The Impact of Health Resort Treatment on the Nonenzymatic Endogenous Antioxidant System.

Introduction. Oxygen, reacting with organic compounds in living organisms, oxidizes them without being completely reduced due to numerous exogenous as well as endogenous factors. As a consequence, free radicals or reactive oxygen species are formed. Health resort-based balneophysiotherapy is a comprehensive therapeutic intervention that triggers positive therapeutic effects within the entire system. Material and Methods. The objective of the study was to assess the impact of health resort-based balneophysiotherapy on the levels of nonenzymatic endogenous antioxidants in patients with degenerative motor organ diseases, as well as to determine potential correlation of these changes with free radical-mediated processes. Observation was carried out in patients undergoing health resort therapy as part of 21-day stay periods. The study population consisted of n = 110 patients with articular and spinal pains due to degenerative diseases or discopathies. RESULTS: Reduced bilirubin and albumin levels as well as increased uric acid levels were observed in the study group following the health resort treatment. CONCLUSIONS: Bilirubin and albumin levels were reduced while uric acid levels were increased as the result of health resort therapy in patients with degenerative motor organ diseases. The observed changes in the levels of nonenzymatic endogenous antioxidants depend on free radical-mediated systemic transformations. The trial is registered with NCT03405350.

[The effectiveness of a comprehensive program of physiotherapy in shoulder pain syndromes]. / Skutecznosc kompleksowej fizjoterapii w zespolach bólowych barku.

INTRODUCTION: Periarthritis humeroscapularis (PHS) is a disease notable for serious therapeutic problems arising from lesions in various tissue structures. The shoulder is the most important biokinematic element in the upper extremity. For this reason, physiotherapy continues to search for an ideal form of rehabilitation. Treatment of PHS is long and difficult. The correct diagnosis combined with physiotherapy can reduce the suffering of the patient and shorten the duration of the disease. Thus, the restoration of physical activity can be expedited. We decided to assess the effectiveness of a comprehensive program of physiotherapy in shoulder pain syndromes. The study was done at the Rehabilitation Unit of the Stablowice Clinic of the Wroclaw Health Center. We enrolled 30 patients aged 30 to 85 years (mean age: 60 +/- 14 years) with pain and limited mobility of the shoulder diagnosed as PHS. MATERIAL AND METHODS: A questionnaire with 12 questions addressing the intensity and extent of shoulder pain was prepared. Shoulder joint mobility was determined with a goniometric method. In addition, an 11-grade Numerical Rating Scale (NRS), where 0 meant no pain and 10 the most severe pain, was adopted. All patients underwent a series of 10 physiotherapeutic procedures directed at the shoulder joint. Assessment was made before and after therapy. RESULTS: A considerable reduction of pain was noted after physiotherapy and massage, while exercises significantly improved mobility, muscle status, and function of the upper extremity. CONCLUSIONS: The present study has shown that the comprehensive program of physiotherapy carried out at the Rehabilitation Unit of the Stablowice Clinic of the Wroclaw Health Center is effective in treating patients with the shoulder pain syndrome.