Wyniki wyszukiwania - Biblioteka Nauki

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Whole-body vibration on lower limb flexibility and extensibility – a randomized clinical trial

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da Silva Morais C. C. , Favaro Misiak G. , Santin L. M. , Rodrigo de Carvalho A. , Flor Bertolini G. R.

European Journal of Clinical and Experimental Medicine

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2023

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nr 2

224-229

EN

Introduction and aim. The whole-body vibration has become known for optimizing the production of muscle power due to mechanical oscillations that are dependent on vibration frequency. However, the effects of varying the vibration frequency on flexibility have still been little explored. Compare the effects of two frequencies of whole-body vibration on flexibility and extensibility of the lower limbs. Material and methods. Randomized clinical trial with a sample of 42 young adult volunteers of both sexes, who performed squatting sessions with individualized load on a platform and distributed into three groups of vibration frequency: control group (CG), with the platform off; low frequency group (LF), with a frequency of 30 Hz; high frequency group (HF), with a frequency of 45 Hz. In total, the intervention was carried out in 12 sessions and lasted 6 weeks, with 2 sessions per week. Flexibility, evaluated before and after the intervention by the sit and reach test (Wells bench) and by evaluating the extensibility of the ischiotibials by goniometry. Results. No statistical differences were observed for any of the outcomes evaluated. Conclusion. None of the proposed frequencies produced gains in flexibility and extensibility of the lower extremities and there was no superiority of one frequency over another.

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Computational gait analysis using fuzzy logic for everyday clinical purposes - preliminary findings

88%

Mikołajewska E. , Prokopowicz P. , Mikołajewski D.

Bio-Algorithms and Med-Systems

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2017

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tom Vol. 13, no. 1

37--42

EN

Background: Proper, early, and exact identification of gait impairments and their causes is regarded as a prerequisite for specific therapy and a useful control tool to assess efficacy of rehabilitation. There is a need for simple tools allowing for quickly detecting general tendencies. Objective: The aim of this paper is to present the outcomes of traditional and fuzzy-based analysis of the outcomes of post-stroke gait reeducation using the NeuroDevelopmental Treatment-Bobath (NDT-Bobath) method. Materials and methods: The research was conducted among 40 adult people: 20 of them after ischemic stroke constituted the study group, and 20 healthy people constituted the reference group. Study group members were treated through 2 weeks (10 therapeutic sessions) using the NDT-Bobath method. Spatio-temporal gait parameters were assessed before and after therapy and compared using novel fuzzy-based assessment tool. Results: Achieved results of rehabilitation, observed as changes of gait parameters, were statistically relevant and reflected recovery. One-number outcomes from the proposed fuzzy-based estimator proved moderate to high consistency with the results of the traditional gait assessment. Conclusions: Observed statistically significant and favorable changes in the health status of patients, described by gait parameters, were reflected also in outcomes of fuzzy-based analysis. Proposed fuzzy-based measure increases possibility of the clinical gait assessment toward more objective clinical reasoning based on common use of the mHealth solutions.

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Factors of subjective assessment of the effectiveness of physiotherapy: a study on patients with degenerative disease of the spine

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Kossakowska K. , Szczepanik M. , Woszczak M.

Family Medicine & Primary Care Review

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2018

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nr 2

131-138

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Muscle contraction of the pelvic floor and quality of life of women with stress urinary incontinence who underwent kinesitherapy

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Beuttenmüller L. , Cader S. , Macena R. , Araujo N. , Nunes É. , Dantas E.

Physiotherapy

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2010

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tom 18

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nr 1

35-41

EN

Introduction: the World Health Organization recommends physical therapy in patients with mild to moderate Urinary Incontinence (UI) as the first line of treatment. Aim: Evaluate the effect of electrical stimulation on muscle contraction of the pelvic floor and quality of life of women with stress UI (SUI). Methods: experimental study with 75 female patients randomly divided into: G1: electrical stimulation therapy with kinesitherapy; G2: kinesitherapy; G3: control group. Parameters evaluated: anthropometric measurements, physical examination of the pelvic floor (AP), pelvic floor muscles (AFA) and the degree of contraction of the AP (CAP) by the activity of the muscles [Type I (TI) and Type II (TII)] and Quality of life (QOL). Intervention consisted of 12 sessions, two sessions per week for six weeks. Descriptive statistics were used and the Student's t test or Wilcoxon paired test for the intra-group analysis. For the inter-group analyses, we used the Kruskal Wallis followed by the Mann-Whitney (AFA and QOL) and two-way ANOVA followed by Scheffe post hoc test (CAP). The p< 0.05 was adopted for statistical significance. Results: there was a significant difference in: AFA TI and AFA TII (G1 x G3 and G2 x G3); CAP TI (G2 x G3). There was a significant reduction in all domains of QOL in G1 and G2 except for DOM 6 in G2. The G3 group did not display any significant results. Conclusions: both physical therapy treatments (G1 and G2) were effective in the improvement in pelvic floor muscular functioning and in quality of life.

