Pub Date : 2021-09-03DOI: 10.5604/01.3001.0015.2527
C. Mbada, T. Isatayo, J. Omole, A. Odole, O. Ayanniyi, Olumide Dada, I. Gambo, C. Fatoye, A. Ademoyegun, O. A. Sonuga, F. Fatoye
Objectives: Use of animated cartoon for pain management is an emerging area, however, no study have explored it as a digital platform for rehabilitation of low-back pain (LBP). This study was aimed to develop and evaluate the feasibility of an animated cartoon-based self-care (ACBSC) app for LBP, and to examine the correlation between the app rating parameters and patients’ pain. Methods: This two-phase study comprised a development and feasibility testing components. Development of the ACBSC app was based on Mckenzie’s Mechanical Diagnosis and Therapy (MDT) extension protocolplus back hygiene following standard iteration and prototyping process. Twenty-eight consecutive patients with chronic non-specific LBP with 'direction Preference’ for extension based on the MDT screening algorithm participated in the feasibility phase. The participants utilized the cartoon-based app thrice weekly for two weeks. Outcomes were assessed in terms of usability, satisfaction and user’s experience using the system usability scale and mobile application rating scale. Quadruple visual analogue scale was used to assess pain intensity of the participants. Results: On a unified scale of 20, functionality (15.4 ± 2.41) and aesthetics 14 ± 2.00 had highest and least objective quality rating on the app parameters. Total objective and subjective quality rating of the app was 16.9 ± 1.97 and 15.6 ± 2.42 respectively. Total impact and usability score was 24.1 ± 3.39 (out of 30) and 27.8 ± 3.09 (out of 50). Participants reported that back care cartoon app mostly affect mindfulness/meditation/relaxation (42.9%), increases happiness/well-being (46.4%), leads to behavioural change (60.7%) and targets physical health (100%). There was no significant correlation between participants’ pain characteristics and app rating parameters (p>0.05). Conclusion: The animated cartoon-based self-care LBP app has moderate to high usability, functionality, aesthetics and quality rating, and may serve as an effective mobile-app for self-management of long-term LBP.
{"title":"Development and Feasibility Testing of an Animated Cartoon-Based Self-Care Application for Low-Back Pain – a Pilot Study","authors":"C. Mbada, T. Isatayo, J. Omole, A. Odole, O. Ayanniyi, Olumide Dada, I. Gambo, C. Fatoye, A. Ademoyegun, O. A. Sonuga, F. Fatoye","doi":"10.5604/01.3001.0015.2527","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2527","url":null,"abstract":"Objectives: Use of animated cartoon for pain management is an emerging area, however, no study have explored it as a digital platform for rehabilitation of low-back pain (LBP). This study was aimed to develop and evaluate the feasibility of an animated cartoon-based self-care (ACBSC) app for LBP, and to examine the correlation between the app rating parameters and patients’ pain.\u0000\u0000Methods: This two-phase study comprised a development and feasibility testing components. Development of the ACBSC app was based on Mckenzie’s Mechanical Diagnosis and Therapy (MDT) extension protocolplus back hygiene following standard iteration and prototyping process. Twenty-eight consecutive patients with chronic non-specific LBP with 'direction Preference’ for extension based on the MDT screening algorithm participated in the feasibility phase. The participants utilized the cartoon-based app thrice weekly for two weeks. Outcomes were assessed in terms of usability, satisfaction and user’s experience using the system usability scale and mobile application rating scale. Quadruple visual analogue scale was used to assess pain intensity of the participants.\u0000\u0000Results: On a unified scale of 20, functionality (15.4 ± 2.41) and aesthetics 14 ± 2.00 had highest and least objective quality rating on the app parameters. Total objective and subjective quality rating of the app was 16.9 ± 1.97 and 15.6 ± 2.42 respectively. Total impact and usability score was 24.1 ± 3.39 (out of 30) and 27.8 ± 3.09 (out of 50). Participants reported that back care cartoon app mostly affect mindfulness/meditation/relaxation (42.9%), increases happiness/well-being (46.4%), leads to behavioural change (60.7%) and targets physical health (100%). There was no significant correlation between participants’ pain characteristics and app rating parameters (p>0.05).\u0000\u0000Conclusion: The animated cartoon-based self-care LBP app has moderate to high usability, functionality, aesthetics and quality rating, and may serve as an effective mobile-app for self-management of long-term LBP.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48584921","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 : 2021-09-03DOI: 10.5604/01.3001.0015.2526
A. Piotrowska, M. Zych, J. Oliwa
