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EN
Purpose: The experiment was designed to evaluate and compare the efficacy of focused shockwave and radial shockwave in symptomatic heel spur treatment. Postural balance tests were used to ensure the objectivity of evaluations. Methods: Forty three patients with symptomatic heel spur were divided into two comparative groups that received respectively focused shockwave therapy (the FSWT group; 2000 impulses, 4 Hz, 0.4 mJ/mm2 ) and radial shockwave therapy (the RSWT group; 2000 impulses, 8 Hz, 5 bars + 2000 impulses, 8 Hz, 2.5 bars). Each patient received 5 treatments at weekly intervals. Before therapy started and 1, 3, 6 and 12 weeks after it ended, the intensity of pain experienced by the patients was assessed and static balance tests were performed on a force platform. Results: Successive measurements showed that the intensity of all kinds of pain under consideration was decreasing gradually and statistically significantly in both groups. The percentage reduction in pain intensity was similar between the groups. The standard deviation of the COP in the anterior-posterior and medial-lateral directions, 95% confidence ellipse area and COP velocity kept varying throughout the experiment, but in none of the groups changes were statistically significant. Conclusions: Focused shockwave therapy and radial shockwave therapy improve the well-being of patients with symptomatic heel spur significantly and comparably. Posturography cannot deliver unambiguous data for tracking changes that the two therapies induce in these patients.
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EN
Background: A posture defect may be defined as a syndrome of abnormalities occurring in a relaxed upright position of the body. Deviations from the typical body shape are specific for given age and gender. Life determinants and social situation have a very significant impact on the development of body posture in young people. Aim of the study: The aim of the study was to analyse the occurrence of spinal defects in children aged 3–6 years. Material and methods: The study included 75 children aged 3–6 years. The children were examined for spinal defects using the MORA computer system. Results: Boys in the study showed a correlation between height and the inclination of the upper thoracic segment, whereas no such correlation was observed in girls. A significant relationship was also demonstrated between BMI and compensation and inclination of the lumbar segment in all subjects. Overall height was also noted to be significantly related to both spine length and the length of its curvature. Conclusions: The occurrence of spinal defects is influenced by gender. BMI can have a significant impact on spinal morphology and the formation of body posture, even in pre-school age children.
PL
Celem przeprowadzonego badania była ocena efektu cieplnego wybranych zabiegów fizykalnych stosowanych w leczeniu owrzodzeń żylnych goleni. 32 chorych z owrzodzeniami żylnymi goleni zakwalifikowano losowo do grup porównawczych 1,2 i 3. Do grupy 1. włączono 12 chorych, do 2. - 10 chorych, do 3. - 10 chorych. Wszyscy chorzy byli poddani miejscowej terapii farmakologicznej. U osób z grupy 1. wykonano zabiegi sono-terapii. Natomiast u osób z grupy 2. wykonano elektro-stymulację wysokonapięciową. U osób z grupy 3. owrzodzenia poddano biostymulacji laserowej. Oceniano, w jakim stopniu metody fizykalne wpływają na średnią i maksymalną temperaturę w obrębie ubytku. Po zakończeniu leczenia stwierdzono, że sonoterapia wywołuje istotny, choć krótkotrwały efekt cieplny. Natomiast nie zauważono efektu cieplnego w przypadku elektrostymulacji wysokonapięciowej i biostymulacji laserowej.
EN
The aim of the study was to evaluate the thermal effect of sonotherapy, high voltage electrostimulation and laser biostimulation in treatment of venous leg ulcers. Three comparative groups - 1,2 and 3 - were random-i ly chosen from 32 patients with venous leg ulcers. The I group 1 consisted of 12 patients, the group 2 of 10 pa-I tients, the group 3 of 10 patients. The patients in all comparative groups were treated pharmacologically. Ulcerations at the patients in the group 1 were additionally treated with the sonotherapy. In the group 2 high voltage electrostimulation was applied. Ulcerations at the patients in the group 3 were treated with the laser biostimulation. After therapy we concluded that ultrasound had significant thermal effect, however short. No significant effects of high voltage electrostimulation and laser biostimulation were observed.
EN
Background: Massage is a common treatment in physiotherapy, often used as a prophylaxis or during recovery following a musculoskeletal contusion. One form of therapeutic massage is deep tissue massage (DTM), which has become more popular in recent years as a way of performing targeted work with the myofascial system. Aim of the study: The aim of the study was to examine the effectiveness of deep tissue massage on superficial back line flexibility (hip flexion and knee extension range of motion – ROM). Material and methods: Elite volleyball players (n=15), age: 22.8 ± 4.41 years; mass: 82.67 ± 6.99 kg; height: 1.96 ± 0.08 m) were recruited for this study. Deep tissue massage of the myofascial superficial back line was performed from the plantar fascia through the gastrocnemius and soleus muscles, the hamstrings to the ischial tuberosity (based on Myers, 2014). Hip flexion and knee extension ROM were measured at rest both before and after DTM. The Wilcoxon signed-rank test was used to compare pre and post values during the intervention. Results: Following deep tissue massage, there was significant improvement in superficial back line flexibility, demonstrated by an increase in hip flexion angle compared to pre-DTM values in both lower limbs. Right lower limb pre-DTM 1.86±0.66; post 2.79±0.43 (p<0.005), left lower limb pre-DTM 2.36±0.74; post 2.79±0.43 (p<0.028). There was also significant improvement in superficial back line flexibility demonstrated by an increase in knee extension angle post-DTM in both lower limbs. Right lower limb pre-DTM 69.79°±10.8; post 81.43°±6.06, left lower limb pre-DTM 73.07°±11.45, post 82.50°±8.39). Conclusions: Deep tissue massage increases the flexibility of the superficial back line and can be used as a form of increasing range of motion in the hips and knees.
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