Katarzyna Olga Szczepańska, Tomasz Chomiuk, Andrzej Permoda
Background: The problem of urinary incontinence (UI) is present in the sports community, and women in this group are more likely to experience it compared to those who are physically inactive. Aims: This study aimed to determine the extent of urinary incontinence among physically active women and to indicate the influence of participants’ sociodemographic characteristics and variables describing their physical activity on the level of this problem. An additional objective was to assess subjects’ awareness of the prevention and treatment methods of urinary incontinence and check whether they use them to protect and treat this dysfunction. Material and methods: The data was obtained from 736 women. The research used the method of a diagnostic survey, the technique of an Internet questionnaire for which the proprietary interview questionnaire was used. The obtained results were statistically analyzed using statistical measures and tests. Results: Urinary incontinence was reported by 18.2% of the participants. A statistically significant association between age, history of childbirth, education, and prevalence of urinary incontinence was found. There was no statistically significant relationship between training duration, number of systematic workouts per week, length and intensity of a single workout and urinary incontinence. Conclusion: The problem of urinary incontinence is present in the sports community, but further research should be conducted to analyze the prevalence of this issue in this population.
{"title":"Urinary incontinence in physically active women","authors":"Katarzyna Olga Szczepańska, Tomasz Chomiuk, Andrzej Permoda","doi":"10.5114/phr.2021.111808","DOIUrl":"https://doi.org/10.5114/phr.2021.111808","url":null,"abstract":"Background: The problem of urinary incontinence (UI) is present in the sports community, and women in this group are more likely to experience it compared to those who are physically inactive. Aims: This study aimed to determine the extent of urinary incontinence among physically active women and to indicate the influence of participants’ sociodemographic characteristics and variables describing their physical activity on the level of this problem. An additional objective was to assess subjects’ awareness of the prevention and treatment methods of urinary incontinence and check whether they use them to protect and treat this dysfunction. Material and methods: The data was obtained from 736 women. The research used the method of a diagnostic survey, the technique of an Internet questionnaire for which the proprietary interview questionnaire was used. The obtained results were statistically analyzed using statistical measures and tests. Results: Urinary incontinence was reported by 18.2% of the participants. A statistically significant association between age, history of childbirth, education, and prevalence of urinary incontinence was found. There was no statistically significant relationship between training duration, number of systematic workouts per week, length and intensity of a single workout and urinary incontinence. Conclusion: The problem of urinary incontinence is present in the sports community, but further research should be conducted to analyze the prevalence of this issue in this population.","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90910526","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}
Z. Wronski, Maciej Krawczyk, Dalia Woźnica, Tomasz Niewiadomski, Jacek Koszela, Ernest Wiśniewski, Artur Koper, W. Śmigielski, Paweł Adamkiewicz
Background: Probably due to an oversight in the preparation phase of the legislative process, the Act on the Profession of Physiotherapy limited the possibility of conducting business activity only to medical entities. Separate regulations were introduced to allow physiotherapists to work as individual and group practitioners. Now it seems appropriate to assess how physiotherapy practices are structured in Poland. Aims: This study aimed to perform a quantitative and qualitative analysis of physiotherapy practices in Poland, taking into account factors such as the distribution across all regions of the country, type of practice, physiotherapists’ age and education and city size. Material and methods: The results and analyses presented in this report were based on statistical data taken from the official stati stics of the Polish National Chamber of Physiotherapists. Results: At the end of the 1st quarter of 2020, there were over 11,000 registered individual physiotherapy