The hyperbaric oxygen therapy (HBOT) involves the use of 100% pure oxygen in conditions of increased pressure, exceeding atmospheric pressure. This allows the supply of several times more oxygen to internal organs and blood serum than when using standard pressure. HBOT has proven to support the treatment of autoimmune skin diseases, complications of metabolic diseases and burns, as confirmed by clinical studies. In addition, this therapy can also be used to improve the physiological condition of the skin after cosmetology procedures. The aim of this work is to review information on the therapeutic effects of hyperbaric oxygen therapy in the treatment of skin diseases, especially atopic dermatitis, psoriasis, diabetic foot, second degree burns and complications after cosmetic procedures. The review was based on the works published in the last twenty years (1999-2019), available in the following databases: PubMed, GoogleSchoolar, PEDro. The use of HBOT is becoming more common in the treatment of skin complications of diabetes, as well as burn wounds. It is estimated that HBOT reduces the risk of foot ulcers and amputation in diabetic foot syndrome. In addition, HBOT promotes faster healing of burn wounds, also with the use of allogenic skin grafts. By increasing the level of reactive oxygen species (ROS), hyperbaric oxygen therapy significantly supports the treatment of psoriasis and atopic dermatitis. Despite this, the exact mechanisms of hyperbaric oxygen are still poorly understood, and the use of HBOT in the treatment of skin diseases has not yet been included in treatment protocols.
{"title":"Application of Hyperbaric Oxygen Therapy in the Skin Diseases Treatment","authors":"A. Piotrowska, M. Zych, J. Oliwa","doi":"10.5604/01.3001.0015.2526","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2526","url":null,"abstract":"The hyperbaric oxygen therapy (HBOT) involves the use of 100% pure oxygen in conditions of increased pressure, exceeding atmospheric pressure. This allows the supply of several times more oxygen to internal organs and blood serum than when using standard pressure. HBOT has proven to support the treatment of autoimmune skin diseases, complications of metabolic diseases and burns, as confirmed by clinical studies. In addition, this therapy can also be used to improve the physiological condition of the skin after cosmetology procedures. The aim of this work is to review information on the therapeutic effects of hyperbaric oxygen therapy in the treatment of skin diseases, especially atopic dermatitis, psoriasis, diabetic foot, second degree burns and complications after cosmetic procedures. The review was based on the works published in the last twenty years (1999-2019), available in the following databases: PubMed, GoogleSchoolar, PEDro. The use of HBOT is becoming more common in the treatment of skin complications of diabetes, as well as burn wounds. It is estimated that HBOT reduces the risk of foot ulcers and amputation in diabetic foot syndrome. In addition, HBOT promotes faster healing of burn wounds, also with the use of allogenic skin grafts. By increasing the level of reactive oxygen species (ROS), hyperbaric oxygen therapy significantly supports the treatment of psoriasis and atopic dermatitis. Despite this, the exact mechanisms of hyperbaric oxygen are still poorly understood, and the use of HBOT in the treatment of skin diseases has not yet been included in treatment protocols.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45731303","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 : 2021-09-02DOI: 10.5604/01.3001.0015.2489
M. Zaczyk
Introduction: Movement organ dysfunctions generate a number of deficits in the physical, mental and social spheres, making it difficult to fulfill selected roles in social and professional life. The work focuses on the acquired motor organ dysfunction with a directly damaged motor apparatus as a result of an accident. The technical possibility of returning to professional activity of people after lower limb amputation was analyzed. Materials and methods: The research involved a test of the gait process in relation to the correctness of the gait cycle and the measurement of oxygen saturation in blood and pulse as indicators of the organism's involvement in the implementation of the locomotion process. Two people participated in the study. The first statistically represented a person (without amputation) aged 30-35. The second person represented a person after lower limb amputation at the level of the thigh equipped with an artificial lower limb prosthesis. Pilot tests were carried out in a laboratory using a sports treadmill on which locomotor activity was carried out in the form of walking at selected speeds. The load distribution in the foot as well as the heart rate and blood oxygen saturation with SpO2 were recorded. The study allowed to determine the correctness of gait during the implementation of the motion function of a person having a direct impact on their mobility. Results: The loads occurring in individual limbs for a healthy person showed a slight dispersion in relation to each other. The values of this dispersion did not exceed 4% for both mean and peak values. During the dynamic gait of the person wearing the prosthesis between the limbs, a 30% spread was recorded for the load. Observation of the participants' performance parameters were similar. In the process of realizing the longest gait cycle, the heart rate did not exceed 112 in a healthy person and 120 in a person with a motor organ dysfunction. An increase in the degree of blood oxygen saturation (saturation) was recorded in a healthy person at the SpO2 level of 1% and in a person with motor organ dysfunction at the SpO2 level of 3%. Conclusions: The conducted research has shown that a person with a motor organ dysfunction properly equipped with a prosthesis, according to his own level of activity, slightly increases the organism's involvement in the locomotion process. The results of the pilot studies showed that a correctly selected prosthesis together with a correctly re-learned gait can perform all the processes of locomotion at a similar energy expenditure as a healthy person. Properly selected prosthetic equipment for a person with a motor dysfunction means that the inconvenience of having an artificial lower limb does not significantly affect its mobility and the possibility of undertaking professional activity.
