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Functional efficiency in persons with lumbar spine discopathy after treatment at a health resort

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Puszczałowska-Lizis E., Zwiercan I.
Medical Rehabilitation
|
2016
|
vol. 20(3)
31-37
PL
Wstęp: Schorzenia dolnego odcinka kręgosłupa stanowią przyczynę ograniczeń w różnych sferach życia człowieka. Celem pracy była ocena wpływu terapii uzdrowiskowej na sprawność funkcjonalną osób z dyskopatią lędźwiową na tle grupy porównawczej. Materiał i metody: Trzykrotnym badaniem objęto 360 osób w wieku 50-60 lat z dyskopatią lędźwiową, w tym 180 pensjonariuszy Sanatorium Uzdrowiskowego „Piast” w Iwoniczu-Zdroju (grupa badana) i 180 pacjentów ambulatoryjnych Niepublicznego Zakładu Opieki Zdrowotnej REH-MED w Jaśle (grupa kontrolna). Narzędzie badawcze stanowił wskaźnik sprawności w bólach dolnej części kręgosłupa − ODI. Do analiz wykorzystano testy: ANOVA Friedmana, Wilcoxona i U Manna-Whitneya. Wyniki: W badaniu przeprowadzonym 3 miesiące od zakończenia terapii u pacjentów uzdrowiskowych dolegliwości bólowe znacznie rzadziej utrudniały sen (p=0,001) i lokomocję (p=0,045) w porównaniu do grupy ambulatoryjnej. Po terapii osoby z grupy badanej wyżej oceniały możliwość prowadzenia życia towarzyskiego (p=0,037), a efekt utrzymywał się na niezmiennym poziomie 3 miesiące od jej zakończenia (p=0,505). Wnioski: Stosowanie zabiegów wykorzystujących surowce naturalne podnosi efektywność terapii ukierunkowanej na poprawę funkcjonowania osób z dyskopatią lędźwiową w życiu codziennym. Odległy efekt terapii uzdrowiskowej jest szczególnie widoczny w poprawie lokomocji i snu, a także w sferze życia towarzyskiego.
EN
Lower back pain is the most common cause of limitation in different spheres of a person’s life. The aim of this study was to evaluate the influence of health-resort therapy on the functional efficiency in persons with discopathy of the lumbar spine, compared to a control group. 360 people aged 50-60 with discopathy of the lumbar spine, including 180 boarders of the “Piast” Health Resort in Iwonicz-Zdrój (experimental group) and 180 ambulatory patients of the REH-MED Non-public Healthcare Centre in Jasło (control group) were surveyed three times. The research tool was the Oswestry Disability Index (ODI). The Anova Friedman test, Wilcoxon signed-rank test and Mann-Whitney U test were used for analyses. In the study performed 3 months after the end of therapy, in the health-resort patients, the pain less often disrupted sleep (p=0.001) and locomotion (p=0.045) compared to the ambulatory group. After the end of therapy, patients from the experimental group achieved much better results regarding social life (p=0.037) and the effects persisted at constant level for 3 months after stopping treatment (p=0.505). Application procedures based on mineral resources increases efficiency of therapy aimed at improvement of functioning in daily life in persons with discopathy of the lumbar spine. Distant effects of health-resort spa therapy are especially observable in the improvement of sleep, walking ability and also in the area of social life. Puszczałowska-Lizis E., Zwiercan I. Functional efficiency in persons with lumbar spine discopathy after treatment at a health resort. Med Rehabil 2016; 20(3): 31-37. DOI: 10.5604/01.3001.0009.5012
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Direct and remote evaluation of effectiveness of health resort therapy on people with discopathy of the lumbar spine

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Puszczałowska-Lizis E., Zwiercan I.
Advances in Rehabilitation
|
2020
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vol. 30
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issue 1
33-40
EN
Introduction Lower back afflictions are a challenge for contemporary physiotherapy, both in preventive treatment and streamline proceedings. The aim of this study was to evaluate effec-tiveness of a complex program of health resort therapeutics in soothing pain and reducing functional limitations in people with discopathy of the lumbar spine. Material and methods 360 people aged 50-60 with discopathy of the lumbar spine, including 180 boarders of a Health Resort “Piast” in Iwonicz-Zdrój (experimental group) and 180 am-bulatory patients of the Non-public Healthcare Centre REH-MED in Jasło (control group) were surveyed three times. The research tool was a Numeric Rating Scale of pain intensity (NRS) and Roland-Morris Disability Questionnaire (RMDQ). Anova Friedman test, Wilcoxon signed-rank test and Mann-Whithey U test were used for analyses. Results Before the beginning of therapy intensity of pain and functional condition of people qualified for particular groups was similar (p=0.848, p=0.872). Decline of intensity of pain took place by the action of therapy, both in case of patients from the experimental group (p=0.000), as well as the control group (p=0.001). Within 3 months from the completion of streamlining, intensity of pain of patients from the experimental group was gradually lowering, and in the control group it increased. Statistically significant differences in results after 3 months from the completion of therapy between the groups were stated (p=0.000). Just after treatment and 3 months later health resort patients had better functional ability (p=0.011, p=0.006). Conclusions Complex proceedings in health resort therapeutics in comparison to ambulatory therapy bring more permanent results in the soothing pain and reduction of functional limita-tions resulting from lumbar degenerative disc disorder.
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