Changes in Melatonin Concentration in a Clinical Observation Study under the Influence of Low-Frequency Magnetic Fields (Magnetic Stimulation in Men with Low Back Pain)-Results of Changes in an Eight-Point Circadian Profile.

The aim of this study was to assess the changes in melatonin concentration under the influence of magnetic stimulation in men with low back pain. A total of 15 men were used in this study, divided into two groups. In Group 1, consisting of seven men, the M1P1 Viofor JPS program was used twice a day for 8 min, at 08:00 and 13:00. In Group 2, consisting of eight men, the M2P2 Viofor JPS program was used once a day for 12 min at 10:00. The application was subjected to the whole body of patients. The treatments in both groups lasted 3 weeks, for 5 days each week, with breaks on weekends. The diurnal melatonin profile was determined the day before exposure and the day after the last treatment, as well as at one-month follow-up. Blood samples were collected eight times a day. In both programs, magnetic stimulation did not reduce the nocturnal peak of melatonin concentration. After exposure, prolonged secretion of melatonin was observed until the morning hours. The impact of the magnetic field was maintained 1 month after the end of the application. The effect of the magnetic field was maintained for 1 month from the end of the application, which confirms the thesis about the occurrence of the phenomenon of biological hysteresis. The parameters of the magnetic fields, the application system, and the time and length of the application may affect the secretion of melatonin.

Why Does Rehabilitation Not (Always) Work in Osteoarthritis? Does Rehabilitation Need Molecular Biology?

Osteoarthritis (OA) is a common disease among the human population worldwide. OA causes functional impairment, leads to disability and poses serious socioeconomic burden. The rehabilitation offers a function-oriented method to reduce the disability using diverse interventions (kinesiotherapy, physical therapy, occupational therapy, education, and pharmacotherapy). OA as a widespread disease among elderly patients is often treated by rehabilitation specialists and physiotherapists, however the results of rehabilitation are sometimes unsatisfactory. The understanding of molecular mechanisms activated by rehabilitation may enable the development of more effective rehabilitation procedures. Molecular biology methods may prove crucial in rehabilitation as the majority of rehabilitation procedures cannot be estimated in double-blinded placebo-controlled trials commonly used in pharmacotherapy. This article attempts to present and estimate the role of molecular biology in the development of modern rehabilitation. The role of clinicians in adequate molecular biology experimental design is also described.

USING THE SODA SCALE TO ASSESS THE EFFECTIVENESS OF NEUROLOGICAL SPEECH AND LANGUAGE THERAPY ON IMPROVING LANGUAGE FUNCTIONS IN POST-STROKE PATIENTS.

OBJECTIVE: The aim: Assess the impact of neurological SLA on improvement of language functions in post-stroke patients. PATIENTS AND METHODS: Materials and methods: The study covered a total of 82 patients aged 40-80, of both sexes, with stroke-induced cognitive deficits. They were in-patients of the Clinic Of Rehabilitation And Physical Medicine of the "WAM" Teaching Hospital in Lódz. The study comprised two groups. The study group consisted of post-stroke patients with aphasia, who were referred to four-week comprehensive program of neurological SLA therapy earlier (about a month) after experiencing stroke. The group comprised 44 patients. Six months after the stroke, the patients underwent another four weeks of neurological SLA. The control group consisted of post-stroke patients with aphasia. The group comprised 38 patients. The four-week neurological SLA therapy was applied more than six months after stroke ("late therapy"). The patients were ascribed to the groups randomly. Language abilities were evaluated with the Aphasia Dynamics Assessment Scale (Polish: Skala Oceny Dynamiki Afazji, abbrev. SODA). RESULTS: Results: The study showed that neurological SLA helped patients in both the study and control group to significantly regain their language functions. However, greater improvement was found in the study group, which underwent neurological SLA twice, which proves that duration of the therapeutic process is an important factor. CONCLUSION: Conclusions: neurological SLA was beneficial for both groups, regardless of the time that elapsed between stroke and start of the therapy. neurological SLA therapy allowed patients to restore part of their language functions, both in the study and control group. The sooner neurological SLA is implemented and the longer its duration, the more beneficial it is to patients.