{"title":"Influence of the correctness of prosthetic equipment in a person with a motor organ dysfunction in relation to its mobility – pilot studies","authors":"M. Zaczyk","doi":"10.5604/01.3001.0015.2489","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2489","url":null,"abstract":"Introduction: Movement organ dysfunctions generate a number of deficits in the physical, mental and social spheres, making it difficult to fulfill selected roles in social and professional life. The work focuses on the acquired motor organ dysfunction with a directly damaged motor apparatus as a result of an accident. The technical possibility of returning to professional activity of people after lower limb amputation was analyzed.\u0000\u0000Materials and methods: The research involved a test of the gait process in relation to the correctness of the gait cycle and the measurement of oxygen saturation in blood and pulse as indicators of the organism's involvement in the implementation of the locomotion process. Two people participated in the study. The first statistically represented a person (without amputation) aged 30-35. The second person represented a person after lower limb amputation at the level of the thigh equipped with an artificial lower limb prosthesis. Pilot tests were carried out in a laboratory using a sports treadmill on which locomotor activity was carried out in the form of walking at selected speeds. The load distribution in the foot as well as the heart rate and blood oxygen saturation with SpO2 were recorded. The study allowed to determine the correctness of gait during the implementation of the motion function of a person having a direct impact on their mobility.\u0000\u0000Results: The loads occurring in individual limbs for a healthy person showed a slight dispersion in relation to each other. The values of this dispersion did not exceed 4% for both mean and peak values. During the dynamic gait of the person wearing the prosthesis between the limbs, a 30% spread was recorded for the load. Observation of the participants' performance parameters were similar. In the process of realizing the longest gait cycle, the heart rate did not exceed 112 in a healthy person and 120 in a person with a motor organ dysfunction. An increase in the degree of blood oxygen saturation (saturation) was recorded in a healthy person at the SpO2 level of 1% and in a person with motor organ dysfunction at the SpO2 level of 3%.\u0000\u0000Conclusions: The conducted research has shown that a person with a motor organ dysfunction properly equipped with a prosthesis, according to his own level of activity, slightly increases the organism's involvement in the locomotion process. The results of the pilot studies showed that a correctly selected prosthesis together with a correctly re-learned gait can perform all the processes of locomotion at a similar energy expenditure as a healthy person. Properly selected prosthetic equipment for a person with a motor dysfunction means that the inconvenience of having an artificial lower limb does not significantly affect its mobility and the possibility of undertaking professional activity.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49142266","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 : 2021-08-29DOI: 10.5604/01.3001.0015.2425
J. Witkoś, Magdalena Hartman-Petrycka
Introduction: Medical science is constantly looking for effective methods to prevent involutional changes. Whole-body vibration training is a promising form of systemic rehabilitation. Aim: The aim of the study was to assess the effect of whole-body vibration on basic cardiovascular parameters (heart rate and blood pressure) and changes in the perception of an external stimulus in postmenopausal women with different body composition. Material and methods: The study was pilot and involved 20 women. Before the procedure, the body composition analysis was performed using the Tanita analyser. All participants underwent a series of vibration massage treatments lasting 30 minutes. Blood pressure, heart rate and sensory threshold levels were measured before and after the vibrotherapy. Results: Diastolic blood pressure before vs. after (median; 74.20 vs. 71.45 mmHg; p=0.047), heart rate before vs. after (median; 67.40 vs. 66.00 bpm; p<0.001). Higher water content positively correlated with a decrease in diastolic blood pressure (R=0.51; p<0.05). The older the woman was, the less the heart rate decreased (R=-0.45; p<0.05). After vibrotherapy, the sensory threshold values in the non-dominant hand decreased slightly (p=0.076). The greater the visceral fat content (R=-0.48; p<0.05) and body weight (R=-0.56; p<0.05), the smaller was the improvement in the threshold. Conclusions: After whole-body vibration, the values of diastolic blood pressure and heart rate in the examined women were lower than those recorded before the procedure. It has been shown that the higher water content in the female body was associated with a greater reduction in diastolic blood pressure. However, the older the woman, the less was the decrease in heart rate. After the whole-body vibrotherapy, only a slight decrease in the sensory threshold was noted. However, it was found that in the studied women the greater the content of visceral fat tissue and the body weight, the smaller the change in sensory sensitivity.
