Physical therapy approaches in treatment of sacroiliac joint dysfunction

Introduction: Through the ages sacroiliac joint (SIJ) dysfunction as a source of low back pain (LBP) has been evolved from unrecognized and neglected to a main source in 13% of the population (Schwarzer et al., 1995) or 19% (1995) and 15% (Bogduk et al., 2002). Although there is no widely adopted treatment protocol, the preferred approach is conservative including: electrotherapy, laser therapy, ultrasound, medications, rest, exercise, manual mobilizations and/or manipulations, acupuncture. Aim: The aim of this study was to compare the effects of two treatment programs. Material and methods: Total of 64 patients with pain in the lumbosacral region due to SIJ dysfunction were treated. Divided in two group B (experimental n=41) and V (controlled n=23). The controlled group underwent treatment consisting of classic massage, core stability exercise on stable surface, home exercise program auto-mobilization and for the experimental – manipulative massage, manual mobilizations of SIJ, core stability exercise with fitness ball. Results and conclusion: The positive influence of the therapy was common for the both groups but more noticeable in the experimental. This method demonstrate the normalizing effect on the dysfunction of the pelvic girdle, reduction of muscle imbalance, decreased subjective complaints and symptoms of pain -(VAS ±0.43, SEP ±0.23 and LP ±0.70)

Кинезитерапия при функциональной блокаде шейных сегментов позвоночника

Из-за своей большой мобильности, шейный отдел позвоночни-ка подвержен значительным динамическим и статическим нагрузкам, что нередко приводит к травмам [9, 10, 16, 17]. Травмы позвоночника являются существенным причинным фактором для вертебральных нарушений [2 , 3, 5, 8]. Продолжительная статическая нагрузка, неправильная осанка с наклоненной вперед головой, мышечный дисбаланс и функциональные блокады суставов приводят к головной боли, уменьшению диапазона движения, ощущению скованности и тяжести в области плечевого пояса [1, 4, 6, 7, 14]. Многие авторы применяют различные кинезитерапевтические техники для уменьшения нагрузки на шейные сегменты, улучшения подвижности шейного отдела и регулирования мышечного равновесия [11, 12, 13, 15]

The role of kinesitherapy at the rehabilitation of paralysis of n. Facialis

In the case of paralysis of n. facialis, most emphasis is placed on early detection, proper diagnosis of the damage and as soon as possible starting rehabilitation. Clinically, damages of n. facialis is manifested by rigidity on one side of the face. The patient is unable to raise his forehead while trying to close the eye, eye apple is stepping up to, and reflected the white of the eye, the eye does not close, the oral angle is lowered, and the mouth is drawn aside. Nasal groove is deleted, the eye constantly tears and corneal reflex is lost. The success of rehabilitation depends on the causes, extent of functional damage to the facial nerve and time of starting with a treatment. Besides drug therapy in the rehabilitation of paralysis of the facial nerve, an important place has physical therapy, but kinesitherapy is the most important part of all procedures to restore the lost function of the facial nerve. The scheme for the treatment is prepared according to the results of MMT. Main complications of neuritis n. facialis are contractures and synkinesis

Speed Control of AC Motors for Electric Vehicles Using Field Oriented Control

The paper describes the speed regulation of electric vehicles driven by induction motors with the help of a vector control scheme that emulates a DC motor with independent excitation. The proposed speed regulation provides constant torque and constant speed of electric motors at different loads. Since the vector control method needs the position of the rotor at any time, there are two types of speed regulation, direct - by measuring the angle of the rotor with the help of a hall sensor, and indirect - by mathematical determination of the rotor position. There will also be a simulation showing that in order to obtain a more adverse outcome, we must have a properly tuned PI regulator, which would otherwise result in delayed response and oscillations of the controlled driving system

Treatment of muscle pain with myofascial techniques and trigger points

Abstract: Stress, improper posture or excessive physical activity are the most common causes of muscle pain. But it may also be associated with certain medical conditions, and in that case, dealing with it necessarily requires medical attention. Since the entire body is covered with muscle tissue, there is no man who has not felt pain and discomfort in some part of the muscles. This condition can be isolated in only one region or muscle group, and generalized when the pain occurs in muscles throughout the body. In the treatment of muscle pain, in addition to standard physical therapy, various manual methods and kinesitherapy techniques are used, such as: Soft tissue mobilization (manipulative massage, mobilizing muscular-energy techniques (post-isometric relaxation), massage), neuromuscular techniques, myofascial techniques , Detection and processing of trigger points, Dry needling, etc. Keywords:muscle pain, miofascial technique

Comparison of two treatment modalities for chronic pain syndrome due to sacroiliac joint dysfunction