OVERVIEW OF WELLNESS METHODS FOR PEOPLE PRACTICING SPORTS.

The term "wellness" embraces a wide spectrum of methods that impact the human body by restoring its capabilities and functions, which were previously depleted as a result of increased physical and mental activities such, i.e. sport. Judging by the number of amateur, semi-professional, and professional sporting events at local and national levels, societies consider sports a major part of their everyday lives. A growing percentage of the population is exposing their bodies to various strains, which may result in fatigue, overtraining and injuries, and so the market demand for recovery-related services is on the rise. Therefore, this paper is an overview of the most important and the latest wellness systems and methods applied in today's sport. They divide into three areas: pedagogical, psychological and medical-biological. Among the most popular treatments are: light radiation with infrared rays, cryotherapy, electrotherapy, magnetotherapy, ultrasound and laser therapy, as well as a sauna, paraffin compress, mud compress and brine baths. In a broader context, the paper also acknowledges the growing demand for better body recovery methods and the latest developments in the field of sport physiotherapy.

[Stochastic resonance method in physiotherapy - a review of the literature].

Non-linearity is an important feature of many human body structures that may result from deterministic properties of the body and noise. Noise is defined as accidental or irregular fluctuations or disturbances that are not part of the signal. Stochastic resonance (SR), the term originally used in a very specific context, is now widely used to describe any phenomenon in which the presence of noise in a nonlinear system is better for the quality of the output signal than its absence. The conducted research for the needs of physiotherapy consists in assessing the impact of the platform generating forced mechanical vibrations with specific parameters in selected disease entities, sports disciplines, as well as prevention. The aim of the work is to discuss the stochastic resonance method and to analyze the results of the most important works discussing the use and effectiveness of therapeutic impact on the human body. The use of the stochastic resonance method enforces mechanical vibrations, which are characterized by the variability of rhythm, amplitude and direction of vibrations, which enforces postural adjustment regulated by the CNS and response to stimuli that disturb the body's balance. The analysis of the effectiveness of therapeutic impact in the field of body balance disorders, reeducation of locomotion in people with partial spinal cord injury, motor motility and changes in hormonal concentrations was carried out. Stochastic resonance therapy can reduce or eliminate dysfunction in many disease entities, however, further studies are needed to assess the effectiveness of the therapy.

[An assessment of the functional status in the neurorehabilitation of patients after ischemic stroke].

OBJECTIVE: Introduction: In this article, the authors focused on the symptoms of ischemic stroke and the effect of neurorehabilitation methods on the functional status of patients after ischemic stroke. The aim of the study was to evaluate and compare the functional status of patients after ischemic stroke with improved classic kinesiotherapy, classic kinesiotherapy and NDT-Bobath and classic kinesiotherapy and PNF. PATIENTS AND METHODS: Materials and methods: The study involved 120 patients after ischemic stroke. Patients were treated in the Department of Rehabilitation and Physical Medicine USK of Medical University in Lodz. Patients were divided into 3 groups of 40 people. Group 1 was rehabilitated by classical kinesiotherapy. Group 2 was rehabilitated by classic kinesiotherapy and NTD-Bobath. Group 3 was rehabilitated by classical kinesiotherapy and PNF. In all patient groups, magnetostimulation was performed using the Viofor JPS System. The study was conducted twice: before treatment and immediately after 5 weeks after the therapy. The effects of applied neurorehabilitation methods were assessed on the basis of the Rivermead Motor Assessment (RMA). RESULTS: Results: In all three patient groups, functional improvement was achieved. However, a significantly higher improvement was observed in patients in the second group, enhanced with classical kinesitherapy and NDT-Bobath. CONCLUSION: Conclusions: The use of classical kinesiotherapy combined with the NDT-Bobath method is noticeably more effective in improving functional status than the use only classical kinesiotherapy or combination of classical kinesiotherapy and PNF patients after ischemic stroke.