{"title":"The Influence of Whole-Body Vibration on Cardiovascular Parameters and Changes in the Perception of an External Stimulus in Postmenopausal Women","authors":"J. Witkoś, Magdalena Hartman-Petrycka","doi":"10.5604/01.3001.0015.2425","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2425","url":null,"abstract":"Introduction: Medical science is constantly looking for effective methods to prevent involutional changes. Whole-body vibration training is a promising form of systemic rehabilitation.\u0000\u0000Aim: The aim of the study was to assess the effect of whole-body vibration on basic cardiovascular parameters (heart rate and blood pressure) and changes in the perception of an external stimulus in postmenopausal women with different body composition.\u0000\u0000Material and methods: The study was pilot and involved 20 women. Before the procedure, the body composition analysis was performed using the Tanita analyser. All participants underwent a series of vibration massage treatments lasting 30 minutes. Blood pressure, heart rate and sensory threshold levels were measured before and after the vibrotherapy.\u0000\u0000Results: Diastolic blood pressure before vs. after (median; 74.20 vs. 71.45 mmHg; p=0.047), heart rate before vs. after (median; 67.40 vs. 66.00 bpm; p<0.001). Higher water content positively correlated with a decrease in diastolic blood pressure (R=0.51; p<0.05). The older the woman was, the less the heart rate decreased (R=-0.45; p<0.05). After vibrotherapy, the sensory threshold values in the non-dominant hand decreased slightly (p=0.076). The greater the visceral fat content (R=-0.48; p<0.05) and body weight (R=-0.56; p<0.05), the smaller was the improvement in the threshold.\u0000\u0000Conclusions: After whole-body vibration, the values of diastolic blood pressure and heart rate in the examined women were lower than those recorded before the procedure. It has been shown that the higher water content in the female body was associated with a greater reduction in diastolic blood pressure. However, the older the woman, the less was the decrease in heart rate. After the whole-body vibrotherapy, only a slight decrease in the sensory threshold was noted. However, it was found that in the studied women the greater the content of visceral fat tissue and the body weight, the smaller the change in sensory sensitivity.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48858604","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 : 2021-08-28DOI: 10.5604/01.3001.0015.2422
J. Golec, Kinga Cieślik, Monika Nowak, Eżbieta Szczygieł, J. Golec
Background: The objective of the study was to assess the functional status of people who regularly climb for recreational purposes, using the FMS (Functional Movement Screen) and core stability tests (McGill's torso muscular endurance tests). This paper also attempts to determine the relation between the assessment of functional efficiency and the results obtained in core stability tests. Material and methods: The study group were consisted of 30 amateur climbers (aged 26 ±3), who were compared to a control group of 30 people who don’t climb but recreationally practice volleyball (aged 22 ±3). All participants performed each of the seven FMS trials and the three McGill's tests. Results: Amateur climbers, in comparison to non-climbers, were achieved higher scores in each of the core stability trials (p<0,05). Climbers also scored significantly higher results in all FMS trials as well as in the final average (19,0 3 ±1,54 vs. 16,60 ±3,60; p<0,01). In addition, there were found positive correlations between FMS and core stability trials in the group of climbers (Deep Squad vs. Side bridge test; In-Line Lunge vs. Side bridge test; Rotational Stability vs. all trials of the core stability test). Conclusions: People recreational practicing climbing are characterized by a high level of functional efficiency and above-average levels of deep trunk muscles endurance, responsible for the proper functioning of the central stabilization. Relationship between the overall results of the FMS and the core stability tests in the climbers' group shows that proper stability training, which is a part of the climbers training, may result in higher athletes’ performance.
