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2 Polish Journal of Medical Physics and Engineering

2 2025

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Thermal evaluation of TECAR used in the treatment of active myofascial trigger point

Piętka Tomasz, Duch Klaudia, Sieroń Karolina, Kiełboń Agnieszka, Kasprzyk-Kucewicz Teresa

Polish Journal of Medical Physics and Engineering

2025

Vol. 31, Iss. 3

239--245

Introduction: This study aimed to evaluate the efficacy of TECAR therapy in treating MTrP using thermographic imaging as a diagnostic tool. Material and methods: The study was conducted on a group of 13 volunteers aged 25 to 45 years (mean age 34.3 ± 6.4 years) who were diagnosed with active MTrP in the UT muscle. Thermography measured skin temperature changes in the treated areas before and after TECAR therapy. Results: The study revealed a correlation between changes in skin temperature and clinical pain indicators, as measured by the NRS and PPT. Initial results showed no significant correlations between temperature parameters and pain scales. However, after seven days of TECAR therapy, a strong, positive correlation was observed between temperature and NRS scores (p = 0.004, r = 0.8), suggesting that TECAR therapy affects temperature in the MTrP area, resulting in a pain decrease. Conclusions: The results obtained over 30 days of therapy showed variability in thermal response, indicating the need for further research to fully understand the mechanisms of action of TECAR therapy in the treatment of MTrP. Nevertheless, the observed strong correlation after seven days of therapy suggests promising possibilities for using thermography to monitor treatment effects.

The density of growth cartilage evaluation due to epiphysiodesis procedure

Kaszuba Michał, Jr., Duch Klaudia, Rykała Karolina, Cholewka Armand, Tomaszewski Ryszard

Polish Journal of Medical Physics and Engineering

2025

Vol. 31, Iss. 3

263--267

Introduction: Proper prediction of remaining lower limbs growth is crucial for determining the optimal timing of epiphysiodesis in patients with limb length discrepancies or the curvature occurred in knee joint occurred in children during rapid growth period. Several methods are commonly used in correction of such orthopedic problem. One of them is procedure of epiphysiodesis. The main goal of the study was to evaluate changes in the density of growth cartilage at the distal end of the thigh bone following epiphysiodesis, and to compare it with the cartilage density on the side without screw placement in the same limb, as well as with the contralateral side. Material and methods: The clinical study included 9 patients of both sexes (5 females and 4 males) who were treated at the Department and Clinic of Orthopedic Surgery, Medical University of Silesia in Katowice. Results: The regions of interest marked on the X-ray images from which the average pixel value have been derived. Conclusions: The conducted study demonstrated a statistically significant difference of over 50% the average pixel value between preoperative and postoperative measurements on the side where screws were placed (p = 0.01). Additionally, a significant difference of 50% was observed between the preoperative pixel value on the side designated for screw placement and the postoperative pixel value on the contralateral, non-operated side.