[An assessment of the effectiveness of comprehensive neurorehabilitation in patients after ischemic stroke].

OBJECTIVE: Introduction: Comprehensive rehabilitation after stroke is to help the patient recover optimal physical and mental condition. The multidirectional approach to the patient implemented by a multidisciplinary team: physicians, physiotherapists, neurologopedians and neuropsychologists allows the best use of the patient's potential. The aim: To evaluate the effectiveness of comprehensive neurological rehabilitation of patients after ischemic stroke. PATIENTS AND METHODS: Materials and methods: The 90 patients after ischemic stroke were examined. The first examined group (45 people) consisted of patients rehabilitated at the Department of Rehabilitation and Physical Medicine of the WAM University Hospital in Lodz. The second examined group number (45 people) consisted of patients waiting for admission to the Department of Rehabilitation, who were rehabilitated in environmental conditions. The patients were examined twice: first before the rehabilitation (study I) and then at the end of rehabilitation program (study II). The ADL Index by Barthel was used to assess the functional status of the patients. In addition, speech disorders (SODA scale) and emotional state (Beck Depression Scale) were assessed in patients. RESULTS: Results: Both individuals after stroke rehabilitated in hospital and those rehabilitated in environmental conditions achieved a significant improvement in activities of daily living and improvement in speech - symptoms of aphasia were withdrawn. However, only stroke patients rehabilitated in hospital conditions achieved a significant improvement in the emotional state. CONCLUSION: Conclusions: Stroke patients rehabilitated in hospital conditions have significantly improved their functional status and emotional state compared to patients rehabilitated in environmental conditions.

[The assessment of the impact of rehabilitation on the pain intensity level in patients with herniated nucleus pulposus of the intervertebral disc]. / Ocena wplywu rehabilitacji na poziom natezenia dolegliwosci bólowych u chorych z przepuklina jadra miazdzystego krazka miedzykregowego.

Back pain may be caused by many factors. In many cases it is difficult to unambiguously determine a cause of the pathology, which can involve various structures in the spine. In this paper we will discuss the symptoms associated with the degenerative changes of the intervertebral disc, which involve, among others, its bulging, dislocation and pressure on the surrounding structures. These problems require an adequate clinical and imaging diagnostics in order to implement an appropriate treatment. In the first place, it should be based on the conservative methods (such as: pharmacotherapy, rehabilitation and lifestyle changes). Only in the absence of improvement it is recommended to consider a surgical treatment. AIM: The aim of the study is to assess the impact of rehabilitation on the pain intensity level in patients with herniated nucleus pulposus of the intervertebral disc. MATERIALS AND METHODS: The study was performed in 46 patients (age range: 19-85), including 26 women and 20 men. On the basis of imaging, all patients showed the presence of a slipped disc with disc herniation. The patients were treated conservatively. For pain assessment was used the The Laitinen Modified Questionnaire Indicators of Pain and The Visual- Analogue Scale. The results were statistically analyzed. RESULTS: The results clearly demonstrate the analgesic efficacy of specialized rehabilitation in the spinal pain syndrome in a discopathy with a spinal disc herniation of an intervertebral disc. CONCLUSIONS: The rehabilitation of patients with a back pain due to the presence of herniated nucleus pulposus has a significant analgesic effect. In the case of a presence of the herniated nucleus pulposus, the rehabilitation should be considered in a first place. If no improvement, a possible surgery should be considered. An important element of a conservative treatment is an effective rehabilitation, which is of vital economic importance, because a therapy including surgery usually requires subsequent rehabilitation and is much more expensive.

[The use of fascial distorsion model (FDM) in patient with limited mobility in the shoulder joint - a case report]. / Zastosowanie modelu znieksztalcania powieziowego (FDM ­ fascial distorsion model) u pacjentki z ograniczeniem ruchomosci w stawie barkowym ­ opis przypadku.

