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Efficiency of selected physiotherapeutic treatments for low back pain

100%
Dakowicz A., Milewska A. J., Gradkowska A., Matys A., Tarkowska K., Białowieżec M.
Progress in Health Sciences
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2016
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vol. 6(2)
70-76
EN
Purpose: Low back pain (LBP) occurs among approximately 60-80% of the population, gradually contributing to long-term or recurring disability. We aimed to evaluate the efficiency of two physiotherapeutic treatments (namely, Träbert current and kinesiotherapy) among patients with LBP. Material and methods: Comprised of function tests and scales of pain and functionality, clinical tests were performed according to a prospective method in a regional hospital in Lomza. Forty patients randomly distributed into two groups: one group a subject to physical therapy with Träbert currents, the other group to kinesiotherapy following a proprietary programme. Physiotherapy was performed from Monday to Friday for two weeks in a series of ten treatments. Results: The treatment used in both groups significantly decreased pain and increased functionality of patients, evaluated by Laitinen’s survey, the Oswestry Disability Index (ODI), and the Roland Morris Disability Questionnaire. Results of the Schober’s and “fingertip-to-floor” tests also showed increased improvement. Conclusions: The physiotherapy facilitated a significant decrease in pain, an increase in the mobility in lumbosacral segment of the spine and a decrease in disability among patients with LBP.
2

Hand radiograms as an alternative for bone mass screening in cystic fibrosis

84%
Minarowska A., Minarowski Ł., Ł, Tomalak W., Zając J., Pogorzelski A., Radliński J., Milewska, A.J, Kirpsza B., Szajda, Sł. D, Chyczewska E.
Progress in Health Sciences
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2013
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vol. 3
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issue 1
7-12
EN
Purpose: Cystic fibrosis (CF) is a genetic, metabolic disease. Long-term therapy often leads to inappropriate calcification of bones. Dual X-ray absorptiometry (DXA) is considered a „gold-standard” for bone mineral density (BMD) assessment, but high usage costs can limit its availability. This paper compares two methods for BMD assessment in CF patients: hand radiograms method and densitometry using DXA method. Materials and methods: The study was performed in a group of 26 CF patients (10F, 16M), aged 7-30 years. In all cases, DXA measurements were performed, along with bone mass assessment using DENSY2004 system for digital assessment of hand radiograms. Stepwise binary logistic regression was used to examine the contribution of bone age, BMI, Cole's index and hand radiograms parameters to low BMD expressed as Z-score ≤-1SD. Results: Statistical analysis of the gathered data revealed that hand radiograms method allow for estimation of Z-score below -1SD with accuracy of 84.62% comparing to DXA. Sensitivity and specificity of this estimation in the studied group of CF patients was 86.67% and 81.82%. Conclusions: Hand radiograms method has good accuracy, sensitivity and specificity; therefore, it can be an alternative for DXA in BMD assessment. It can be implemented in chronic diseases affecting BMD like cystic fibrosis.
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