Search results

1

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

100%

Bobowik P. Ż.

Advances in Rehabilitation

|

2019

|

vol. 33

|

issue 2

47-58

EN

Introduction Carpal Tunnel Syndrome (CTS) is one of the most common peripheral upper limb’s neuropathy. It can affect up to 4% of the human population. There is not one specific CTS’s reason. Predisposing factors include: injuries and overloading of the wrists, frequently repetitions of the same activities, pregnancy and acromegaly. The ENG and USG are gold standards in the diagnosis of CTS. CTS treatment includes surgical and physiotherapeutic conservative treatment. Physiotherapists uses manual therapy techniques, neuromobilization, fascial manipulation, osteopathy and other kinds of physical therapy Material and methods A systematic review of the literature was based on publications from the last 5 years. Articles concerned the physiotherapy of people with carpal tunnel syndrome (CTS). Publications from the PubMed and ScienceDirect scientific databases have been analyzed. The inclusion and exclusion criteria were introduced and based on an analysis of the titles and abstracts related to carpal tunnel syndrome (CTS). Results Out of over 28,000 CTS articles, 8 were selected to meet all inclusion and exclusion criteria. The publications concerned physiotherapeutic treatment in the conservative treatment of CTS. The analyzed publications examined the effectiveness of wrist manual therapy, median nerve mobilization, kinesiotaping, soft tissue therapy and fascial manipulations as well as other physiotherapy treatments. Conclusions The reviewed publications show that physiotherapeutic procedures bring significant benefits and improve CTS symptoms within the hand. The development of physiotherapy and research on rehabilitation in the carpal tunnel syndrome (CTS) allow for more effective conservative treatment. This increases the chance of avoiding or delaying surgical intervention.

2

Sarcopenic obesity in older people

100%

Bobowik P. Ż.

Advances in Rehabilitation

|

2020

|

vol. 34

|

issue 4

25-35

EN

Senility is strongly associated with changes in body composition. Sarcopenic obesity (SO) consists of symptoms such as increased body fat mass and a reduction in muscle strength and/or mass. The review covered treatment methods and diagnostic criteria used in SO patients. Moreover, the impact of SO on the health of older people was reviewed. Papers from the Science Direct and PubMed databases were analysed. The following keywords were used: “sarcopenic obesity”, "diagnostic", "treatment", "elderly", and "physical therapy". The inclusion criteria encompassed research studies on SO in older people. To be precise, the review included papers from January 2015 to March 2020, and the review itself was carried out from March to April 2020. Out of over 1,200 SO articles, 18 met all inclusion and exclusion criteria. All of the chosen papers were divided into two main groups. The first group contained papers about SO’s impact on the health of older people. The second comprised works about SO treatment methods. The most commonly used SO diagnostic indicators were: BMI (25kg/m2-30kg/m2), BF% (27%-42%), SMI (x<24%-27%; SMI 0.789), and ALST (x<15.02 kg). SO was also assessed via the use of algorithms. Sarcopenic obesity is a common syndrome related to body composition in older people. Currently, SO patients can be effectively treated with aerobic and resistance training, whole-body electromyostimulations (WB-EMS), supplements, and psychological interventions. Due to the great impact of SO on people’s health, future studies should concentrate on systematising the diagnostic criteria for SO.

3

Physiotherapy in women with diastasis of the rectus abdominis muscles

63%

Bobowik P. Ż., Dąbek A.

Advances in Rehabilitation

|

2018

|

vol. 32

|

issue 3

11-17

EN

Background Diastasis of the rectus abdominis muscles (DRAM) is the separation of the two rectus abdominis muscles more than 2 cm wide. It often arises as a result of android obesity, dysfunctional abdominal cramp and pregnancy. Untreated diastasis may lead to dangerous heath consequences such as.: abdominal hernia, lower back pain or disorders in pelvis’s area. The aim of this study was to determinate the effectiveness of novel physiotherapeutic program in women with diastasis of the rectus abdominis muscles. Material and methods The study was conducted on a group of 40 women between 20-45 years old (mean 32,32+5,9 year). They all were qualified in obstetric ward of Szpital Bielański in Warsaw. All of them were in the postpartum between 0-3 days after labor and have DRAM greater than 2 cm (measured by palpation on the umbilicus height, 4,5 cm above and below umbilicus). In research group (included 20 women) applied novel physiotherapeutic program aimed at reduction of DRAM. In controlled group (20 women) there was no therapy but only observation of spontaneous reduction of diastasis. The study took 6 weeks. Results Data analysis had shown 95% effectiveness of novel physiotherapeutic program. Chi-square test has confirmed the difference in DRAM size in both groups (p<0,0001). A statistically significant correlation was demonstrated between width of diastasis and growth of the mother’s weight gain in pregnancy, waist-to-hip ratio, BMI, number of delivery and mother’s physical activity before and during pregnancy (p<0,05). There wasn’t clear correlation between width of diastasis and mother’s age or infant’s mass (p>0,05). Conclusions It seems that spontaneous reduction of diastasis of the rectus abdominis muscles is very rare. New physiotherapeutic program is an effective method in DRAM’s reduction. The research should be continued in larger group of women and after effectiveness confirmation, program should be introduced in obstetric wards.

Refine search results

3 Advances in Rehabilitation

1 2020

1 2019

1 2018

3 Bobowik P. Ż.

1 Dąbek A.

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

Sarcopenic obesity in older people

Physiotherapy in women with diastasis of the rectus abdominis muscles