背景:本研究的目的是通过功能性运动筛选(FMS)和核心稳定性测试(McGill's躯干肌肉耐力测试)来评估经常以娱乐为目的攀岩者的功能状态。本文还试图确定功能效率评价与岩心稳定性试验结果之间的关系。材料与方法:研究对象为30名业余攀岩者(年龄26±3岁)，对照组为30名不攀岩但娱乐性练习排球的人(年龄22±3岁)。所有参与者都进行了7项FMS试验和3项McGill试验。结果:与非攀岩者相比，业余攀岩者在每个核心稳定性试验中获得更高的分数(p< 0.05)。攀岩者在所有FMS试验和最终平均评分中也获得了显著更高的结果(19,0.3±1,54比16,60±3,60;p < 0。01)。此外，在攀登者组中，FMS与核心稳定性试验之间存在正相关(Deep Squad vs. Side bridge test;直线弓步与侧桥试验;旋转稳定性与核心稳定性测试的所有试验)。结论:休闲攀岩者具有较高的功能效率和高于平均水平的深干肌肉耐力，负责中枢稳定的正常功能。攀岩组FMS总体结果与核心稳定性测试结果的关系表明，作为攀岩训练的一部分，适当的稳定性训练可能会提高运动员的成绩。
{"title":"FMS assessment and core stability in a group of amateur climbers","authors":"J. Golec, Kinga Cieślik, Monika Nowak, Eżbieta Szczygieł, J. Golec","doi":"10.5604/01.3001.0015.2422","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2422","url":null,"abstract":"Background: The objective of the study was to assess the functional status of people who regularly climb for recreational purposes, using the FMS (Functional Movement Screen) and core stability tests (McGill's torso muscular endurance tests). This paper also attempts to determine the relation between the assessment of functional efficiency and the results obtained in core stability tests.\u0000\u0000Material and methods: The study group were consisted of 30 amateur climbers (aged 26 ±3), who were compared to a control group of 30 people who don’t climb but recreationally practice volleyball (aged 22 ±3). All participants performed each of the seven FMS trials and the three McGill's tests.\u0000\u0000Results: Amateur climbers, in comparison to non-climbers, were achieved higher scores in each of the core stability trials (p<0,05). Climbers also scored significantly higher results in all FMS trials as well as in the final average (19,0 3 ±1,54 vs. 16,60 ±3,60; p<0,01). In addition, there were found positive correlations between FMS and core stability trials in the group of climbers (Deep Squad vs. Side bridge test; In-Line Lunge vs. Side bridge test; Rotational Stability vs. all trials of the core stability test).\u0000\u0000Conclusions: People recreational practicing climbing are characterized by a high level of functional efficiency and above-average levels of deep trunk muscles endurance, responsible for the proper functioning of the central stabilization. Relationship between the overall results of the FMS and the core stability tests in the climbers' group shows that proper stability training, which is a part of the climbers training, may result in higher athletes’ performance.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48952343","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 : 2021-07-05DOI: 10.5604/01.3001.0015.0222
Ibrahim M. Dewir
Introduction: Lateral epicondylitis, commonly referred to as tennis elbow, is one of the most common lesions of the arm. There are many treatment options available for tennis elbow; taping techniques and splints are commonly used. Purpose: The objective of this research is to compare the impact of the diamond taping technique and counterforce elbow bands on pain and handgrip strength in patients with lateral epicondylitis. Materials and methods: Forty male patients with lateral epicondylitis (tennis elbow), aged between 30 and 40 years, took part in this study. They were randomly assigned to one of two equivalent groups. Group A received the diamond taping intervention in addition to physical therapy, while group B was treated using an elbow band orthosis along with physical therapy. The JAMAR dynamometer and Visual Analog Scale (VAS) were used to assess handgrip strength and pain intensity respectively, before and following 4 weeks (12 sessions) of treatment. Results: Group A demonstrated significant improvement of both handgrip strength and pain intensity, while group B showed significant improvement of pain only. Conclusion: Diamond taping demonstrated a strong impact upon pain and handgrip strength in individuals with lateral epicondylitis. It is suggested that the diamond taping technique can be valuable in the treatment of lateral epicondylitis.
