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The use of selected techniques of manual therapy in conservative treatment of primary dysmenorrhea

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Bartosz Trybulec B., Emilia Wyżycka E.

Medical Review

2016

issue 2

162–172

Introduction. Dysmenorrhea is the main cause of school absence among adolescent girls and a common problem of woman in reproductive age. Also causes discomfort and significantly reduces the quality of life. The management of dysmenorrhea includes using pharmacologic and nonpharmacologic treatment. However there is relatively not much information about the effectiveness of conservative treatment. Aim. The aim of the study was to examine the effectiveness of manual therapy techniques, such as deep transverse massage and specific segmental traction, in reducing the symptoms of dysmenorrhea. Material. The study involved 22 selected women with symptoms of primary dysmenorrhea in medical history. Methods. Every woman qualified to the study underwent three treatment sessions which consisted of two meetings each. Deep transverse massage of paraspinal muscles of the lumbar spine and, in next step, specific traction of segments L1-S1 were performed. The participants after every next menstruation filled in a questionnaire about the pain experienced during bleeding and possible adverse effects. Results. After treatment pain intensity and its duration were noticed as decreased. The result was statistically significant (p < 0,05). No adverse effects were found in the study group. Conclusion. Manual techniques, like deep transverse massage of paraspinal muscles and specific traction of segments of the lumbar spine, reduce the severity and duration of pain among woman with dysmenorrhea.

Wstęp. Bolesne miesiączkowanie jest główną przyczyną nieobecności w szkole wśród dorastających dziewcząt i częstym problemem u kobiet w wieku rozrodczym. Jest także powodem dyskomfortu i znacznie obniża jakość życia. Dostępnych jest jednak niewiele informacji na temat skutecznego leczenia zachowawczego. Cel. Celem pracy była ocena wpływu technik terapii manualnej na zmniejszenie dolegliwości bolesnego miesiączkowania. Materiał. Badaniem objęto 22 kobiety, u których w wywiadzie odnotowano cechy bolesnego miesiączkowania. Metody. Przeprowadzono trzy sesje terapeutyczne po dwa spotkania, w czasie których realizowano zabieg głębokiego masażu poprzecznego mięśni przykręgosłupowych lędźwiowego odcinka kręgosłupa i trakcję specyficzną segmentów od L1-S1. Badane po każdej kolejnej miesiączce wypełniały ankietę na temat dolegliwości bólowych. Wyniki. Po zastosowaniu leczenia istotnie statystycznie (p < 0,05) zmniejszyło się natężenie bolesności i czas jej odczuwania. Wnioski. Zastosowanie technik manualnych: głębokiego masażu poprzecznego mięśni przykręgosłupowych oraz trakcji specyficznej segmentów lędźwiowego odcinka kręgosłupazmniejsza natężenie i czas odczuwania bólu u kobiet z bolesnym miesiączkowaniem.

Physiotherapeutic management of a patient with patellofemoral pain syndrome – a case report

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Katarzyna Ustarbowska K., Bartosz Trybulec B.

European Journal of Clinical and Experimental Medicine

2018

issue 1

68-75

Introduction. Patellofemoral pain syndrome (PFPS) is a disorder of the front compartment of the knee joint with incompletely investigated, probably multifactorial pathogenesis. It mostly affects young people and runners. In patients with PFPS conservative management is a therapy of choice with fundamental importance of physiotherapeutic procedures. Therapy should be highly individualized and considering all possible factors that may cause PFPS symptoms. Aim. The aim of this report was presentation of management of a 23 year old female patient with PFPS that developed secondary to a knee sprain. The medical history, diagnostic and therapeutic procedures were thoroughly described, then obtained results were presented and thereafter discussed. Methods. Clinical assessment included functional and provocative tests of the patellofemoral joint as well as thigh and calf muscles tests, range of motion measurement of the knee joint and pain assessment using the VAS scale. Therapeutic management included 5 sessions of post-isometric muscle relaxation (PIR), mobilizations of the patella and applications of elastic tapes. Results. After 5 sessions of therapeutic management PFPS symptoms were significantly reduced. Pain did not occur during normal activity, whereas in heavy joint loading, it occurred later and was of lower intensity. Range of motion as well as subjective sense of joint stability was also improved. Conclusions. Individually adjusted conservative management based on PIR techniques, mobilizations of patella and kinesiotaping seems to be effective form of therapy for PFPS of functional nature

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1 European Journal of Clinical and Experimental Medicine

1 Medical Review

2 Bartosz Trybulec B.

1 Emilia Wyżycka E.

1 Katarzyna Ustarbowska K.

1 2018

1 2016

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The use of selected techniques of manual therapy in conservative treatment of primary dysmenorrhea

Physiotherapeutic management of a patient with patellofemoral pain syndrome – a case report