The aim of this study was to assess the clinical efficacy and safety of NMES program applied in m... more The aim of this study was to assess the clinical efficacy and safety of NMES program applied in male soccer players (after ACL reconstruction) on the quadriceps muscle. The 80 participants (NMES = 40, control = 40) received an exercise program, including three sessions weekly. The individuals in NMES group additionally received neuromuscular electrical stimulation procedures on both right and left quadriceps (biphasic symmetric rectangular pulses, frequency of impulses: 2500 Hz, and train of pulses frequency: 50 Hz) three times daily (3 hours of break between treatments), 3 days a week, for one month. The tensometry, muscle circumference, and goniometry pendulum test (follow-up after 1 and 3 months) were applied. The results of this study show that NMES (in presented parameters in experiment) is useful for strengthening the quadriceps muscle in soccer athletes. There is an evidence of the benefit of the NMES in restoring quadriceps muscle mass and strength of soccer players. In our ...
Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts... more Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts of blood vessels of lower extremities. It enables a smooth venous blood movement from the deep venous system segment located below in a direction to the segment lying above which effectively prevents a distal blood stasis and veno-lymphatic edema of lower limbs. Calf muscle pump dysfunction together with disorders in the construction of blood vessels walls and with endurance weakness of valves, leads to venous hypertension and contributes to the development of venous insufficiency. The aim of this paper is to demonstrate the theoretical basis including venous return physiology and the mechanism of lower limbs venous--muscle pump as well as provide practical application of physiotherapy methods to support the properfunction of presented calf muscle pump. Examples in the field of physical medicine, compression therapy and kinesiotherapy for improving the efficiency of lower extremity muscles, providing a physiological venous return.
The objective of this study was to investigate the associations between handgrip strength and bot... more The objective of this study was to investigate the associations between handgrip strength and both physical function and mortality in older Mexican Americans. Data are from a ten-year prospective cohort study of 1,368 Mexican-Americans aged 75 and older from the Hispanic Established Population for the Epidemiologic Study of the Elderly. Measures included socio-demographic variables, hand grip strength, the Short Physical Performance Battery (SPPB), medical conditions, cognitive function, depression, body mass index, and mortality. Baseline hand grip strength means for women and men were 17.6 Kg (4.8) and 27.9 Kg (7.2), respectively. Means for the SPPB were 6.7 (2.9) for women and 7.5 (2.9) for men. At follow-up, 584 participants were confirmed dead. Using general linear mixed models, we found that women in the second and third lowest handgrip strength quartiles had greater SPPB declines over time (b=-0.13; standard error=0.06, p=0.02 and b=-0.14, standard error=0.05, p=0.01, respectively) compared to participants in the highest quartile. This association remained statistically significant after controlling for all covariates. No significant association was found between hand grip strength quartiles and changes in SPPB scores in men. In women and men in the lowest hand grip strength quartile, the hazard ratio of death controlling for all covariates was 1.66 (95% CI = 1.17-2.37) and 2.09 (95% CI = 1.42-3.07), respectively, compared with those in the highest hand strength quartile. Hand grip strength is a strong predictor of long-term decline in physical function and mortality in older Mexican Americans, after controlling for other relevant risk factors.