{"title":"Diamond McConnells' Taping Technique versus Counterforce Elbow Orthosis in the Treatment of Lateral Epicondylitis: a Randomized Controlled Trial","authors":"Ibrahim M. Dewir","doi":"10.5604/01.3001.0015.0222","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0222","url":null,"abstract":"Introduction: Lateral epicondylitis, commonly referred to as tennis elbow, is one of the most common lesions of the arm. There are many treatment options available for tennis elbow; taping techniques and splints are commonly used.\u0000Purpose: The objective of this research is to compare the impact of the diamond taping technique and counterforce elbow bands on pain and handgrip strength in patients with lateral epicondylitis.\u0000Materials and methods: Forty male patients with lateral epicondylitis (tennis elbow), aged between 30 and 40 years, took part in this study. They were randomly assigned to one of two equivalent groups. Group A received the diamond taping intervention in addition to physical therapy, while group B was treated using an elbow band orthosis along with physical therapy. The JAMAR dynamometer and Visual Analog Scale (VAS) were used to assess handgrip strength and pain intensity respectively, before and following 4 weeks (12 sessions) of treatment.\u0000Results: Group A demonstrated significant improvement of both handgrip strength and pain intensity, while group B showed significant improvement of pain only. \u0000Conclusion: Diamond taping demonstrated a strong impact upon pain and handgrip strength in individuals with lateral epicondylitis. It is suggested that the diamond taping technique can be valuable in the treatment of lateral epicondylitis.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42388985","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}
Introduction: PILER light affects the sensory and motor excitability of the tissue, and these changes may depend on the color of the filter used in the irradiations. Objective: To evaluate changes in neuromuscular excitability after PILER irradiation with different filters. To evaluate the usefulness of the I/T curve coefficient in neuromuscular excitability test. Material and methods: 60 healthy volunteers assigned to four groups: group v - without filter (n=15), group x - red filter (n=15), group y - blue filter (n=15), group z - placebo (n=15) had biceps brachii irradiated with PILER light. Outcome Measures: I/T curve coefficient for rectangular (■I/T coeff) and triangular (▲I/T coeff) pulses for sensory and motor excitability and the pressure pain threshold (PPT). Results: ■I/T coeff (p=0.0013) and ▲I/T coeff (p=0.0011) for sensory excitability increased significantly in the irradiated group. ■I/T coeff (p=0.0356) and ▲I/T coeff (p=0.0022) increased significantly after blue light irradiation. A significant increase in the▲I/T coeff (p=0.0439) in motor excitability was observed in the irradiated group. ■I/T coeff (p=0.0309) and ▲I/T coeff (p=0.0064) increased significantly after blue light irradiation. Conclusion: PILER light may reduce muscle excitability. Using a blue filter may increase the sensory threshold, and myorelaxation. Further experiments are necessary to confirm the usefulness of the I/T curve coefficient.
{"title":"The I/T curve coefficient for evaluating changes in neuromuscular excitability after polarized light irradiation - a placebo-controlled randomized trial","authors":"Jolanta Zwolińska","doi":"10.5604/01.3001.0014.","DOIUrl":"https://doi.org/10.5604/01.3001.0014.","url":null,"abstract":"Introduction: PILER light affects the sensory and motor excitability of the tissue, and these changes may depend on the color of the filter used in the irradiations.\u0000\u0000Objective: To evaluate changes in neuromuscular excitability after PILER irradiation with different filters. To evaluate the usefulness of the I/T curve coefficient in neuromuscular excitability test.\u0000\u0000Material and methods: 60 healthy volunteers assigned to four groups: group v - without filter (n=15), group x - red filter (n=15), group y - blue filter (n=15), group z - placebo (n=15) had biceps brachii irradiated with PILER light. Outcome Measures: I/T curve coefficient for rectangular (■I/T coeff) and triangular (▲I/T coeff) pulses for sensory and motor excitability and the pressure pain threshold (PPT).\u0000\u0000Results: ■I/T coeff (p=0.0013) and ▲I/T coeff (p=0.0011) for sensory excitability increased significantly in the irradiated group. ■I/T coeff (p=0.0356) and ▲I/T coeff (p=0.0022) increased significantly after blue light irradiation. A significant increase in the▲I/T coeff (p=0.0439) in motor excitability was observed in the irradiated group. ■I/T coeff (p=0.0309) and ▲I/T coeff (p=0.0064) increased significantly after blue light irradiation.\u0000\u0000Conclusion: PILER light may reduce muscle excitability. Using a blue filter may increase the sensory threshold, and myorelaxation. Further experiments are necessary to confirm the usefulness of the I/T curve coefficient.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45766285","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 and aim: There is an increasing body of evidence that physical exercise may have a positive effect on people’s mental condition and well-being. Numerous study results indicate that physical activity helps in the treatment of depression and anxiety. This allows for a conclusion that sport – to a great extent – influences not only people’s physical aspects, but also their psyche. Sedentary lifestyle, time pressure and stress that accompanies people at an increasingly younger age contribute both to higher incidence of numerous civilisation diseases and to problems with mental health. The purpose of the study was to verify whether individuals practicing sports manifest better well-being than non-training individuals. Methods: A general interview was conducted with 80 students (40 individuals practicing sports and 40 individuals not practicing sports at all), whereupon they were requested to complete the Warwick-Edinburgh Mental Well-being Scale questionnaire. Results: The individuals practicing sport exhibit greater well-being than the subjects from the control group. It was also demonstrated that the males in the study group exhibit greater wellbeing than the females from the same group However, no findings were made that longer duration of a single training session, its frequency or the time when a given person started practicing sport had any influence on his/her well-being. Conclusions: Practicing sports has a positive influence on people’s well-being. Physical activity should be promoted from as early an age as possible to minimise the risk of numerous diseases in the future, including those affecting mental health.