{"title":"Territorial differentiation of physiotherapy practices in Poland","authors":"Z. Wronski, Maciej Krawczyk, Dalia Woźnica, Tomasz Niewiadomski, Jacek Koszela, Ernest Wiśniewski, Artur Koper, W. Śmigielski, Paweł Adamkiewicz","doi":"10.5114/FOR.2021.106950","DOIUrl":"https://doi.org/10.5114/FOR.2021.106950","url":null,"abstract":"Background: Probably due to an oversight in the preparation phase of the legislative process, the Act on the Profession of Physiotherapy limited the possibility of conducting business activity only to medical entities. Separate regulations were introduced to allow physiotherapists to work as individual and group practitioners. Now it seems appropriate to assess how physiotherapy practices are structured in Poland. Aims: This study aimed to perform a quantitative and qualitative analysis of physiotherapy practices in Poland, taking into account factors such as the distribution across all regions of the country, type of practice, physiotherapists’ age and education and city size. Material and methods: The results and analyses presented in this report were based on statistical data taken from the official stati stics of the Polish National Chamber of Physiotherapists. Results: At the end of the 1st quarter of 2020, there were over 11,000 registered individual physiotherapy","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86049303","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: The proper functioning of the lumbosacral complex requires the integrated activity of all its components. Proper segmental control of the lumbosacral region of the spine and its stabilization are required. Aims: This study aimed to determine the morphometry of the musculofascial structures of the lumbosacral region of the spine in young subjects with no history of lower back pain, and the gender differences in the thickness of these anatomical structures. Material and methods: The study included 20 subjects who underwent ultrasound examinations to estimate the thickness of the musculofascial structures of the lower spine. For the purpose of this study, two zones were distinguished: muscular zone (MZ) and perimuscular zone (PMZ). In the MZ, the thickness of the multifidus muscle (MFM) was measured. In the PMZ, the thickness of the following structures was measured: epimysium of the multifidus muscle (EMFM), loose connective tissue (LCT), and thoracolumbar fascia (TLF). The collected thickness measurements were analyzed as the average values from both sides of the body. Results: Differences in MFM thickness were observed between men and women, while no differences were noted in the other measurements in the PMZ. Conclusions: Resting MFM thickness is greater in men, whereas the resting thicknesses of the TLF, LCT, and EMFM are similar for both genders in the lumbosacral complex.
{"title":"Morphology of the Myofascial Structures of the Lumbosacral Complex in Healthy People: Preliminary Report from Single-Center and Cross-Sectional Study","authors":"Rafał Miękisiak","doi":"10.5114/PHR.2021.109032","DOIUrl":"https://doi.org/10.5114/PHR.2021.109032","url":null,"abstract":"Background: The proper functioning of the lumbosacral complex requires the integrated activity of all its components. Proper segmental control of the lumbosacral region of the spine and its stabilization are required. Aims: This study aimed to determine the morphometry of the musculofascial structures of the lumbosacral region of the spine in young subjects with no history of lower back pain, and the gender differences in the thickness of these anatomical structures. Material and methods: The study included 20 subjects who underwent ultrasound examinations to estimate the thickness of the musculofascial structures of the lower spine. For the purpose of this study, two zones were distinguished: muscular zone (MZ) and perimuscular zone (PMZ). In the MZ, the thickness of the multifidus muscle (MFM) was measured. In the PMZ, the thickness of the following structures was measured: epimysium of the multifidus muscle (EMFM), loose connective tissue (LCT), and thoracolumbar fascia (TLF). The collected thickness measurements were analyzed as the average values from both sides of the body. Results: Differences in MFM thickness were observed between men and women, while no differences were noted in the other measurements in the PMZ. Conclusions: Resting MFM thickness is greater in men, whereas the resting thicknesses of the TLF, LCT, and EMFM are similar for both genders in the lumbosacral complex.","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91382874","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}
Aims: In recent years, devices for deep electromagnetic stimulation have been implemented in clinical practice. These devices generate pulses with a frequency of 1 to 50 Hz and magnetic induction of up to 2.5 T. Due to the possibility of producing or an effective deep-penetrating mechanical vibration, electromagnetic stimulation is increasingly used in the physiotherapy of urogynecological disorders. This study aimed to analyse of the effect of deep electromagnetic stimulation on the bioelectrical activity of pelvic floor muscles in a young woman. Case report: The case of a 24-year-old woman with no diagnosed stress urinary incontinence is presented. The subject underwent electromagnetic stimulation twice a week for one month (8 treatments). A single treatment lasted 15 minutes and used a magnetic induction of 1.0 T and a frequency that varied in each successive treatment to 50 Hz. The bioelectrical activity of the pelvic floor muscles was measured before and after the study period. After completion of the treatment series, a decrease in muscle tone was found. Summary: In the case of a young woman without symptoms of stress urinary incontinence, electromagnetic stimulation (with the parameters specified in the present study) was not effective for strengthening the pelvic floor muscles. Further clinical studies should be conducted to determine the appropriate management algorithm.
