Kinesitherapy - a major method of conservative therapy for patients with Frozen shoulder

Purpose: To review the scientific research about the incorporation and efficiency of the different kinesitherapy procedures for patients with frozen shoulder. To make conclusions and suggest a proper therapeutic approach.Materials and Methods: All available sources, including literature and internet database have been examined. The latest scientific research articles have been represented in brief and summarized at the end.Results: According to the majority of the authors the kinesitherapy is a major method of conservative treatment that is recommended to be used in both primary and secondary care.Conclusion: The low cost of the method together with the good clinical results are arguments in favour of the mass incorporation of the kinesitherapy in both primary and secondary care

Manual-Therapeutic Clinical Approach in Cases of Painful and Spastic M.Iliopsoas

Introduction: The authors reveal the opportunities for a diagnosis and treatment with the methods of manual medicine of a muscle very often responsible for the cases of muscle dysbalance in the thoracolumbar passage, lumbar region and the lower extremities. In addition, the anatomic position and function of the muscle very often lead to the association of the clinical symptoms with other deceases. Objectives and tasks: Accomplishment of an effective treatment algorithm for dealing with the problem.Materials and methods: We have executed on a group of patients the most common techniques of manual diagnostics and have discovered the chain links between the observed pathology and other regions of the vertebral column - the thoracolumbar and lumbosacral passages. We also have shown the results of the manual therapy techniques applied - postisometric relaxation (PIR) as well as manual manipulation for the chain-linked blockages. The authors reveal the possible combinations of manual medicine and physical factors. Results: Of the 44 patients included in the study by 37 (84,09%) a pathology of the iliopsoas muscle has been found. By 36 of the mentioned 37 patients a complete relief of the pain symptoms has been achieved and by all of the patients with a change of the posture normalization occurred. Conclusion: The final results of the investigation prove the effectiveness of the exercised clinical approach in dealing with the pathology of m.iliopsoas. The manual diagnostics has proven itself as a leading method of tracking of the somatic dysfunction of a muscle, the effects of the applied PIR techniques decisively excelling the medication with non-steroid drugs

Cervico Cranial Pain Syndrome and Cervical Blockages Clinic, Diagnostics and Therapy

The authors reveal the methods for diagnostic and treatment of vertebral injuries in cervical department. The thesis points out that in cervico-cranial headache commonly dominates pathology of the function than of morphology as it`s considered often. The article includes a comprehensive analysis of amnestic data and objective find during the test, whose right interpretation relates to the best choice of therapy treatment

Risks and possible incidents in manual therapy

Авторите разглеждат най-честите причини за инциденти в мануалната практика. Основни фактори за неблагополучията при този вид терапия са слабо владеене на мануалните техники и трудности в диагностиката, произтичащи от завоалирани контраиндикации и индивидуални анатомични особености. За да бъдат сведени рисковете до минимум, мануалните терапевти се нуждаят от чести опреснителни курсове за поддържане високо ниво на компетентност, a при наличие на усложнения от бърза реакция и преминаване към незабавно лечение.The authors reveal the most common reasons for incidents in manual medicine. The main factors for failure in this type of therapy are insufficient knowledge in manual medicine and difficulties in diagnostic, resulting of veiled contraindications and individual anatomic specifics. In order to minimize the risks manual therapists need frequent courses to keep high level of competence. They also should react fast in case of complications and to switch to treatment immediately

A diagnostic approach to examining the functional disorders of the sacroiliac joints

PURPOSE: Nowadays most physicians experience problems with the proper diagnosis of the sacroiliac joint dysfunction. It is mainly due to the presence of numerous diagnostic tests of unclear clinical reliability and insufficient research. The objective of this study is to develop a highly efficient diagnostic approach to the sacroiliac dysfunction.MATERIAL AND METHODS: A total of 120 patients with dysfunction of the sacroiliac joint were examined by means of 7 tests. These tests were provisionally divided according to their association with testing of the real movement in the sacroiliac joint into specific tests such as De Winter phenomenon, spine-test and Rosina test and non-specific ones such as Patrick, Mennel I, pseudo-Lassegue and 3-step test.RESULTS: Against the very common initial data from all the tests a very distinctive result difference after manual therapy was present. The non-specific tests demonstrated a low level of clinical reliability when applied right after restoring the joint functionality. On the other hand, the specific tests presented with a clinical reliability of more than 91%.CONCLUSION: An eventual positive result of two specific tests mentioned above provides a diagnostic accuracy of 94% concerning the functional disorder/blockage of the sacroiliac joint.Scripta Scientifica Medica 2013; 45(2): 70-74

Contemporary Physiotherapeutical Treatment for Low Back Pain

The article reveals modern aspects of physical threatment of low back pain - electro- and light ther- apy, thermotherapy, passive kinesitherapy - massage, manual therapy, tractions, exercises, lasertherapy, acupunctur

Our Experience of Treatment of Arthrosis Disease and Some Enthesopathy with Geothermal Water from Spring R.119X

