can cause posture distortions: the head position is tilted forward, increased lordosis of the lumbar spine anterior pelvic tilt, knees flexed with some knee ‘varus’, hyper-supination of the foot (Pannell, 2012). These changes cause muscle imbalance: abdominal core muscles, upper back erectors spinae get elongated and weakened, gluteal muscles are weakened. Hamstrings get slightly elongated but are not necessarily weakened. Hip flexors and lower back muscles get shortened and strengthened. Soleus and gastrocnemius muscles get shortened and strengthened. Aim of the study was to determine the long-term effect of wearing high-heeled shoes on women’s leg muscles and posture. Methods. Twenty nine women took part in the study. They were divided into two groups: those who met the research criteria and wore high heeled shoes and those, who did not. We used a questionnaire to assign participants to one of the research groups, and measured muscle strength using a hand-held dynamometer, we measured pressure distribution in a specifc foot area using a “Matscan” mat and evaluated posture according W. K. Hoeger’s method. Results. Strength of only three muscle groups differed between women wearing and not wearing high heels, muscle strength of thigh flexors, shin erector and feet plantar flexors in women regularly wearing high heels were greater compared to women that did not wear high heels. Measurements of static feet load distribution showed that in women wearing high-heeled shoes, 71.01% of weight went on heels and only 28.98% ‒ on toes and forefoot, while in women not wearing high heels weight was distributed equally ‒ 49.28% goes on heels and 50.72% on toes and forefeet. Study results showed that 41.3% of women regularly wearing high-heeled shoes had excellent posture, while 45.7% of women not wearing high-heeled shoes had excellent posture. Conclusions. Muscle strength of thigh flexors, shin erector and feet plantar flexors in women regularly wearing high heels was greater compared to women that did not wear high heels. Feet static support centre in women, who regularly wore high heeled shoes was distributed towards the heel while feet static support centre in women not wearing high heels was distributed equally along the foot. There were no signifcant differences evaluating posture in women wearing and not wearing high heels. The most common posture problems in women regularly wearing high-heeled shoes were: knees in varus position, head and abdomen in protraction, and increased lumbar lordosis.Keywords: high-heeled shoes, posture, muscle strength.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456502","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}
Pub Date : 2019-01-01DOI: 10.33607/rmske.v1i14.700
Lina Samuolienė, Vida Mockienė
Background. Ischemic stroke (IS) is one of the most topical medical and social problems because of high morbidity and severe residual disability. The goal of the research was to analyze influencing changes in the independence of patients with acute stroke during treatment. Methods included the retrospective research, carried out in September 2015– November, 2015, using Barthel Index test (BI), National Institute of Health Stroke Scale (NIHSS) and modifed Rankin scale (mRS). The research sample was 104 respondents, 48 of which underwent treatment with intravenous thrombolysis (IVT), and 56 of them – not. Research fndings were processed using statistical “SPSS 17 for Windows” package. The research was carried out complying with the ethical principles. Results. Treatment by intravenous thrombolysis was applied to approximately half of IS patients. The majority of IS patients were of average severity state by neurological damage. There neurological state after the thrombolysis improved the state of 50% of patients on average in seven days. Half of IS patients were completely dependent before treatment and after the treatment the number of absolutely dependent patients decreased by 21.3%. The independence of patients treated by intravenous thrombolysis and non-treated did not vary signifcantly at the beginning and the end of the treatment, however, its change was insignifcantly higher for the patients to whom this treatment was applied than for the patients to whom this treatment was not applied. The independence before the treatment was higher of men than of women, and of the patients under 65 years old than of older patients. The change of independence was higher for patients under 65 years old than for the older ones, and there was no signifcant difference between men and women. Conclusions. The treatment by intravenous thrombolysis was applied to approximately half of the patients. The neurological damage was more severe for those who were 65 years old. After the treatment the state recovered for 9.6% and those were only men, the number of absolutely dependent persons decreased by 21.3%. Keywords: ischemic stroke, during treatment patients, independence.
