{"title":"Lumbopelvic pain problem in pregnant women","authors":"M. Walczak, Aneta Dąbek","doi":"10.5114/AREH.2021.106080","DOIUrl":"https://doi.org/10.5114/AREH.2021.106080","url":null,"abstract":"Introduction: Lumbopelvic pain (LPP) is clinically diverse and difficult to treat medical problem. Changes during pregnancy and confinement conduce the appearance of pain complaints. LPP proper differential diagnosis and education constitute the basis of properly selected treatment. The aim of the study was to establish the LPP frequency in pregnant women. Additionally, the daily living activities limitations level was defined. Materials and methods : 211 pregnant women took part in the study. The study was performed with the use of advanced online questionnaire. The research tool consisted of: original questionnaire, International Physical Activity Questionnaire – IPAQ (shortened Polish version) and Oswestry Disability Index (ODI). Results: On the basis of conducted studies, the LPP was diagnosed in majority (80.1%) of tested women. There were statistically significant correlations between the pain intensity and age (p = 0.023, r = –0.16) and education (p = 0.013, r = –0.17). It has been proven that there is a statistically significant correlation between the pain intensity, BMI (p = 0.002, r = 0.22) and physical activity level (p = 0.048, r = 0.14). It has been stated that 65.4% research subjects had no significant limitations in performing daily living activities. Conclusions: The lumbopelvic pain applies to majority of pregnant women in the study. The risk of LPP increases with BMI growth. LPP occurs less frequently in women with higher education and in older ones. In majority of cases LPP does not cause limitations in daily living activities.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71061460","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":"Assessment of online physiotherapy consultation for children – parents' opinions","authors":"Anna Kloze, Zuzanna Wojtal","doi":"10.5114/AREH.2021.104906","DOIUrl":"https://doi.org/10.5114/AREH.2021.104906","url":null,"abstract":"Introduction: The COVID-19 epidemic has forced a change in the way contact with the physiotherapist is organised. This sitaution has created a risk for infants exposed to worsening disorders resulting from rehabilitation measures not being implemented or being interrupted. The online physiotherapy consultations, which were practised thus far, have become widespread. Material and methods: An online diagnostic survey was conducted among 151 parents of infants who had received an online physiotherapy consultation during the pandemic period. The survey comprised 25 questions. These questions concerned the impact of online consultation on increasing parents' sense of competence, the possibility of replacing in-clinic consultation with online consultation, and identifying the benefits and limitations of conducting this form of support. Relationships between variables were tested using the chi-square test with a significance level of p = 0.05. Results: The questionnaire data showed that the reasons for using online consultation were: muscle tone disorders, positioning asymmetry, motor development delay, assessing the child's development and learning how to properly care for the infant. The benefits of an online visit included saving time by not travelling to the physiotherapist and the opportunity to consult a specialist who would otherwise be impossible to meet due to distance. The respondents indicated the lack of physiotherapists in their place of residence. The sense of security for the child in a familiar environment was emphasised, while challenges were posed by the lack of direct contact with the physiotherapist and the organisational and equipment requirements of the visit. Conclusions: Online consultations restore the possibility of continuing therapy and early diagnosis, as well as increasing parents' sense of competence. Although online consultation cannot replace in-person consultation, it can be a good complement or an alternative in some therapeutic situations.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71061534","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":"Effect of voluntary muscle contraction on postural stability in healthy adults","authors":"Justyna Kędziorek, M. Błażkiewicz","doi":"10.5114/AREH.2021.108380","DOIUrl":"https://doi.org/10.5114/AREH.2021.108380","url":null,"abstract":"Introduction: Postural control is a complex system that combines many subcomponents. The central nervous system’s connection with the muscular system allows to execute the voluntary movements and provides appropriate tonus and contractions of postural muscles. The aim of this study was to assess the effect of voluntary muscle contraction on the stability of standing posture. Material and methods: Seventeen young adults (24.11 ± 3.05 years) completed 4 bipedal standing attempts lasting 20 seconds each. Measurements were performed on AMTI plate and involved maintaining balance while standing barefoot on both feet with eyes open and closed. Two additional tests with provoked isometric voluntary muscle contraction were performed under the same visual conditions. Results: For examined healthy subjects, the lack of visual feedback in combination with increased muscle tension caused a significant increase (p < 0.05) in the peak of sway in the anterior-posterior (AP) and medio-lateral (ML) direction. On the other hand, the values of the center of pressure (CoP) path length and its velocity due to the increased muscle contraction did not significantly decrease their values for trials with eyes open and closed. Conclusions: This study indicates that voluntary muscle contraction can influence the standing posture mainly in combination with a lack of visual feedback, causing its deterioration.