Introduction: The primary lymphedema and chronic venous insufficiency are important medical probl... more Introduction: The primary lymphedema and chronic venous insufficiency are important medical problems in women during menopause. Intermittent pneumatic compression has been accepted as a supplemental therapy for many years. However, due to the diversity of the clinical view of venous lymphedema and difficulties in the diagnosis, there is still no uniform and fully reliable treatment algorithm and international consensus. Aim of the study: To compare the efficacy of pneumatic compression of various pressure for the treatment of lower extremity venous lymphedema in menopausal patients. Material and methods: The study included 33 patients with chronic venous insufficiency and bilateral primary lymphedema of the lower limbs. Group A consisted of 10 patients aged from 46 to 56 years (mean age 51.2 years) who had used monthly therapy, treatments consisting of manual lymphatic drainage, multi-layer bandaging and intermittent pneumatic compression with a pressure of 120 mm Hg. Group B consisted of 10 patients aged from 45 to 58 years (mean age 53.3 years) who had identical basic treatment as group A, and intermittent pneumatic compression with a pressure of 60 mm Hg. Group C (control) consisted of 13 patients aged from 44 to 57 years (mean age 52.8 years) who were using only primary treatment without intermittent pneumatic compression. Results: It was found out that the greatest reduction in edema in patients undergoing compression settings with a pressure of 120 mm Hg. Comparison of the percentage reduction in edema showed a statistically significant advantage for group A to groups B and C, both for changes in the right (p = 0.01) and left limb (p = 0.01). Results in patients undergoing intermittent pneumatic compression with a lower pressure (60 mm Hg) were similar to those obtained in the control group. Conclusions: Intermittent pneumatic compression with a pressure of 120 mm Hg significantly helps to reduce the venous lymphedema in patients with menopause. It appears that the procedures with a pressure of 60 mm Hg are ineffective.
Evidence-based Complementary and Alternative Medicine, 2013
The aim of the study was to assess the efficacy of laser therapy (at different wavelengths: 940, ... more The aim of the study was to assess the efficacy of laser therapy (at different wavelengths: 940, 808, and 658 nm) for treating pressure ulcers. The primary endpoint in this trial included both the percentage reduction of the ulcer surface area and the percentage of completely healed wounds after one month of therapy (ulcer healing rate). The secondary endpoint was the ulcer healing rate at the follow-up evaluation (3 months after the end of the study). In total, 72 patients with stage II and III pressure ulcers received laser therapy once daily, 5 times per week for 1 month using a (GaAlAs) diode laser with a maximum output power of 50 mW and continuous radiation emission. Three separate wavelengths were used for the laser treatment: 940 nm (group I), 808 nm (group II), and 658 nm (group III). An average dose of 4 J/cm 2 was applied. In group IV, a placebo was applied (laser device was turned off). The laser therapy at a wavelength of 658 nm appeared to be effective at healing pressure ulcers. The wavelengths of 808 and 940 nm did not have any effect in our study.
Introduction: The primary lymphedema and chronic venous insufficiency are important medical probl... more Introduction: The primary lymphedema and chronic venous insufficiency are important medical problems in women during menopause. Intermittent pneumatic compression has been accepted as a supplemental therapy for many years. However, due to the diversity of the clinical view of venous lymphedema and difficulties in the diagnosis, there is still no uniform and fully reliable treatment algorithm and international consensus. Aim of the study: To compare the efficacy of pneumatic compression of various pressure for the treatment of lower extremity venous lymphedema in menopausal patients. Material and methods: The study included 33 patients with chronic venous insufficiency and bilateral primary lymphedema of the lower limbs. Group A consisted of 10 patients aged from 46 to 56 years (mean age 51.2 years) who had used monthly therapy, treatments consisting of manual lymphatic drainage, multi-layer bandaging and intermittent pneumatic compression with a pressure of 120 mm Hg. Group B consisted of 10 patients aged from 45 to 58 years (mean age 53.3 years) who had identical basic treatment as group A, and intermittent pneumatic compression with a pressure of 60 mm Hg. Group C (control) consisted of 13 patients aged from 44 to 57 years (mean age 52.8 years) who were using only primary treatment without intermittent pneumatic compression. Results: It was found out that the greatest reduction in edema in patients undergoing compression settings with a pressure of 120 mm Hg. Comparison of the percentage reduction in edema showed a statistically significant advantage for group A to groups B and C, both for changes in the right (p = 0.01) and left limb (p = 0.01). Results in patients undergoing intermittent pneumatic compression with a lower pressure (60 mm Hg) were similar to those obtained in the control group. Conclusions: Intermittent pneumatic compression with a pressure of 120 mm Hg significantly helps to reduce the venous lymphedema in patients with menopause. It appears that the procedures with a pressure of 60 mm Hg are ineffective.