FDM is the anatomical model in which clinical signs in conjunction with the patient's body language allow to diagnose one or more of the six specific distortions of the fascial system described by the creator of the concept of FDM and doctor-osteopath Stephen Typaldos. AIM: The aim of the study is to present the use of therapy Fascial Distorsion Model to patient with limited mobility in the shoulder joint. A CASE REPORT: Here we report a 32 year old female patient with painful limitation of motion in the shoulder joint right continuing for three weeks. The patient is an office worker, three times a week swims. Pain appears periodicaly and only in certain ranges of motion of the right upper limb. In the functional study by FDM it is continuum distortion and triggerband distortion. Then the appropriate therapeutic techniques were used. CONCLUSIONS: The patient regained full range of motion in the shoulder joint after using FDM techniques without pain that prevented her making a move. During the test, the patient performed functional movements in the full range of movement without pain. Techniques of the FDM are an interesting complement workshop therapy which is treating limits in the range of motion and pain in the joints.

[The assessment of the impact of rehabilitation on the pain intensity level in patients with herniated nucleus pulposus of the intervertebral disc]. / Wplyw rehabilitacji na poziom natezenia dolegliwosci bólowych u chorych z zespolem bólowym kregoslupa po nieskutecznym zabiegu operacyjnym.

Back disorders are very common phenomena in modern society. One of the methods of spinal pain treatment is performing surgery. Unfortunately, this method is not one hundred percent effective. Some patients show no improvement after surgery, the pain persists and even increases. In these cases, it is reasonable to use the term Failed Back Surgery Syndrome (FBSS), i.e. back pain syndrome after unsuccessful spine surgery. AIM: The aim of the study is to assess the impact of rehabilitation on the pain intensity level in patients with FBSS. MATERIALS AND METHODS: The study was conducted in a group of 38 patients aged from 32 to 87 (mean age 61 years), including 20 women and 18 men. All patients were operated for spinal pain syndrome. Afterwards, they underwent rehabilitation because of persisting pain after the surgery. For the pain assessment was used The Visual- Analogue Scale and The Laitinen Modified Questionnaire Indicators of Pain. The results were statistically analyzed. RESULTS: The study showed the high efficacy of specialized rehabilitation in patients with FBSS. CONCLUSIONS: The rehabilitation in patients with FBSS has a significant analgesic effect. Rehabilitation should be a gold standard in patients with FBSS.

[The impact of dynamic platform exercises on knee joint muscle strength in patients with gonarthrosis treated with microfracture method]. / Wplyw cwiczen na platformie dynamometrycznej na sile miesni stawów kolanowych po leczeniu pacjentów z gonartroza metoda mikrozlaman.

Osteoarthritis is the most common joint disease. Gonarthrosis is one of the most serious diseases the highly developed modern medicine must face. The number of patients suffering from joint pain and progressive disability is growing, especially in economically developed countries. Over the years, the disease has been considered merely as a symptom of aging and the effect of "wear and tear" of the cartilage. At present it is known that the degenerative joint disease is of chronic and progressive nature and its pathogenesis is complex. AIM: The aim of the study was to determine the impact of dynamic platform exercises on knee joint muscle strength in patients with gonarthrosis treated with microfracture method. MATERIALS AND METHODS: The study included 120 patients of both sexes, aged 40 to 65 years, height range1.60-1.90 m., weight 50- 100 kg. Patients were divided into two groups. Group I of 60 patients after knee arthroscopy (with performed microfractures on the articular cartilage) who were subjected to physiotherapy with the use of dynamometric platform and to isometric and dynamic exercises of muscles surrounding the knee joint. Group II (control) of 60 patients after knee arthroscopy (with performed microfractures on the articular cartilage), who were subjected only to isometric and dynamic exercises of muscles surrounding the knee joint. The patients underwent rehabilitation according to the same rehabilitation program suggested by the Medical Magnus Clinic in Lodz, which consisted in performing daily exercises in open and closed kinetic chains. All Group I and II patients were examined three times: before the start of the rehabilitation, after 4th week of rehabilitation (on the average 20 days of the procedures) and 3 months afterwards. The clinical examination included the measurement of muscle strength using Lovett test. RESULTS: It has been demonstrated that the introduction of modern highly specialized physiotherapy contributes to the improvement of the outcome and to the shortening of the treatment duration. A significant improvement was observed in all the examined patients at all stages of rehabilitation in relation to the baseline values. CONCLUSIONS: The conducted modern physiotherapy has a significant effect on the condition of patients after surgery. Different exercises on dynamometric platform combined with static and dynamic exercises exert a positive impact on the strengthening of muscles surrounding the knee joint, which in time perspective results in better quality of life of the patients.