{"title":"Assessing the level of well-being in individuals practicing sport","authors":"Magdalena Pieniążek, G. Mańko, Angelika Sosulska, Jarosław Jaszczur-Nowicki, Irina Lozinska, Beata Jarząbek","doi":"10.5604/01.3001.0014.2672","DOIUrl":"https://doi.org/10.5604/01.3001.0014.2672","url":null,"abstract":"Background and aim: There is an increasing body of evidence that physical exercise may have a positive effect on people’s mental condition and well-being. Numerous study results indicate that physical activity helps in the treatment of depression and anxiety. This allows for a conclusion that sport – to a great extent – influences not only people’s physical aspects, but also their psyche. Sedentary lifestyle, time pressure and stress that accompanies people at an increasingly younger age contribute both to higher incidence of numerous civilisation diseases and to problems with mental health. The purpose of the study was to verify whether individuals practicing sports manifest better well-being than non-training individuals.\u0000\u0000Methods: A general interview was conducted with 80 students (40 individuals practicing sports and 40 individuals not practicing sports at all), whereupon they were requested to complete the Warwick-Edinburgh Mental Well-being Scale questionnaire.\u0000\u0000Results: The individuals practicing sport exhibit greater well-being than the subjects from the control group. It was also demonstrated that the males in the study group exhibit greater wellbeing than the females from the same group However, no findings were made that longer duration of a single training session, its frequency or the time when a given person started practicing sport had any influence on his/her well-being.\u0000\u0000Conclusions: Practicing sports has a positive influence on people’s well-being. Physical activity should be promoted from as early an age as possible to minimise the risk of numerous diseases in the future, including those affecting mental health.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43840086","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 : 2019-10-26DOI: 10.5604/01.3001.0013.5453
S. Szajkowski, M. Dwornik, J. Pasek, G. Cieślar
Spine joint manipulation is a form of treatment for spinal pain with various etiologies. The most common form of these maneuvers is: HVLA – (High Velocity Low Amplitude); (ICD-9 No. 93.62) which is widely used in everyday clinical practice. HVLA utilizes a mechanical manipulative stimulus characterized by high speed, short duration and low amplitude of displacement of joint surfaces with respect to each other. Despite the long history of use, the mechanisms of their biological impact are still insufficiently explained. In the review, the hypotheses concerning the therapeutic mechanism of HVLA impact were verified based on the analysis of scientific reports available in PubMed database. Reports have been discussed presenting theoretical mechanisms of influence of HVLA techniques and experimental work taking up the issues of manipulation carried out on animal material. The following keywords were used for search: HVLA, spine manipulation, experimental studies, osteopathic treatment. Particular attention was focused on the research examining basic biological mechanisms being the basis for explaining the observed clinical effects. The analysis of scientific reports in recent years has shown that there is no direct evidence pointing to the need for obtaining the phenomenon of cavitation during HVLA procedures. Moreover, studies on an animal model prove that HVLA are safe and non-invasive procedures from the point of view of biomechanics. They inhibit the development of hyperalgesia and allodynia as confirmed by immunohistochemical studies. Previous experimental studies have shown clearly that more than one biological mechanism is responsible for the obtained effects of HVLA therapy, and the patients' reactions to therapy are complex and individually variable.