The aim of the study was to assess the efficacy of Kinesiology Taping (KT) for treating breast ca... more The aim of the study was to assess the efficacy of Kinesiology Taping (KT) for treating breast cancer-related lymphedema. Sixty-five women with unilateral stage II and III lymphedema were randomly grouped into the KT group (K-tapes, = 20), the Quasi KT group (quasi K-tapes, = 22), or the MCT group (multilayered compression therapy group, = 23). Skin care, 45 min pneumatic compression therapy, 1 h manual lymphatic drainage, and application of K-tape/Quasi K-tapes/multilayered short-stretch bandages were given every treatment session, 3 times per week for 1 month. Patient evaluation items included limb size and percentage edema. Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (> 0.05). The edema reduction of multilayered bandages was much better than in results observed in taping groups. The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment. The single-blind, controlled pilot study results suggest that K-tape could not replace the bandage, and at this moment it must not be an alternative choice for the breast cancer-related lymphedema patient. The trial is registered with ACTRN12613001173785.
Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts... more Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts of blood vessels of lower extremities. It enables a smooth venous blood movement from the deep venous system segment located below in a direction to the segment lying above which effectively prevents a distal blood stasis and veno-lymphatic edema of lower limbs. Calf muscle pump dysfunction together with disorders in the construction of blood vessels walls and with endurance weakness of valves, leads to venous hypertension and contributes to the development of venous insufficiency. The aim of this paper is to demonstrate the theoretical basis including venous return physiology and the mechanism of lower limbs venous--muscle pump as well as provide practical application of physiotherapy methods to support the properfunction of presented calf muscle pump. Examples in the field of physical medicine, compression therapy and kinesiotherapy for improving the efficiency of lower extremity musc...
Współczesne społeczeństwo boryka się z nietrzymaniem moczu, które stanowi ważny problem medyczny,... more Współczesne społeczeństwo boryka się z nietrzymaniem moczu, które stanowi ważny problem medyczny, psychologiczny i społeczny. O nietrzymaniu moczu w Polsce zaczęto mówić więcej na przestrzeniu ostatnich lat, choć problem nie jest nowy. Autorzy w niniejszej pracy podkreślają potrzebę sprecyzowania strategii profilaktyki i leczenia nietrzymania moczu. Przedstawiona praca to przegląd opublikowanych badań nad czynnikami predysponującymi do występowania nietrzymania moczu. Na podstawie dostępnego piśmiennictwa naukowego przeanalizowano również znaczenie profilaktyki u kobiet z zaburzeniami mikcji. Dotychczas przeprowadzono szereg badań dotyczących efektywności różnych form leczenia zachowawczego wysiłkowego nietrzymania moczu. Do najczęściej stosowanych metod fizjoterapeutycznych zalicza się m.in. ćwiczenia mięśni dna miednicy oraz metodę biofeedbacku. W opinii wielu autorów wymienione metody leczenia zachowawczego dają dobre efekty, lecz ze względu na różnorodność metodyczną prowadzonych form terapii nie można bezpośrednio porównać rezultatów tych obserwacji. Istnieje potrzeba sprecyzowania strategii leczenia nietrzymania moczu i zapobiegania temu schorzeniu. Słowa kluczowe: wysiłkowe nietrzymanie moczu, ćwiczenia mięśni dna miednicy, biofeedback, profilaktyka.
Standard care procedures for complex wounds are sometimes supported and reinforced by physical tr... more Standard care procedures for complex wounds are sometimes supported and reinforced by physical treatment modali- ties such as extracorporeal shock wave therapy (ESWT). To evaluate available evidence of ESWT effectiveness in hu- mans, a systematic review of the literature was conducted using MEDLINE, PubMed, Scopus, EBSCOhost, and PEDro databases. Of the 393 articles found, 13 met the publication date (year 2000-2013), study type (clinical study), language (English only), and abstract availability (yes) criteria. The 13 studies (n = 919 patients with wounds of varying etiolo- gies) included seven randomized controlled trials that were evaluated using Cochrane Collaboration Group standards. Only studies with randomization, well prepared inclusion/exclusion criteria protocol, written in English, and full version available were analyzed. An additional six publications reporting results of other clinical studies including a total of 523 patients were identified and summarized. ESWT was m...