[Effectiveness of early physiotherapy treatment for ischaemic stroke patients suffering intercurrently from post-stroke depression and/or hemispatial neglect syndromes].

Wstep: Depresja poudarowa i zespol pomijania stronnego sa jednymi z szeregu zaburzen neurologicznych wystepujacych jako konsekwencje incydentu udarowego. Oba zaburzenia uwaza sie za czynniki negatywnie wplywajace na szybszy powrot pacjenta do zdrowia. Zadaniem wczesnej fizjoterapii po incydencie udarowym jest poprawa funkcji motorycznych oraz poprawa jakosci zycia pacjenta. Material i metody: W badaniu wzielo udzial 51 pacjentow zakwalifikowanych do wziecia udzialu w "Narodowym Programie Profilaktyki i Leczenia Chorob Ukladu Sercowo-Naczyniowego na lata 2006-2008 POLCARD". Wyniki badan pacjentow notowano w skali Barthel, NIH oraz Geriatrycznej Skali Oceny Depresji. Analiza statystyczna zostala wykonana w programie STATISTICA 6PL za pomoca testu Wilcoxona dla prob zaleznych. Wyniki: Analiza wynikow wykazala, ze osoby z zespolem zaniedbywania osiagnely wiekszy przyrost punktow w skali Barthel niz osoby bez zespolu pomijania stronnego (p≤0,05). Natomiast badanie osob z depresja poudarowa wykazaly wiekszy przyrost punktow w skali Barthel niz pacjenci, u ktorych depresja nie zostala stwierdzona. Wnioski: Skutecznosc wczesnej fizjoterapii zalezy od ciezkosci udaru, stopnia niepelnosprawnosci oraz czynnikow zaburzajacych, takich jak m.in. agnozja wzrokowo-przestrzenna lub depresja. Jednakze pacjenci ze wspolistniejacymi zespolami neurologicznymi poddani kompleksowej fizjoterapii we wczesnym okresie po udarze mozgu maja prawdopodobnie wieksza rezyliencje w zakresie motywacji, zdolnosci adaptacyjno-kompensacyjnych, czyli generalnie dotyczacych plastycznosci mozgu.

[New physical methods in osteoarthritis treatment].

Osteoarthritis is a chronic disease in which the pathological processes start from the catabolism of cartilage extracellular matrix and next extend on the whole joint. Therefore, it is important to diagnose the disease and determining treatment, selecting individually for each patient. The main health problems presents by every patients is pain, which decreases the everyday functioning and quality of life. The paper presents the definition of the disease and new therapeutic methods which improve the quality of life, as well as reduce intensity of pain.

[The overall assessment of psychological well - being of patients with multiple sclerosis after the application of physical therapy. Part 2].