{"title":"The Effect of Medium-Intensity Electromagnetic Stimulation on Pelvic Floor Muscle Activity in a Young Woman—A Case Report","authors":"J. Konrad, Magdalena Grygiel","doi":"10.5114/PHR.2021.104599","DOIUrl":"https://doi.org/10.5114/PHR.2021.104599","url":null,"abstract":"Aims: In recent years, devices for deep electromagnetic stimulation have been implemented in clinical practice. These devices generate pulses with a frequency of 1 to 50 Hz and magnetic induction of up to 2.5 T. Due to the possibility of producing or an effective deep-penetrating mechanical vibration, electromagnetic stimulation is increasingly used in the physiotherapy of urogynecological disorders. This study aimed to analyse of the effect of deep electromagnetic stimulation on the bioelectrical activity of pelvic floor muscles in a young woman. Case report: The case of a 24-year-old woman with no diagnosed stress urinary incontinence is presented. The subject underwent electromagnetic stimulation twice a week for one month (8 treatments). A single treatment lasted 15 minutes and used a magnetic induction of 1.0 T and a frequency that varied in each successive treatment to 50 Hz. The bioelectrical activity of the pelvic floor muscles was measured before and after the study period. After completion of the treatment series, a decrease in muscle tone was found. Summary: In the case of a young woman without symptoms of stress urinary incontinence, electromagnetic stimulation (with the parameters specified in the present study) was not effective for strengthening the pelvic floor muscles. Further clinical studies should be conducted to determine the appropriate management algorithm.","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90058750","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: Low back pain (LBP) is a major social and economic problem. Its prevalence in 2015 was 540 million cases, which is 7% of the general population. A number of physiotherapeutic methods are used to treat these spinal complaints. Aims: This review aimed to compare the effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy (MDT), Transcutaneous Electrical Nerve Stimulation (TENS), and the Pilates Method Exercise Program (PMEP) in patients with LPB. Material and methods: This review analyzed studies considered high quality according to the Physiotherapy Evidence Database scale (PEDro score above 7/10) in terms of the effectiveness of the methods analyzed: MDT, TENS, and PMEP. Results: In the studies reviewed, the MDT method was found to be inconclusively effective, while TENS, considered simple and popular, improved the condition of patients suffering from LBP. The PMEP method was the most effective, although it was compared only with the control group. Conclusions: It seems necessary to continue randomized clinical trials (RCTs) on these methods with standardized methodology (double and triple blinding, a follow-up evaluation of the participants, selecting therapists with similar professional experience, and a comparison of more methods in high-quality systematic reviews and meta-analyses).
{"title":"Review of Selected Physiotherapeutic Methods Used in the Rehabilitation of Low Back Pain in Light of Evidence-Based Medicine Principles","authors":"Aleksander Kaletka","doi":"10.5114/FOR.2021.106944","DOIUrl":"https://doi.org/10.5114/FOR.2021.106944","url":null,"abstract":"Background: Low back pain (LBP) is a major social and economic problem. Its prevalence in 2015 was 540 million cases, which is 7% of the general population. A number of physiotherapeutic methods are used to treat these spinal complaints. Aims: This review aimed to compare the effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy (MDT), Transcutaneous Electrical Nerve Stimulation (TENS), and the Pilates Method Exercise Program (PMEP) in patients with LPB. Material and methods: This review analyzed studies considered high quality according to the Physiotherapy Evidence Database scale (PEDro score above 7/10) in terms of the effectiveness of the methods analyzed: MDT, TENS, and PMEP. Results: In the studies reviewed, the MDT method was found to be inconclusively effective, while TENS, considered simple and popular, improved the condition of patients suffering from LBP. The PMEP method was the most effective, although it was compared only with the control group. Conclusions: It seems necessary to continue randomized clinical trials (RCTs) on these methods with standardized methodology (double and triple blinding, a follow-up evaluation of the participants, selecting therapists with similar professional experience, and a comparison of more methods in high-quality systematic reviews and meta-analyses).","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"180 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89275780","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}
Aim: The aim of the study was to compare the effect of ischemic compression of trigger points, in which pressure was maintained in a pulsating (group A) and constant (group B) manner on the pain threshold and EMG parameters of the trapezius muscle. Material and methods: 28 students with a latent trigger point in the described muscle participate in use. Compression pain threshold measured using a hand dynamometer, muscle biopotential values at rest, and motor activity determined using EMG. Both parameters were evaluated before and after the therapy. Results: in each of the examined groups a statistically significant decrease in the pain threshold was observed, additionally in group B there was a significant decrease in the muscle resting tone. The analysis of other parameters did not show any significant changes. Conclusions: according to the authors, ischemic compression is characterized by greater clinical usefulness in the treatment of pain and increased muscle tone.