The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the uppe... more The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment The aim of our study was to evaluate the effect of Kinesiology Taping (KT) on the size of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment. We also examined whether the application of KT can replace the traditional and standard multilayered bandaging in the treatment of upper extremity lymphoedema. Group A comprised of 22 patients who underwent KT as well as pneumatic and manual lymphatic drainage. Then, group B comprised of 23 patients who were treated with quasi-KT as well as pneumatic and manual lymphatic drainage. In contrast, group C had 25 patients subjected only to the standard procedurepneumatic and manual lymphatic drainage and multilayered bandaging. Patient evaluation items included limb size, grip strength and range of motion. After 4-week therapy, we observed that KT is not an effective method of reducing lymphoedema II and III 0 in women after breast cancer treatment. At this moment, the taping cannot replace the traditional and standard multilayered bandaging in the treatment of upper extremity lymphoedema.
The aim of this study was to assess the clinical efficacy and safety of NMES program applied in m... more The aim of this study was to assess the clinical efficacy and safety of NMES program applied in male soccer players (after ACL reconstruction) on the quadriceps muscle. The 80 participants (NMES = 40, control = 40) received an exercise program, including three sessions weekly. The individuals in NMES group additionally received neuromuscular electrical stimulation procedures on both right and left quadriceps (biphasic symmetric rectangular pulses, frequency of impulses: 2500 Hz, and train of pulses frequency: 50 Hz) three times daily (3 hours of break between treatments), 3 days a week, for one month. The tensometry, muscle circumference, and goniometry pendulum test (follow-up after 1 and 3 months) were applied. The results of this study show that NMES (in presented parameters in experiment) is useful for strengthening the quadriceps muscle in soccer athletes. There is an evidence of the benefit of the NMES in restoring quadriceps muscle mass and strength of soccer players. In our ...
Physical exercise and massage are regarded as key factors in regulating tendon structure. However... more Physical exercise and massage are regarded as key factors in regulating tendon structure. However, information on the mechanism through which massage influences the structure and biology of a tendon is scarce. In this study, we attempted to define the impact of these two activities on rat tendons by using morphological and molecular techniques, determining the expression of VEGF-A, FGF-2, and CD34 in the tendons of rats subjected to 10 weeks of physical exercise (running) with massage of varied duration. The group of rats that was trained and massaged during the entire study was characterized by the highest expression of these markers, compared to the rats subjected to massage before training and to the control group subjected to physical exercises only. The greatest significant differences, compared to the control, were noted in the expression of all the studied markers at mRNA level, and in the case of VEGF-A, at protein level, in the third and fifth weeks of the experiment. The r...
Simple Summary Physical activity is often recommended as part of the management of chronic low ba... more Simple Summary Physical activity is often recommended as part of the management of chronic low back pain, which is one of the most common musculoskeletal disorders. Vibrating exercise equipment is used despite little scientific evidence to support its effectiveness in the prevention and treatment of musculoskeletal problems. The aim of this study was to evaluate the efficiency of using vibrating exercise equipment in women with chronic low back pain. Here, 92 women aged 49–80 years were assigned to one of two groups: the experimental and the control group. The intervention consisted of aerobic exercises with specific handheld equipment. Both groups performed physical activity twice weekly for 10 weeks. The erector spinae muscles’ bioelectrical activity, the lumbar range of motion and pain intensity were measured in all participants at baseline and after 10 weeks. Compared with baseline measures, there was a significant decrease in the bioelectrical activity of the erector spinae mus...