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Ocena symetrii obciążania kończyn dolnych w fazie lądowania skoków u mężczyzn średnio 2 lata od rekonstrukcji więzadła krzyżowego przedniego stawu kolanowego i nadzorowanej pooperacyjnej fizjoterapii trwającej krócej niż 6 miesięcy

75%

Królikowska A. , Czamara A. , Reichert P.

Polish Journal of Sports Medicine

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2018

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tom 34(3)

155-166

EN

Background. The aim of the study was to assess the symmetry of load exerted on the lower limbs during the landing phase of hops in males after anterior cruciate ligament (ACL) reconstruction (ACLR) and the controlled postoperative physiotherapy procedure, lasting less than six months. Material and methods. The sample included 15 males, on average 112.60±43.88 weeks after ACL reconstruction (ACLR group) and 15 males with no history of injuries within the musculoskeletal system (control group). The mean duration of the postoperative supervised physiotherapeutic procedure was 14.67±5.30 in ACLR group. In both groups, the ground reaction force compound (vGRF) was measured bilaterally during the landing phase of single and double leg hops. The obtained results were normalized to the patient’s body mass (vGRF [BM]) and the leg symmetry index (LSI) was calculated. Results. In ACLR group, the vGRF [BM] values obtained for the operated leg were statistically significantly lower than those obtained for the uninvolved leg in the landing phase of double leg hops (p=0.001) and single leg hops (p=0.045). The LSI vGRF [BM] values, obtained during the landing phase of double leg hops, were significantly worse in the ACLR group than in the control group (p<0.001). In the landing phase of single leg hops, no between group differences were found in LSI values. Conclusions. Significant disorders in lower limb load symmetry were observed in male patients during the landing phase, on average two years after ACLR. The studied patients exerted a significantly more substantial load on the uninvolved leg as compared with the operated leg. A higher asymmetry was noted during double leg hops as compared with single leg hops. Due to the small sample size, the study should be regarded as a pilot research.

PL

Wstęp. Celem pracy była ocena symetrii obciążania kończyn dolnych w fazie lądowania skoków u mężczyzn średnio dwa lata po rekonstrukcji więzadła krzyżowego przedniego (ACL) stawu kolanowego i nadzorowanej pooperacyjnej fizjoterapii trwającej krócej niż sześć miesięcy. Materiał i metody. Badany materiał stanowiło 15 mężczyzn, średnio 112,60±43,88 tygodni od rekonstrukcji ACL (Grupa ACLR) oraz 15 mężczyzn bez uszkodzeń narządu ruchu w przeszłości (Grupa kontrolna). Średni czas trwania pooperacyjnej nadzorowanej fizjoterapii w Grupie ACLR wyniósł 14,67±5,30 tygodni. W obu badanych grupach, przy wykorzystaniu dwóch platform tensometrycznych, wykonano obustronnie pomiar składowej pionowej sił reakcji podłoża (vGRF) w fazie lądowania skoków obunóż i jednonóż. Uzyskane wyniki znormalizowano do masy ciała badanego (vGRF [BM]) oraz obliczono wskaźnik symetrii kończyn (LSI). Wyniki. W Grupie ACLR wartości vGRF [BM] uzyskane w kończynie operowanej były istotnie statystycznie niższe niż w kończynie nieoperowanej w fazie lądowania skoków obunóż (p=0,001) i jednonóż (p=0,045). Wartości LSI vGRF [BM] w fazie lądowania skoków obunóż były istotnie statystycznie gorsze w Grupie ACLR niż w Grupie kontrolnej (p<0,001). W fazie lądowania skoków jednonóż, wartości LSI nie różniły się pomiędzy badanymi grupami. Wnioski. U mężczyzn, średnio dwa lata po rekonstrukcji ACL stawu kolanowego, zaobserwowano istotne zaburzenia symetrii obciążania kończyn dolnych w fazie lądowania skoków. Badani mężczyźni znacznie bardziej w fazie lądowania obciążali kończynę nieoperowaną niż kończynę operowaną. Asymetria występowała w większym stopniu w czasie skoków obunóż niż podczas skoków jednonóż. Ze względu na niewielką liczebność próby, badania należy traktować jako pilotażowe.