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4 Baltic Journal of Health and Physical Activity. The Journal of Gdansk University of Physical Education and Sport

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Local cryotherapy in tennis elbow (lateral epicodylitis)

100%

Kawa M. , Kowza-Dzwonkowska M.

tom 07

nr 3

Background: The study investigated the analgesic effectiveness, the reduction in the intake of painkillers and an improvement in physical activity after local cryotherapy in tennis elbow (TE). Material/Methods: The research group comprised patients of the Physiotherapy Patients diagnosed with so-called tennis elbow were referred to physical therapy treatments by specialist doctors. 34 patients were examined (26 women, 8 men), aged 36-59 years, who were then divided into two groups: Group X (17 persons) – treated with local cryotherapy (10 treatments over 2 weeks), Group Y (17 persons ) – the control group with no therapeutic procedures conducted for a period of 2 weeks. Materials for the quantitative analysis in the study were obtained by means of the Laitinen questionnaire and the VAS scale. Results: Results of the analysis showed significant differences between the intensity of pain experienced by the subjects, the range of received analgesics, and the difference in physical activity before the therapy and after its completion. Tests of scheduled comparisons showed a substantial decline in values among the subjects for both the combined therapy (p = 0.000) and local cryotherapy (p = 0.000). Conclusions: The analgesic effect of the combined therapy and local cryotherapy resulted in reducing the intake of analgesics and an improvement in physical activity of patients TE.

The role of myofascial massage in spinal pains in professionally active women

80%

Kawa M. , Orlowski K. , Kowza-Dzwonkowska M.

tom 07

nr 4

Background: Pain ailments of the spine are one of the most common diseases of the system of bones and joints. 75% to 85% of the world’s population suffer or will suffer from it, and lumbar pain is the most common cause of disability of persons over 45 years of age. They are usually the beginning of a chronic, often progressing ailments often leading to disability, incapacity to work and restrictions in daily life. Myofascial massage helps reduce pain sen sations. Is a specific method of gradual stretching soft tissues and making muscle fibres more elastic. It reduces increased muscle tone, muscle insertions and tendons. Material/Methods: The study involved 30 women with a mean age of 52.7 years. The study relied on performing 10 myofascial massages of the spine within 2 weeks. Results: The statistical analysis of the Wilcoxon’s signed-ranked test showed statistically significant results for tested variables of the Laitinen scale (the intensity of pain before and after the treatment at p = 0.00, the incidence of pain before and after the treatment at p = 0.00, the use of analgesics before and after the treatment at p = 0.00, limitation of physical activity before and after the treatment at p = 0.00). Conclusions: The applied therapy involving a series of myofascial massages supporting the structures of the motor segment, improving the elasticity of the massaged tissues and normalising the muscle tone resulted in reducing pain ailments in the lumbo-sacral section of the spine. Improvement in the patients’ well-being and increased desire for physical activity took place.

The role of physical activity in supporting treatment of coxarthrosis symptoms in elderly patients

80%

Kawa M. , Kowza-Dzwonkowska M. , Schenk A.

Baltic Journal of Health and Physical Activity. The Journal of Gdansk University of Physical Education and Sport

2016

tom 08

nr 4

Background: Next to degenerative changes of the spine, osteoarthritis of the hip is one of the most common diseases of the musculoskeletal system in people after the age of 65. The purpose of this study is to compare and evaluate the analgesic effectiveness treatments with exercises on a bicycle ergometer in osteoarthritis of the hip in patients. Material/Methods: The study involved 30 persons with degenerative disease of the hip referred to 10-day rehabilitation with a weekend break. In Group A 14 patients were subjected to treatments with local cryotherapy and laser therapy; in Group B 16 this treatment together exercises on a bicycle ergometer. The scale of pain Visual Analogue Scale and the Laitinen scale were used in the study. Results: In both groups there was a statistically significant reduction in symptoms related to degenerative disease. In Group B it was improvement in the form of a reduction in pain higher by 6%, the frequency of pain by 9%, the use of painkillers by 18% and in limitation of physical activity by 8% compared to patients from Group A. Conclusions: Combining physical therapy treatments with movement turned out to be a more effective therapy.

Evaluation of analgesic effectiveness of infrared radiation and interference currents in degenerative diseases

80%

Kawa M. , Muszynska E. , Kowza-Dzwonkowska M.

tom 06

nr 4

Background: The aim of this research is to evaluate analgesic effectiveness of infrared radiation and interference currents in degenerative diseases of joints. On the grounds of current practical and theoretical experience, the following hypothesis was formed: Application of interference currents and infrared radiation constitutes effective analgesic therapy in degenerative diseases, and in the case of the applied treatment, its effectiveness is long-term. Material/Methods: Tests were conducted on a group consisting of 32 women and men in the age range of 65-87 years of age suffering from a degenerative disease of the knee joint. The patients were applied a series of 10 treatments with application of the Sollux lamp for 15 minutes and interference currents of 50-100 HZ frequency for 5 minutes and 90- 100 Hz for 10 minutes during treatment. Evaluation of the efficiency of therapy was checked by means of the VAS scale and the Laitinen scale. Results: The results indicate an efficient analgesic effect according to the VAS scale immediately after treatment p = 0.002 and a month after treatment p = 0.000 as well as according to the Laitinen scale immediately after treatment p = 0.004 and a month after treatment p = 0.004. Conclusions: Application of infrared radiation and interference currents indicates an analgesic effect. These treatments may be alternative or supportive to pharmacological treatment in the case of degenerative changes in people who are over 65 years of age. Results of the research suggest continuation of further research on the effectiveness of the above-mentioned therapy and the length of preserving analgesic results in people with degenerative diseases of joints.