The article reveals the physicochemical character- istics of the spring water and the results in treatment of coxarthrosis, gonarthrosis, spondylarthrosis, peri- arthritis, epycondilithis and some other enthesopathy. The research is based on two groups of patients - an experimental and a control group. We discuss the pos- itive effects in the treatment of the mentioned diseases and the next step in therapy of arthrosis: balneothera- py to be replaced by balneoprophylaxis

The role of traction therapy in the treatment of pain syndrome and the psycho-emotional state of the patients with lumbar disc disease

INTRODUCTION: Traction therapy as a method for treatment of the spinal diseases has been known to mankind since Hippocrates. Its abilities to target the main symptoms in patients with lumbar disc disease are still an object of discussion.AIM: To analyze the effect of intermittent traction therapy in targeting pain syndrome and the psycho-emotional state of the patients with lumbar disc disease.MATERIALS AND METHODS: A total of 122 patients suffering from lumbar disc disease were exam­ined and 100 of them corresponded to the criteria and took part in the research. The control group (CG) in­cluded 50 patients, treated with basic therapy low-frequency electromagnetic field (LFMF) and interferen­tial therapy - bipolar technique (BPI). The experimental group (EG) included 50 patients treated with ba­sic therapy and intermittent traction therapy. To track the effects of the treatment, we used an evaluation of the static and dynamic pain, an evaluation of the psycho-emotional state through the WAM (well-being, activity, mood) test, done before, right after and at the end of the treatment as well as 1 and 3 months after the treatment.RESULTS: Both methodologies have a pain-reducing effect and help the improvement of the psycho-emo­tional state of the patients. The results have a high statistical importance (p<0.001) for both groups when it comes to reduction of the pain syndrome and the indicators of the psycho-functional testing. When compar­ing EG and CG the difference is also statistically significant (p<0.001) with the EG being superior.CONCLUSION: Traction therapy, conducted following all rules of the good medical practice is well toler­ated by the patients suffering from lumbar disc disease and contributes to the improvement of their psycho-emotional state

Research on the effect of the traction therapy on patients with lumbar disc disease

Резюме Въведение: Приложението на екстензионна терапия за лечение на вертеброгенни заболявания е известно от дълбока древност. Един от съвременните варианти на тракционно лечение е импулсната екстензионна терапия провеждана с апарат Eltrak 471 на холандската фирма Enraf Nonius, които дава възможност за провеждане на тракция в импулсен и постоянен режим. Цел: Да се проучи ефективността на импулсната екстензионна терапия върху болката, двигателната активност в поясен отдел и показателите самочувствие, активност и настроение при пациенти с поясна дискова болест (ПДБ).Материал и методика: Обект на изследването бяха 40 пациента с поясна дискова болест. Контролна група (КГ) от 20 болни лекувана с базисната терапия (НЧМП и БПИ) и експериментална група (ЕГ) от 20 болни лекувани с базисна терапия и импулсна екстензионна терапия. За проследяване ефекта от лечението бяха използвани: функционални тестове за двигателна активност, оценка на статична и динамична болка, оценка на психоемоционалното състояние, проследени в началото и в края на лечението.Резултати: Резултатите са с висока статистическа значимост (p<0,001) и за двете групи по отношение на купиране на болевия синдром, функционалноните тестове за подвижност в поясен отдел и показателите от психо-функционалното тестуване, като при сравняване на ЕГ с КГ разликата също е статистически зачима (p<0,001).Заключение: И двете методики имат обезболяващ ефект, съдействат за подобряване на подвижността в лумбален отдел и подобряват качеството на живот на пациентите с ПДБ. Комплексната методика включваща базисно лечение и импулсна екстензионна терапия дава по - добри резултати от базисното лечение при всични изследвани показатели..Ключови думи: поясна дискова болест, физикална терапия, импулсна екстензионна терапияIntroduction: Application of extension therapy for treating diseases of the vertebral column has been done for ages. One of the modern variants of traction is traction therapy done with Eltrak 471 made by the Netherland`s company Enraf Nonius. Such treatment gives an opportunity for traction in both impulsive and constant mode.Goal: To explore the effect that impulsive traction therapy has over the pain, motor skills in the lumbar area and also how the therapy affects the self-confidence, alertness and mood of the patients with lumbar disc disease (LDD), that affects the quality of one`s life. Subject and methodology: The research has been taken on 40 people, suffering from lumbar disc disease. A control group (CG), including 20 people, treated with basic therapy (LFMF and BPI) and an experimental group (EG), including 20 people, treated with basic therapy and impulsive traction therapy. For tracking the effect of the treatment were used: physical tests for motor skills in lumbar region, scale of pain еnd the psycho-emotional conditioning.Results: The results have high statistical significane (p<0,001) for both groups, when it comes to the pain syndrome, the functional tests for mobility in the lumbar area and also the results from the psycho-functional test, where the difference between EG and KG has a statistical significance (p<0,001).Conclusion: Both methods have a pain reducing effect, contribute for better mobility in the lumbar area and also improve the quality of life of patients with LDD. The complex methodology, including basic treatment and impulsive traction therapy gives better results than only basic therapy in all tests