{"title":"Comparison of the effect of two methods of ischemic compression of trigger points on the\u0000change of pain threshold and electromyographic parameters of the trapezius muscle.","authors":"Dawid Janczarzyk, P. Kurowski","doi":"10.5114/PHR.2020.103017","DOIUrl":"https://doi.org/10.5114/PHR.2020.103017","url":null,"abstract":"Aim: The aim of the study was to compare the effect of ischemic compression of trigger points, in which pressure was maintained in a pulsating (group A) and constant (group B) manner on the pain threshold and EMG parameters of the trapezius muscle. Material and methods: 28 students with a latent trigger point in the described muscle participate in use. Compression pain threshold measured using a hand dynamometer, muscle biopotential values at rest, and motor activity determined using EMG. Both parameters were evaluated before and after the therapy. Results: in each of the examined groups a statistically significant decrease in the pain threshold was observed, additionally in group B there was a significant decrease in the muscle resting tone. The analysis of other parameters did not show any significant changes. Conclusions: according to the authors, ischemic compression is characterized by greater clinical usefulness in the treatment of pain and increased muscle tone.","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84682500","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}
W dzisiejszych czasach coraz więcej osób zgłasza dolegliwości bólowe szyi, barków, kolan, a przede wszystkim dolnej części pleców. Dolegliwości te pojawiają się u ludzi w różnym wieku, począwszy od uczniów szkół podstawowych na osobach starszych kończąc. Problem ten dotyczy również osób trenujących zawodowo i hobbistycznie, a także osób nieaktywnych fizycznie lub o ograniczonej aktywności fizycznej. Publikowane wyniki badań pokazują, że systematycznie wzrasta liczba osób cierpiących na dolegliwości bólowe
{"title":"Therapeutic treatment in the treatment of lower back pain - Part I.","authors":"Natalia Julia Zimnoch, Andrzej Permoda","doi":"10.5114/phr.2020.103016","DOIUrl":"https://doi.org/10.5114/phr.2020.103016","url":null,"abstract":"W dzisiejszych czasach coraz więcej osób zgłasza dolegliwości bólowe szyi, barków, kolan, a przede wszystkim dolnej części pleców. Dolegliwości te pojawiają się u ludzi w różnym wieku, począwszy od uczniów szkół podstawowych na osobach starszych kończąc. Problem ten dotyczy również osób trenujących zawodowo i hobbistycznie, a także osób nieaktywnych fizycznie lub o ograniczonej aktywności fizycznej. Publikowane wyniki badań pokazują, że systematycznie wzrasta liczba osób cierpiących na dolegliwości bólowe","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75849602","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}
Z. Wronski, M. Kanarek, J. Oleksiak, Adrian Kużdżał
{"title":"The impact of the SARS-Cov-2 coronavirus pandemic on the reduction of physical activity in the group of office workers shited to home office","authors":"Z. Wronski, M. Kanarek, J. Oleksiak, Adrian Kużdżał","doi":"10.5114/PHR.2020.103013","DOIUrl":"https://doi.org/10.5114/PHR.2020.103013","url":null,"abstract":"","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86604288","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}
{"title":"Recommendations on the clinical efficacy of laser therapy in selected diseases according to the principles of Evidence-Based Physiotherapy (EBP)","authors":"J. Taradaj","doi":"10.5114/phr.2020.103021","DOIUrl":"https://doi.org/10.5114/phr.2020.103021","url":null,"abstract":"","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82449162","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}
Mariusz Kanarek, Z. Wroński, Jolanta Oleksiak, Adrian Kużdżał
The impact of the SARS-Cov-2 coronavirus pandemic on low back pain in the group of office workers shifted to home office.
新冠肺炎疫情对居家办公人群腰痛的影响
{"title":"WPŁYW PANDEMII KORONAWIRUSA SARS-COV-2 NA CZĘSTOŚĆ WYSTĘPOWANIA I NASILENIE BÓLÓW KRĘGOSŁUPA LĘDŹWIOWEGO W GRUPIE PRACOWNIKÓW BIUROWYCH PRZENIESIONYCH DO PRACY ZDALNEJ","authors":"Mariusz Kanarek, Z. Wroński, Jolanta Oleksiak, Adrian Kużdżał","doi":"10.5114/PHR.2020.102687","DOIUrl":"https://doi.org/10.5114/PHR.2020.102687","url":null,"abstract":"The impact of the SARS-Cov-2 coronavirus pandemic on low back pain in the group of office workers shifted to home office.","PeriodicalId":88183,"journal":{"name":"The Physiotherapy review","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86707218","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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