The aim of this study was to assess the clinical efficacy and safety of NMES program applied in m... more The aim of this study was to assess the clinical efficacy and safety of NMES program applied in male soccer players (after ACL reconstruction) on the quadriceps muscle. The 80 participants (NMES = 40, control = 40) received an exercise program, including three sessions weekly. The individuals in NMES group additionally received neuromuscular electrical stimulation procedures on both right and left quadriceps (biphasic symmetric rectangular pulses, frequency of impulses: 2500 Hz, and train of pulses frequency: 50 Hz) three times daily (3 hours of break between treatments), 3 days a week, for one month. The tensometry, muscle circumference, and goniometry pendulum test (follow-up after 1 and 3 months) were applied. The results of this study show that NMES (in presented parameters in experiment) is useful for strengthening the quadriceps muscle in soccer athletes. There is an evidence of the benefit of the NMES in restoring quadriceps muscle mass and strength of soccer players. In our ...
Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts... more Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts of blood vessels of lower extremities. It enables a smooth venous blood movement from the deep venous system segment located below in a direction to the segment lying above which effectively prevents a distal blood stasis and veno-lymphatic edema of lower limbs. Calf muscle pump dysfunction together with disorders in the construction of blood vessels walls and with endurance weakness of valves, leads to venous hypertension and contributes to the development of venous insufficiency. The aim of this paper is to demonstrate the theoretical basis including venous return physiology and the mechanism of lower limbs venous--muscle pump as well as provide practical application of physiotherapy methods to support the properfunction of presented calf muscle pump. Examples in the field of physical medicine, compression therapy and kinesiotherapy for improving the efficiency of lower extremity muscles, providing a physiological venous return.
The objective of this study was to investigate the associations between handgrip strength and bot... more The objective of this study was to investigate the associations between handgrip strength and both physical function and mortality in older Mexican Americans. Data are from a ten-year prospective cohort study of 1,368 Mexican-Americans aged 75 and older from the Hispanic Established Population for the Epidemiologic Study of the Elderly. Measures included socio-demographic variables, hand grip strength, the Short Physical Performance Battery (SPPB), medical conditions, cognitive function, depression, body mass index, and mortality. Baseline hand grip strength means for women and men were 17.6 Kg (4.8) and 27.9 Kg (7.2), respectively. Means for the SPPB were 6.7 (2.9) for women and 7.5 (2.9) for men. At follow-up, 584 participants were confirmed dead. Using general linear mixed models, we found that women in the second and third lowest handgrip strength quartiles had greater SPPB declines over time (b=-0.13; standard error=0.06, p=0.02 and b=-0.14, standard error=0.05, p=0.01, respectively) compared to participants in the highest quartile. This association remained statistically significant after controlling for all covariates. No significant association was found between hand grip strength quartiles and changes in SPPB scores in men. In women and men in the lowest hand grip strength quartile, the hazard ratio of death controlling for all covariates was 1.66 (95% CI = 1.17-2.37) and 2.09 (95% CI = 1.42-3.07), respectively, compared with those in the highest hand strength quartile. Hand grip strength is a strong predictor of long-term decline in physical function and mortality in older Mexican Americans, after controlling for other relevant risk factors.