INTRODUCTION: Multiple sclerosis is a chronic demyelinating disease of the central nervous system, which results a progressive disability. The disease reduces the quality of life of patients, changes the general health perceptions, and also limits performing social roles because of emotional problems. THE AIM: Evaluation of the impact of the methods of rehabilitation to improve the mental health of patients with multiple sclerosis, and also to change individual parameters included in the overall assessment of mental health. MATERIAL AND METHODS: The study was conducted in 2010-2014 at the Department of Physical Medicine and Rehabilitation in Lodz. The study included 120 patients with multiple sclerosis. Patients were classified into 4 test groups: in the first was used the laser, in the second - laser and magnetostimulation, in the third - kinesiotherapy, and in the fourth - magnetostimulation. The tests were carried out three times. To evaluate the quality of life was used Quality of Life Questionnaire (MSQOL-54), analyzed the overall assessment of mental health. RESULTS: The improvement in a range of parameters, an overall assessment of the quality of mental health has allowed to get a better overall psychological well-being. ,There was oserved a statistically significant difference at the level of p<0.001 between groups in 4/5 investigated parameters, statistically significant differences weren't obserwed at the evaluation of cognitive functions. The greatest improvement was observed in Group II and Group IV. CONCLUSIONS: In the examination it was confirmed an effectiveness of physical treatment, such a the laser radiation and magnetostimulation. Synergism of both methods in their biological activity, allows for evoke of hysteresis fenomenon, resulting in the maintenance of the treatment effects after cessation of rehabilitation. Applying the classical kinesiotherapy only doesn't allow to get long-term effects.

[The education influence on effects of rehabilitation in patients after stroke]. / Wplyw edukacji zdrowotnej na wyniki rehabilitacji u pacjentów po udarze mózgu.

Patients after stroke face a new situation where some educational and pedagogical actions should be reinitiated. Stroke often causes a break away from the previous lifestyle. It the acute phase it excludes the possibility of employment or performance of household duties that were carried out before or indulging in previously preferred ways of spending free time. Patients often abandon the habits that they developed before stroke, inclusive of hygienic habits. Therefore, it is an important objective of rehabilitation to reinstate in stroke patients behaviours characteristic of their peers, which would mark the beginning of their own care for health. The pedagogic and educational activities should lead to a transformation in the patient. This could be one of the factors in facilitating the patient's return to previous forms of activity. AIM: The aim of this study was to analyze progress in patient's rehabilitation and satisfaction, to assess impact of health education on higher satisfaction and better knowledge in stroke patients as well as on their recovery. Another aim was to assess the factors that maximize the patients' chances of returning to the labor market. MATERIALS AND METHODS: The study involved 30 patients after stroke, 8 women and 22 men, over 40 years of age, who underwent either early or late rehabilitation, the type of which affected the time of treatment. The minimal duration of the patient's stay was 21 days, in which time an individually tailored way of education, rehabilitation, treatment and care was implemented. The study used a questionnaire and the Bartel and the Rankin scales. The subject of the analysis consisted of 22 questions that were based on hypotheses. They assessed the facts, the sources of information, knowledge and subjective feelings of the patients concerning the education carried out by the rehabilitation team and its impact on the patients' rehabilitation. RESULTS: A highly significant (p<0,01) improvement to patients' health and an increase in their knowledge were observed in the rehabilitation. CONCLUSIONS: During the rehabilitation patients gained a significant improvement to their health, which resulted in more independence in daily living. The implemented health education has an effect on the scope of the patients' knowledge during and after rehabilitation, which translates into a higher satisfaction from the patient's education. The acquired knowledge and skills increase the chances of the patient to return to activities and participation in social life at a satisfactory level. The members of the rehabilitation team, especially the physicians, play an important role in health education of patients.

[Assessment of degree of functional efficiency patients with the gonarthrosis after applying physiotherapy]. / Ocena stopnia sprawnosci funkcjonalnej pacjentów z choroba zwyrodnieniowa stawów kolanowych po zastosowanej fizjoterapii.