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71061742","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":"Can a cervical muscle inhibition technique reduce chronic low back pain?","authors":"Shabnam Joshi, Rekha Yadav, A. Pawalia","doi":"10.5114/areh.2021.111112","DOIUrl":"https://doi.org/10.5114/areh.2021.111112","url":null,"abstract":"Introduction: Chronic low back pain is the pain in the lumbo-sacral area with a duration of more than 3 months. The aim of the study was to find out the efficacy of sub-occipital muscle inhibition technique along with interferential therapy and exercises on pain and other functional parameters in chronic low back pain patients. Material and methods: 45 patients with a mean age of 38.53 ± 9.36 years who had chronic low back pain were randomly assigned to 3 groups (n = 15 in each group). Group-A received sub-occipital muscle inhibition technique, interferential therapy and exercise training, Group-B received interferential therapy and exercise training and Group-C received exercise training only for 3 days/week for 4 weeks. The outcome measures used were Numerical Pain Rating Scale, Modified-Modified Schober’s Test, Oswestry Disability Index and SF-36 questionnaire. Patients were assessed at baseline, after 2 weeks and 4 weeks. Results: There was significant within-group-effects (p = 0.001) for NPRS, lumbar flexion, functional disability (ODI) and quality of life (SF-36) in all the three groups, but not Lumbar extension. There was significant between-group-effect in lumbar flexion, lumbar extension and functional disability (p < 0.05). Conclusions: The sub-occipital muscle inhibition technique along with interferential therapy and spinal exercises have better clinical effects than interferential therapy and exercises alone in chronic low back pain patients.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71062410","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}
M. Y. Elhamrawy, Sherin H Mohamed, W. Bahnasy, M. Saif, A. Elkholy, M. R. Md Said
{"title":"Effect of vestibular rehabilitation therapy \u0000on spatio-temporal gait parameters in elderly \u0000patients with post-stroke hemineglect","authors":"M. Y. Elhamrawy, Sherin H Mohamed, W. Bahnasy, M. Saif, A. Elkholy, M. R. Md Said","doi":"10.5114/AREH.2021.107421","DOIUrl":"https://doi.org/10.5114/AREH.2021.107421","url":null,"abstract":"Introduction: Hemineglect is a lack of awareness for the contralesional space. It is a complex neurologic condition to rehabilitate. The study was designed to investigate the effects of vestibular rehabilitation therapy (VRT) on spatio-temporal gait parameters in hemineglect. Material and methods: Thirty-two hemineglect patients were randomly assigned to the experimental and the control group. The experimental group received 60 minutes of training (4 days/week) for the first four weeks (40 minutes traditional physiotherapy and 20 minutes VRT) and then completed the following four weeks with 60 minutes of only traditional physiotherapy. For eight weeks, the control group completed 60 minutes of the traditional program four days a week. The Microsoft Kinect V2 was used to measure spatio-temporal gait parameters. Patients were assessed at baseline, four and eight weeks post-intervention. Results: After four and eight weeks of intervention, the experimental group demonstrated a significant improvement in walking speed (P = 0.0002, d = 12.38 and P = 0.001, d = 13.69, respectively), cadence (P = 0.0003, d = 3.88, and P = 0.0003, d = 5.19, respectively), paretic step length (P = 0.0001, d = 2.53, and P = 0.001, d = 3.84, respectively), and non-paretic step length (P = 0.0119, d = 2.06, and P = 0.0044, d = 2.31, respectively). There were no significant differences in the control group in any of the spatio-temporal gait parameters. Conclusions: VRT improves the spatio-temporal gait parameters in hemineglect, allowing patients to walk more securely and navigate more easily during walking. VRT might improve the patients’ postural control, weight distribution, and orientation during walking. This improvement was maintained following training, and additional improvements in spatio-temporal gait parameters were observed compared to baseline.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71061207","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}