背景。缺血性脑卒中因其高发病率和严重的残障而成为最受关注的医学和社会问题之一。本研究的目的是分析急性脑卒中患者在治疗期间独立性的影响变化。方法采用Barthel指数(BI)、美国国立卫生研究院卒中量表(NIHSS)和改良Rankin量表(mRS)于2015年9月- 11月进行回顾性研究。研究样本为104名受访者,其中48人接受静脉溶栓治疗,56人未接受静脉溶栓治疗。研究结果采用SPSS 17 for Windows软件包进行统计处理。这项研究是按照伦理原则进行的。结果。静脉溶栓治疗应用于大约一半的IS患者。大多数IS患者的神经损伤程度为中等。溶栓后患者的神经状态在7天内平均改善50%。治疗前有一半IS患者完全依赖,治疗后绝对依赖患者减少21.3%。静脉溶栓治疗组和未治疗组患者的独立性在治疗开始和结束时无显著差异,但接受静脉溶栓治疗组患者的独立性变化不显著高于未接受静脉溶栓治疗组患者。治疗前的独立性男性高于女性,65岁以下患者高于老年患者。65岁以下患者的独立性变化高于65岁以上患者,男女差异无统计学意义。结论。静脉溶栓治疗适用于大约一半的患者。65岁以上老人的神经损伤更为严重。治疗后状态恢复的为9.6%,而且这些都是男性,绝对依赖的人数减少了21.3%。关键词:缺血性卒中,治疗期间患者,独立性。
{"title":"Changes in Functional Independence of Patients with Acute Stroke during Treatment","authors":"Lina Samuolienė, Vida Mockienė","doi":"10.33607/rmske.v1i14.700","DOIUrl":"https://doi.org/10.33607/rmske.v1i14.700","url":null,"abstract":"Background. Ischemic stroke (IS) is one of the most topical medical and social problems because of high morbidity and severe residual disability. The goal of the research was to analyze influencing changes in the independence of patients with acute stroke during treatment. Methods included the retrospective research, carried out in September 2015– November, 2015, using Barthel Index test (BI), National Institute of Health Stroke Scale (NIHSS) and modifed Rankin scale (mRS). The research sample was 104 respondents, 48 of which underwent treatment with intravenous thrombolysis (IVT), and 56 of them – not. Research fndings were processed using statistical “SPSS 17 for Windows” package. The research was carried out complying with the ethical principles. Results. Treatment by intravenous thrombolysis was applied to approximately half of IS patients. The majority of IS patients were of average severity state by neurological damage. There neurological state after the thrombolysis improved the state of 50% of patients on average in seven days. Half of IS patients were completely dependent before treatment and after the treatment the number of absolutely dependent patients decreased by 21.3%. The independence of patients treated by intravenous thrombolysis and non-treated did not vary signifcantly at the beginning and the end of the treatment, however, its change was insignifcantly higher for the patients to whom this treatment was applied than for the patients to whom this treatment was not applied. The independence before the treatment was higher of men than of women, and of the patients under 65 years old than of older patients. The change of independence was higher for patients under 65 years old than for the older ones, and there was no signifcant difference between men and women. Conclusions. The treatment by intravenous thrombolysis was applied to approximately half of the patients. The neurological damage was more severe for those who were 65 years old. After the treatment the state recovered for 9.6% and those were only men, the number of absolutely dependent persons decreased by 21.3%. Keywords: ischemic stroke, during treatment patients, independence.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456634","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}
Pub Date : 2019-01-01DOI: 10.33607/rmske.v2i17.769
D. Lipskis, Edgaras Lapinskas
Background. Joints or muscles dysfunctions more often occur not only in elderly but also middle aged people. The problem becomes chronic and causes longtermed pain, lack of functional mobility. One of the most affected areas of human musculoskeletal zones is shoulder area (Pan, 2016). Purpose. Evaluate myofascial release techniques for pain and function in patients with chronic shoulder pain. Methods. There were 12 patients chosen who were randomly divided into ischemic compression and friction groups. We evaluated pain, arm function, muscle strength and range of motion. Results. In ischemia group, pain after the treatment decreased (before 5.33 ± 0.81; after 3 ± 1.41, p = 0.01). Function of arm improved (before 42.83 ± 8.23; after 62.5 ± 6.89, p = 0.01). All humerus range of motions and strength of muscles improved (p < 0.05), comparing results before and after the treatment. In friction group pain after the treatment did not change (before 5.83 ± 0.98; after 4.16 ± 2.63, p = 0.252). Arm function improved (before 42.5 ± 4.84; after 56 ± 5.47, p = 0.006). Friction improved (p < 0.05) humerus flexion, abduction, external rotation range of motions and muscles strength of humerus abductors. Conclusions. Ischemic compression had signifcant effect on reducing shoulder pain, improving range of motion and muscle strength of humerus movers. Friction technique did not have effects on reducing pain, but had significant effects on humerus flexion, abduction, external rotation range of motions and increased muscle strength of humerus abductors. When comparing results after ischemia and friction between groups, no signifcant difference was found in treating shoulder pain, range of motion of humerus movements and muscle strength of humerus movers.Keywords: myofascial realease, friction, ischemia.
{"title":"Different Myofascial Release Techniques Effects on Pain and Function with Chronic Shoulder Pain in the Late Rehabilitation Period","authors":"D. Lipskis, Edgaras Lapinskas","doi":"10.33607/rmske.v2i17.769","DOIUrl":"https://doi.org/10.33607/rmske.v2i17.769","url":null,"abstract":"Background. Joints or muscles dysfunctions more often occur not only in elderly but also middle aged people. The problem becomes chronic and causes longtermed pain, lack of functional mobility. One of the most affected areas of human musculoskeletal zones is shoulder area (Pan, 2016). Purpose. Evaluate myofascial release techniques for pain and function in patients with chronic shoulder pain. Methods. There were 12 patients chosen who were randomly divided into ischemic compression and friction groups. We evaluated pain, arm function, muscle strength and range of motion. Results. In ischemia group, pain after the treatment decreased (before 5.33 ± 0.81; after 3 ± 1.41, p = 0.01). Function of arm improved (before 42.83 ± 8.23; after 62.5 ± 6.89, p = 0.01). All humerus range of motions and strength of muscles improved (p < 0.05), comparing results before and after the treatment. In friction group pain after the treatment did not change (before 5.83 ± 0.98; after 4.16 ± 2.63, p = 0.252). Arm function improved (before 42.5 ± 4.84; after 56 ± 5.47, p = 0.006). Friction improved (p < 0.05) humerus flexion, abduction, external rotation range of motions and muscles strength of humerus abductors. Conclusions. Ischemic compression had signifcant effect on reducing shoulder pain, improving range of motion and muscle strength of humerus movers. Friction technique did not have effects on reducing pain, but had significant effects on humerus flexion, abduction, external rotation range of motions and increased muscle strength of humerus abductors. When comparing results after ischemia and friction between groups, no signifcant difference was found in treating shoulder pain, range of motion of humerus movements and muscle strength of humerus movers.Keywords: myofascial realease, friction, ischemia.","PeriodicalId":34737,"journal":{"name":"Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456646","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}