UNLABELLED: Gonarthrosis is the most important problem of contemporary medicine. Social and economic aspect of this phenomenon caused the World Health Organization gave it the status of "disease of civilization". AIM: The aim of the study was assessment of the impact chosen models of physiotherapy proceedings on the functional efficiency of patients with the gonarthrosis. MATERIALS AND METHODS: In the study took part in 120 patients of both sexes divided into 4 groups. Group I - 30 patients with the gonarthrosis who have been applied electrostimulation of Kot'z and static exercises with biofeedback of extensors and flexors of the knee joint. Group II - 30 patients with the gonarthrosis who have been applied electrostimulation of Kot'z and dynamic exercises of muscles working on the knee joint. Group III - 30 patients with the gonarthrosis who have been applied static exercises with biofeedback of extensors and flexors of the knee joint, without electrostimulation. Group IV - 30 patients with the gonarthrosis who have been applied dynamic exercises of muscles working on the knee joint, without electrostimulation. Participants in the project were examined twice (before the starting and after finishing rehabilitation) and the level of the functional efficiency of patients was assessed based on results of the Functional Lequesne Index for knee joints. RESULTS: Results collected at this work are confirming the dominant role of the model of therapy from the group I (Kot'z electriostimulation and static exercises with biofeedback) in the forming of the functional efficiency of patients with the gonarthrosis. Results of this group, in the statistically significant way differ from of the patients from the group III (only static exercises) and IV (only dynamic exercises). No significant diferences between groups I and II confirm the tkey role in the forming of the result of Kot'z electrostimulation. CONCLUSIONS: Combination of kinesio exercises and Kot'z electrostimulation influences significally on increasing of the functional efficiency patients with gonarthosis. Out of all analysed models of therapy it turned out that the most effective is combination of "Russian stimulation" and static exercises with biofeedback.

[Assessment of the pain patients with the multiple sclerosis after applying the physiotherapy treatment]. / Ocena delegliwosci bólowych u chorych na stwardnienie rozsiane po zastosowaniu zabiegów fizjoterapeutycznych.

UNLABELLED: Multiple sclerosis is one of the most common demyelinating disease of the CNS connected with the autoimmune action. The effect of the disease is progressive disability, and one of the symptoms is pain. In relieving pain in the course of MS physical procedures and exercises of physiotherapy are used. AIM: The aim of the study was assessment of the pain in patients with the multiple sclerosis after applying laser radiation, magnetostimulation and kinesiotherapy. MATERIALS AND METHODS: The studied material was consisted of 120 patients with multiple sclerosis of both sexes (82 women and 38 men) aged 21-81 years. Patients were randomly divided into 4 treatment groups and the assesment was performed three times. In the first group laser therapy, in the group II laser and magnetostimulation, in the third group kinesiotherapy, in the fourth group magnetostimulation was used. The same program of physiotherapy in all groups was used. All patients were performed the following tests to assess of the pain: The Laitinen Modified Questionnaire Indicators of Pain of and the Visual- Analogue Scale (VAS). RESULTS: In all treatment groups was observed tends to decrease a result of a point in The Laitinen Modified Questionnaire Indicators of Pain and the Visual-Analogue Scale (VAS). Correlation between groups demonstrated statistically significant result on the level p<0.05 in the group where the laser treatment was applied towards group II assessed with parameter of the Questionnaire of Pain according to Laitinen, as well as towards group II and III assessed with parameter - of the Visual Analogue Scale (VAS). The good result, i.e. the reduction of the spot value, after the III examination towards the preliminary examination were got in the group II. CONCLUSIONS: Laser radiation is an effective method which has an analgesisc action. The combination of laser radiation and magnetostimulation reduces pain in patients with multiple sclerosis, and also allows to maintain a therapeutic effect even after the cessation of the application of these procedures, which indicates the possibility to elicitation the biological phenomenon of hysteresis in these methods.

[Physiotherapeutic proceeding in symptomatic calcaneal spur treatment].