Sacroiliac joint dysfunction is widely considered as a potential source for pain in the lumbosacral region. Treatment modalities vary from electrotherapy (TENS, diadynamic, interferential currents), massage, manual therapy and exercises to joint fusion. The treatment of sacroiliac joint dysfunction presents a clinical challenge and a construction of optimized approach framework is still needed. The aim was to compare the effects of two physical therapy approaches in treating this condition. A total of 71 patients with chronic LBP due to sacroiliac joint dysfunction were treated in the period 2009 – 2012. The patients were divided in two groups (A – control n=30 and B experimental n=41), underwent treatment comprised of mobilizing and manipulative techniques and exercises. The results of this research showed reduction of pain, improvement in muscles strength and balance and lumbar and pelvic stability in both groups but more prominent in the experimental group

Јувенилен анкилозирачки спондилит

ЈАС е артритис кој припаѓа во групата на спондилоартропатии. Се карактеризира со воспаление на лумбосакралниот дел од рбетниот столб, сакроилијачните зглобови како и рана појава на ентезит. Ова заболивање доведува до ерозија на сакроилијачните зглобови како и формирање на коскени мостоби помеѓу пршлените на рбетниот столб. Релативно често се зафатени стерноклавикуларниот зглоб, зглобот меѓу manubrium sterni и corpus sterni како и стернокосталните зглобови

Сравнение на ефективността на два метода за намаляване на мускулен хипертонус

Мускулите като източник на болка се явяват почти при всяко заболяване и/или дисфункция на опорно - двигателния апарат. Патологията възниква в нарушените обмени процеси в самия мускул. Характерна е появата максимални болезнени точки (тригерни точки). Методи за намаляване на мускулния тонус се предлагат от всички медицински гранки с различно естество и механизъм на въздействие. Целта на това изследване е да се сравни ефективността на две методики за намаляване на мускулен хипертонус. От една страна прилагането на исхемичен натиск проследен с приложение на конопена маст, а от друга прилагане на акупунктурни игли в тригерните точки. Изследването се проведе от октомври до декември 2016 година в Рекреативния център на Университет „Гоце Делчев“ – Щип. В изследването бяха включени 32 индивиди с мускулна болка глутеалната група мускули. Пациентите бяха поделени в две групи: Група А (n=17) (контролна) които бяха лекувани с исхемична обработка на тригерните точки и прилагане на конопена маст и Група Б (n=15) (експериментална), лекувани с методата (dry needling). При двете групи се получи намаляване на мускулната болка и хипертонус. Резултатите от изследването на болката по ВАС са представени в Таблица 2. Резултати следят същият тренд както и при измерванията за болка. При Група А се получи по-изразено намаляване на болката. Разликите между първото и второто измерване е със статистическа значимост както и разликите между групите

Internet and social media in education

In an era of great technological development, the complete focus of communication between people has been changed. A simple conversation, a major deal, a life changing event is just a click away. People around the world have become equal players on a single scene where they can all come out and “play”. This is the natural consequence of the highly technological world of the 21st century and the era of internet. Education and the process of learning are essential characteristics of human beings. They are based on motivation, creation and development of ideas. Striving to gather and practice as much of that, people have created all the shrines of knowledge and studying: schools, universities and libraries. Leading philosopher Michael Patrick Lynch shows how our digital way of life makes us overvalue some ways of processing information over others, and thus risks distorting what it means to be human. Knowledge based on reason plays an essential role in society and that there is much more to “knowing” than just acquiring information. This paper looks into social media as one aspect of the internet culture and its specific role in the learning process of the students

Therapeutic approaches in treating myofascial trigger points

Myofascial pain syndrome (MPS) has been described as the most common challenge that general physicians, osteopaths, physical and manual therapists face today. Its’s frequency among the patients admitted to chronic pain practices is about 85 % (Han et al. 1997, Skootsky et al. 1989). MPS is characterized by pain originating from the trigger points (TrPs) at muscles and fascia. It is associated with, muscle spasm, tenderness, restricted motion. Although the exact pathology of this phenomenon is still an issue of debate, therapists have developed a lot of empirical treatment approaches. The various treatment techniques that are used for treating TrPs are: TrP release (TrPPR - ischemic pressure applied by finger or some similar tool), ultrasound, TENS, LASER, muscle energy technique (MET), positional release therapy (PRT), strain counter strain technique and integrated neuromuscular inhibitory technique (INIT). The aim of this study is to compare the effectiveness of LASER and TrPPR both combined with MET in reducing pain originating from TrPs. Both approaches resulted in decrease in pain levels and increase in pain threshold. Comparison between the groups showed no advantage to one procedure over the other