Introduction: The primary lymphedema and chronic venous insufficiency are important medical probl... more Introduction: The primary lymphedema and chronic venous insufficiency are important medical problems in women during menopause. Intermittent pneumatic compression has been accepted as a supplemental therapy for many years. However, due to the diversity of the clinical view of venous lymphedema and difficulties in the diagnosis, there is still no uniform and fully reliable treatment algorithm and international consensus. Aim of the study: To compare the efficacy of pneumatic compression of various pressure for the treatment of lower extremity venous lymphedema in menopausal patients. Material and methods: The study included 33 patients with chronic venous insufficiency and bilateral primary lymphedema of the lower limbs. Group A consisted of 10 patients aged from 46 to 56 years (mean age 51.2 years) who had used monthly therapy, treatments consisting of manual lymphatic drainage, multi-layer bandaging and intermittent pneumatic compression with a pressure of 120 mm Hg. Group B consisted of 10 patients aged from 45 to 58 years (mean age 53.3 years) who had identical basic treatment as group A, and intermittent pneumatic compression with a pressure of 60 mm Hg. Group C (control) consisted of 13 patients aged from 44 to 57 years (mean age 52.8 years) who were using only primary treatment without intermittent pneumatic compression. Results: It was found out that the greatest reduction in edema in patients undergoing compression settings with a pressure of 120 mm Hg. Comparison of the percentage reduction in edema showed a statistically significant advantage for group A to groups B and C, both for changes in the right (p = 0.01) and left limb (p = 0.01). Results in patients undergoing intermittent pneumatic compression with a lower pressure (60 mm Hg) were similar to those obtained in the control group. Conclusions: Intermittent pneumatic compression with a pressure of 120 mm Hg significantly helps to reduce the venous lymphedema in patients with menopause. It appears that the procedures with a pressure of 60 mm Hg are ineffective.
Evidence-based Complementary and Alternative Medicine, 2013
The aim of the study was to assess the efficacy of laser therapy (at different wavelengths: 940, ... more The aim of the study was to assess the efficacy of laser therapy (at different wavelengths: 940, 808, and 658 nm) for treating pressure ulcers. The primary endpoint in this trial included both the percentage reduction of the ulcer surface area and the percentage of completely healed wounds after one month of therapy (ulcer healing rate). The secondary endpoint was the ulcer healing rate at the follow-up evaluation (3 months after the end of the study). In total, 72 patients with stage II and III pressure ulcers received laser therapy once daily, 5 times per week for 1 month using a (GaAlAs) diode laser with a maximum output power of 50 mW and continuous radiation emission. Three separate wavelengths were used for the laser treatment: 940 nm (group I), 808 nm (group II), and 658 nm (group III). An average dose of 4 J/cm 2 was applied. In group IV, a placebo was applied (laser device was turned off). The laser therapy at a wavelength of 658 nm appeared to be effective at healing pressure ulcers. The wavelengths of 808 and 940 nm did not have any effect in our study.
Introduction: The primary lymphedema and chronic venous insufficiency are important medical probl... more Introduction: The primary lymphedema and chronic venous insufficiency are important medical problems in women during menopause. Intermittent pneumatic compression has been accepted as a supplemental therapy for many years. However, due to the diversity of the clinical view of venous lymphedema and difficulties in the diagnosis, there is still no uniform and fully reliable treatment algorithm and international consensus. Aim of the study: To compare the efficacy of pneumatic compression of various pressure for the treatment of lower extremity venous lymphedema in menopausal patients. Material and methods: The study included 33 patients with chronic venous insufficiency and bilateral primary lymphedema of the lower limbs. Group A consisted of 10 patients aged from 46 to 56 years (mean age 51.2 years) who had used monthly therapy, treatments consisting of manual lymphatic drainage, multi-layer bandaging and intermittent pneumatic compression with a pressure of 120 mm Hg. Group B consisted of 10 patients aged from 45 to 58 years (mean age 53.3 years) who had identical basic treatment as group A, and intermittent pneumatic compression with a pressure of 60 mm Hg. Group C (control) consisted of 13 patients aged from 44 to 57 years (mean age 52.8 years) who were using only primary treatment without intermittent pneumatic compression. Results: It was found out that the greatest reduction in edema in patients undergoing compression settings with a pressure of 120 mm Hg. Comparison of the percentage reduction in edema showed a statistically significant advantage for group A to groups B and C, both for changes in the right (p = 0.01) and left limb (p = 0.01). Results in patients undergoing intermittent pneumatic compression with a lower pressure (60 mm Hg) were similar to those obtained in the control group. Conclusions: Intermittent pneumatic compression with a pressure of 120 mm Hg significantly helps to reduce the venous lymphedema in patients with menopause. It appears that the procedures with a pressure of 60 mm Hg are ineffective.