Calcaneal spur is one of the most common disorders associated with foot pain. According to appearance of pain in each step during the day, it is important to find the most effective method of treatment. This article is a review of medical reports about non-operative treatment method. It shows that ultrasound therapy was the most common physical intervetion used so far, and mostly occurs to be effective. However one of the comparative studies improves higher efficiency of phonopheresis. Another comparative study, shows higher efficiency of combined ultrasound and laser therapy, than exclusive laser therapy. There haven't been found any articles that would evaluate efficacy of electrotherapy and short wave diathermy (electric field) in the treatment of mentioned disorder. Studies that describe the effect of ESWT treatment were also analyzed in this article, and all of them confirm its effectiveness in heel spur therapy, showing no side-effects. Cryotherapy also causes positive effect in treatment of this disorder. However Cryoultrasound therapy that uses the energy of two interconnected terapeutic techniques which is cryotherapy and ultrasounds, proved to be more effective.

[The overall assessment of the quality of the physical health of patients with multiple sclerosis after the application of physical therapy. Part 1]. / Calosciowa ocena jakosci zdrowia fizycznego pacjentów ze stwardniniem rozsianym po zastosowaniu zabiegów fizjoterapeutycznych. Czesc 1.

INTRODUCTION: Multiple sclerosis is one of the demyelinating diseases of the central nervous system. The biggest problem of patients affected by this disease are physical limitations which force many times to changes in employment and dependent on their families.The progressive disability significantly reduces the quality of life of patients with MS. MATERIAL AND METHODS: The study involved 120 patients with multiple sclerosis at the age of 21 - 81 years. Patients were divided into four groups, and the test was performed three times. In the first group was used laser therapy, group II laser and magnetostimulation, in the third group kinesiotherapy in the fourth group magnetostimulation. In all patients MSQOL (Quality of Life Questionnaire-54) was carried out, this survey analyzed overall assessment of physical health. RESULTS: In all test groups was observed tends to decrease as a result of a point in Quality of Life Questionnaire MSQOL-54 and continuation in this relationship even after cessation of use of these therapies. The correlation between the two groups showed a statistically significant result at the level of p <0.001 in the group I and II in relation to group III and IV. CONCLUSIONS: Synergic action of laser radiation and magnetic stimulation, causing a plurality of changes at the cellular and tissue level, has a beneficial effect on improving functional status, and thereby improves the quality of life of patients with multiple sclerosis. Thanks to physical therapy, it is possible to achieve long-term effects of therapy, which proves the biological hysteresis phenomenon. Such results can not be achieved with using monotherapy only - by kinesiotherapy.

[The effect of neurorehabilitation on the functional state and muscle tone of upper limb in patients after ischaemic stroke]. / Wplyw neurorehabilitacji na stan funkcjonalny i napiecie miesniowe konczyny górnej u chorych po udarze niedokrwiennym mózgu.

UNLABELLED: Rehabilitation of upper limb in patients after ischemic stroke is a major challenge for modern neurorehabilitation. Function of upper limb of patients after ischemic stroke returns on the end of the rehabilitation comparing with another parts of the body. Below presents two groups of patients after ischemic stroke who were rehabilitated with use of the following methods: kinesiotherapy combined with NDT- Bobath method and kinesiotherapy only. The aim of this study was to assess the impact of kinesiotherapy only and NDT- Bobath method combined with kinesiotherapy on the functional state and muscle tone of upper limb in patients after ischemic stroke. MATERIAL AND METHODS: The study involved a group of 40 patients after ischemic stroke with motor control and muscle tone problems of upper limb. Patients were divided into two groups, each of them included 20 people. Upper limb in group I was rehabilitated with the use of kinesiotherapy exercise however group II with the use of kinesiotherapy exercise combined with NDT- Bobath method (Neurodevelopmental Treatment Bobath). To evaluate the patients before and after rehabilitation muscle tone Asworth scale was used and to assess functional status Rivermead Motor Assessment (RMAIII) scale was used. RESULTS: After 5 weeks of rehabilitation in group II in majority patients were observed decrease of muscle tone and improvement in upper limb functional status. In group I the muscle tone were also decreased and functional status were better but in smaller impact than in II group. CONCLUSIONS: Classical kinesiotherapy combined with the NDT-Bobath method gives better results in neurorehabilitation of upper limb than the use of kinesiotherapy exercises only in patients after ischemic stroke.