{"title":"Evaluating the mechanisms of therapeutic impact of joint manipulation based on the results of experimental studies","authors":"S. Szajkowski, M. Dwornik, J. Pasek, G. Cieślar","doi":"10.5604/01.3001.0013.5453","DOIUrl":"https://doi.org/10.5604/01.3001.0013.5453","url":null,"abstract":"Spine joint manipulation is a form of treatment for spinal pain with various etiologies. The most common form of these maneuvers is: HVLA – (High Velocity Low Amplitude); (ICD-9 No. 93.62) which is widely used in everyday clinical practice. HVLA utilizes a mechanical manipulative stimulus characterized by high speed, short duration and low amplitude of displacement of joint surfaces with respect to each other. Despite the long history of use, the mechanisms of their biological impact are still insufficiently explained. In the review, the hypotheses concerning the therapeutic mechanism of HVLA impact were verified based on the analysis of scientific reports available in PubMed database. Reports have been discussed presenting theoretical mechanisms of influence of HVLA techniques and experimental work taking up the issues of manipulation carried out on animal material. The following keywords were used for search: HVLA, spine manipulation, experimental studies, osteopathic treatment. Particular attention was focused on the research examining basic biological mechanisms being the basis for explaining the observed clinical effects. The analysis of scientific reports in recent years has shown that there is no direct evidence pointing to the need for obtaining the phenomenon of cavitation during HVLA procedures. Moreover, studies on an animal model prove that HVLA are safe and non-invasive procedures from the point of view of biomechanics. They inhibit the development of hyperalgesia and allodynia as confirmed by immunohistochemical studies. Previous experimental studies have shown clearly that more than one biological mechanism is responsible for the obtained effects of HVLA therapy, and the patients' reactions to therapy are complex and individually variable.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42023592","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 : 2019-10-02DOI: 10.5604/01.3001.0013.5097
J. Białkowska, Dorota Mroczkowska, Martyna Wickland-Białkowska
Biofeedback is a method of giving patients computerised feedback signals about changes in the physiological state of their body. This allows them to learn how to consciously modify functions not controlled consciously. This method allows active and conscious involvement of the patient in controlling their own physiological processes. The therapy aims to regulate the frequency of human brain waves. The human brain produces different ranges of waves that are characteristic of different types of human activity, a mechanism used in this method. The use of this method in routine rehabilitation with a specifically designed computer programme provides physicians, physiotherapists, neuropsychologists and speech therapists with a new tool for treatment, opportunities for improvement in treatment, and helps them better plan and develop treatment strategies using Evidence-Based Medicine. The aim of the work is to discuss how EEG Biofeedback software can be applied in neurorehabilitation and to discuss the use of EEG Biofeedback software in order to improve memory, concentration, attention, reduce emotional tension, increase resistance to stress, improve self-control, self-esteem and relaxation. Key words EEG biofeedback, neurorehabilitation, computer software in rehabilitation Article received: 14.01.2019; Accepted: 17.09.2019
{"title":"The use of EEG biofeedback to improve memory, concentration, attention and reduce emotional tension","authors":"J. Białkowska, Dorota Mroczkowska, Martyna Wickland-Białkowska","doi":"10.5604/01.3001.0013.5097","DOIUrl":"https://doi.org/10.5604/01.3001.0013.5097","url":null,"abstract":"Biofeedback is a method of giving patients computerised feedback signals about changes in the physiological state of their body. This allows them to learn how to consciously modify functions not controlled consciously. This method allows active and conscious involvement of the patient in controlling their own physiological processes. The therapy aims to regulate the frequency of human brain waves. The human brain produces different ranges of waves that are characteristic of different types of human activity, a mechanism used in this method. The use of this method in routine rehabilitation with a specifically designed computer programme provides physicians, physiotherapists, neuropsychologists and speech therapists with a new tool for treatment, opportunities for improvement in treatment, and helps them better plan and develop treatment strategies using Evidence-Based Medicine. The aim of the work is to discuss how EEG Biofeedback software can be applied in neurorehabilitation and to discuss the use of EEG Biofeedback software in order to improve memory, concentration, attention, reduce emotional tension, increase resistance to stress, improve self-control, self-esteem and relaxation.\u0000\u0000Key words\u0000\u0000EEG biofeedback, neurorehabilitation, computer software in rehabilitation\u0000\u0000Article received: 14.01.2019; Accepted: 17.09.2019\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46959288","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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