The aim of the study was to assess the efficacy of Kinesiology Taping (KT) for treating breast ca... more The aim of the study was to assess the efficacy of Kinesiology Taping (KT) for treating breast cancer-related lymphedema. Sixty-five women with unilateral stage II and III lymphedema were randomly grouped into the KT group (K-tapes, = 20), the Quasi KT group (quasi K-tapes, = 22), or the MCT group (multilayered compression therapy group, = 23). Skin care, 45 min pneumatic compression therapy, 1 h manual lymphatic drainage, and application of K-tape/Quasi K-tapes/multilayered short-stretch bandages were given every treatment session, 3 times per week for 1 month. Patient evaluation items included limb size and percentage edema. Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (> 0.05). The edema reduction of multilayered bandages was much better than in results observed in taping groups. The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment. The single-blind, controlled pilot study results suggest that K-tape could not replace the bandage, and at this moment it must not be an alternative choice for the breast cancer-related lymphedema patient. The trial is registered with ACTRN12613001173785.
Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts... more Mechanism of the calf muscle pump plays a major role in venous blood return from peripheral parts of blood vessels of lower extremities. It enables a smooth venous blood movement from the deep venous system segment located below in a direction to the segment lying above which effectively prevents a distal blood stasis and veno-lymphatic edema of lower limbs. Calf muscle pump dysfunction together with disorders in the construction of blood vessels walls and with endurance weakness of valves, leads to venous hypertension and contributes to the development of venous insufficiency. The aim of this paper is to demonstrate the theoretical basis including venous return physiology and the mechanism of lower limbs venous--muscle pump as well as provide practical application of physiotherapy methods to support the properfunction of presented calf muscle pump. Examples in the field of physical medicine, compression therapy and kinesiotherapy for improving the efficiency of lower extremity musc...
Współczesne społeczeństwo boryka się z nietrzymaniem moczu, które stanowi ważny problem medyczny,... more Współczesne społeczeństwo boryka się z nietrzymaniem moczu, które stanowi ważny problem medyczny, psychologiczny i społeczny. O nietrzymaniu moczu w Polsce zaczęto mówić więcej na przestrzeniu ostatnich lat, choć problem nie jest nowy. Autorzy w niniejszej pracy podkreślają potrzebę sprecyzowania strategii profilaktyki i leczenia nietrzymania moczu. Przedstawiona praca to przegląd opublikowanych badań nad czynnikami predysponującymi do występowania nietrzymania moczu. Na podstawie dostępnego piśmiennictwa naukowego przeanalizowano również znaczenie profilaktyki u kobiet z zaburzeniami mikcji. Dotychczas przeprowadzono szereg badań dotyczących efektywności różnych form leczenia zachowawczego wysiłkowego nietrzymania moczu. Do najczęściej stosowanych metod fizjoterapeutycznych zalicza się m.in. ćwiczenia mięśni dna miednicy oraz metodę biofeedbacku. W opinii wielu autorów wymienione metody leczenia zachowawczego dają dobre efekty, lecz ze względu na różnorodność metodyczną prowadzonych form terapii nie można bezpośrednio porównać rezultatów tych obserwacji. Istnieje potrzeba sprecyzowania strategii leczenia nietrzymania moczu i zapobiegania temu schorzeniu. Słowa kluczowe: wysiłkowe nietrzymanie moczu, ćwiczenia mięśni dna miednicy, biofeedback, profilaktyka.
Standard care procedures for complex wounds are sometimes supported and reinforced by physical tr... more Standard care procedures for complex wounds are sometimes supported and reinforced by physical treatment modali- ties such as extracorporeal shock wave therapy (ESWT). To evaluate available evidence of ESWT effectiveness in hu- mans, a systematic review of the literature was conducted using MEDLINE, PubMed, Scopus, EBSCOhost, and PEDro databases. Of the 393 articles found, 13 met the publication date (year 2000-2013), study type (clinical study), language (English only), and abstract availability (yes) criteria. The 13 studies (n = 919 patients with wounds of varying etiolo- gies) included seven randomized controlled trials that were evaluated using Cochrane Collaboration Group standards. Only studies with randomization, well prepared inclusion/exclusion criteria protocol, written in English, and full version available were analyzed. An additional six publications reporting results of other clinical studies including a total of 523 patients were identified and summarized. ESWT was m...
