Innovation in cryotherapy after thirty years research in Poland

Łysień Anna, Mikrut Grzegorz, Smykla Agnieszka. Innovation in cryotherapy after thirty years research in Poland. Journal of Education, Health and Sport. 2019;9(3):184-192. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2590886 http://ojs.ukw.edu.pl/index.php/johs/article/view/6685 https://pbn.nauka.gov.pl/sedno-webapp/works/907297 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.02.2019. Revised: 15.02.2019. Accepted: 12.03.2019. Innovation in cryotherapy after thirty years research in Poland Anna Łysień1, Grzegorz Mikrut2, Agnieszka Smykla3 1 Jerzy Kukuczka Academy of Physical Education in Katowice, Department of Physiotherapy of the Nervous System and Motor Organs 2 Jerzy Kukuczka Academy of Physical Education in Katowice, Department of Sport and Tourism Management 3 Jerzy Kukuczka Academy of Physical Education in Katowice, Department of Physiotherapy Basics Abstract: Year (2019) is the thirtieth of the opening of the first low-temperature chamber in Poland, is celebrated. This anniversary is a great occasion to recapitulation and evaluate our experince regarding cryogenic temperatures anhibition and present how this method of treatment has developed over the last 30 years. Cryotherapy became one of the most basic and modern therapeutic methods not only in physical medicine. Cryostimulation in new areas of life and as a form of thermal stimulation and assessment of its impact on the human body, taking into account the differences between individual human areas. Key words: history of cryotherapy in Poland, cryotherapy, cryogenic chamber, mechanism of cryotherapy, impact of cryoherapy on the body, innovation in cryotherapy, innovation in the construction of cryotherapy

Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and Pilates exercises.

The aim of this study was to compare the effect of pelvic floor muscle training with surface electromyographic (sEMG) biofeedback (BF group) and Pilates exercises (P group) on the bioelectrical activity of pelvic floor muscles in women with stress urinary incontinence. The other aim aim was to compare changes in voiding diaries and scores on quality of life questionnaire against baseline values and between the groups. Women in the BF group (n = 18) participated in pelvic floor muscle training with sEMG biofeedback; the P group (n = 13) participated in basic level Pilates workouts. Both protocols were continued for eight weeks. Voiding diary, quality of life and electromyographic characteristics of the pelvic floor muscles were assessed at the three-time points: at baseline, after eight weeks' training, and at month six post-training. The sEMG activity of the pelvic floor muscles was tested during five trials in two positions. There was no marked improvement in bioelectrical activity of the pelvic floor muscles during contraction following training with sEMG biofeedback or Pilates exercises. Following eight weeks of sEMG biofeedback training, a decrease was noted in resting bioelectrical activity of pelvic floor muscles and during relaxation after sustained contraction but only in supine-lying. No such effect was observed in the Pilates group. In the BF group, the number of incontinence episodes after end of treatment (timpepoints: 1vs. 2) and at six month follow-up (timpepoints: 1vs. 3) decreased by 68.5% and 89.3%, respectively. The respective values in the P group were 78.6%, and 86.4%. The intergroup differences did not reach the level of statistical significance. As regards the quality of life, the questionnaire demonstrated that Pilates exercises had significantly better effects compared to biofeedback training both at the end of the eight-week exercise program and (p = 0.003) and at six month follow-up (p = 0.0009). The International Consultation on Incontinence Questionnaire-Short Form (ICIQ- SF) showed comparable efficacy of Pilates exercises and training with sEMG biofeedback. Intragroup improvements in micturition frequency, incontinence (leakage) episodes, and nocturia frequency were comparable. Alleviation of urinary incontinence symptoms was comparable in both groups, whereas the improvement in the quality of life was more notable in the Pilates group. The obtained results failed to demonstrate the superiority of any of the two methods regarding the bioelectrical activity of pelvic floor muscles in patients with stress urinary incontinence