The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the uppe... more The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment The aim of our study was to evaluate the effect of Kinesiology Taping (KT) on the size of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment. We also examined whether the application of KT can replace the traditional and standard multilayered bandaging in the treatment of upper extremity lymphoedema. Group A comprised of 22 patients who underwent KT as well as pneumatic and manual lymphatic drainage. Then, group B comprised of 23 patients who were treated with quasi-KT as well as pneumatic and manual lymphatic drainage. In contrast, group C had 25 patients subjected only to the standard procedurepneumatic and manual lymphatic drainage and multilayered bandaging. Patient evaluation items included limb size, grip strength and range of motion. After 4-week therapy, we observed that KT is not an effective method of reducing lymphoedema II and III 0 in women after breast cancer treatment. At this moment, the taping cannot replace the traditional and standard multilayered bandaging in the treatment of upper extremity lymphoedema.
The aim of this study was to assess the clinical efficacy and safety of NMES program applied in m... more The aim of this study was to assess the clinical efficacy and safety of NMES program applied in male soccer players (after ACL reconstruction) on the quadriceps muscle. The 80 participants (NMES = 40, control = 40) received an exercise program, including three sessions weekly. The individuals in NMES group additionally received neuromuscular electrical stimulation procedures on both right and left quadriceps (biphasic symmetric rectangular pulses, frequency of impulses: 2500 Hz, and train of pulses frequency: 50 Hz) three times daily (3 hours of break between treatments), 3 days a week, for one month. The tensometry, muscle circumference, and goniometry pendulum test (follow-up after 1 and 3 months) were applied. The results of this study show that NMES (in presented parameters in experiment) is useful for strengthening the quadriceps muscle in soccer athletes. There is an evidence of the benefit of the NMES in restoring quadriceps muscle mass and strength of soccer players. In our ...
Physical exercise and massage are regarded as key factors in regulating tendon structure. However... more Physical exercise and massage are regarded as key factors in regulating tendon structure. However, information on the mechanism through which massage influences the structure and biology of a tendon is scarce. In this study, we attempted to define the impact of these two activities on rat tendons by using morphological and molecular techniques, determining the expression of VEGF-A, FGF-2, and CD34 in the tendons of rats subjected to 10 weeks of physical exercise (running) with massage of varied duration. The group of rats that was trained and massaged during the entire study was characterized by the highest expression of these markers, compared to the rats subjected to massage before training and to the control group subjected to physical exercises only. The greatest significant differences, compared to the control, were noted in the expression of all the studied markers at mRNA level, and in the case of VEGF-A, at protein level, in the third and fifth weeks of the experiment. The r...
Simple Summary Physical activity is often recommended as part of the management of chronic low ba... more Simple Summary Physical activity is often recommended as part of the management of chronic low back pain, which is one of the most common musculoskeletal disorders. Vibrating exercise equipment is used despite little scientific evidence to support its effectiveness in the prevention and treatment of musculoskeletal problems. The aim of this study was to evaluate the efficiency of using vibrating exercise equipment in women with chronic low back pain. Here, 92 women aged 49–80 years were assigned to one of two groups: the experimental and the control group. The intervention consisted of aerobic exercises with specific handheld equipment. Both groups performed physical activity twice weekly for 10 weeks. The erector spinae muscles’ bioelectrical activity, the lumbar range of motion and pain intensity were measured in all participants at baseline and after 10 weeks. Compared with baseline measures, there was a significant decrease in the bioelectrical activity of the erector spinae mus...
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Papers by Tomasz Halski