Vibroacoustic Therapy (VT) is a very distinct form of treatment. The purpose of this study was to determine the effect of vibroacoustic therapy on low back pain management in adolescents. A total of 40 adolescents (13-18 years old) were randomly divided into two equal groups (exercise-control group, and exercise and vibroacoustic therapy-vibroacoustic group), and participated in a 3-week physiotherapy program for back pain management. The participants in both groups performed the same exercise program five times per week. The participants in the vibroacoustic group apart from exercise also received treatment on a special vibro chair set at 4-8 Hz frequency for relaxation. Music was heard through the headphones. Standard tests (Oswestry disability index and the visual analogue pain scale) to assess low back pain were used before and after the intervention to monitor changes. The intensity of low back pain significantly decreased in both groups after the intervention (< 0.05), but there were no significant differences between the groups in low back pain management in adolescents.
BACKGROUND:There is limited evidence on the efficacy of acupuncture in bowel dysfunction treatment. OBJECTIVE:The aim of this pilot study was to investigate the potential value of acupuncture in the treatment of low anterior resection syndrome. DESIGN:This was an open-design pilot study. SETTINGS:This was a single-center study.PATIENTS: Nine (5 female) patients with major low anterior resection syndrome were included. INTERVENTIONS:All patients underwent acupuncture by a trained specialist once a week for 10 weeks. MAIN OUTCOME MEASURES:Bowel function was assessed by using the low anterior resection syndrome score and the Memorial Sloan-Kettering Cancer Center bowel function instrument before the procedure, just after finishing the course of acupuncture, and 6 months after the treatment. RESULTS:The average age was 56.44 (50-65; SD ±5.4). Median age was 56 years. At the end of the procedure, all patients reported significant improvement in low anterior resection syndrome symptoms: the average low anterior resection syndrome score before acupuncture was 39 (±2.7), after acupuncture it was 30.3 (±10.6), and 6 months after acupuncture it was 7.22 (±10.244; p < 0.000).The average Memorial Sloan-Kettering Cancer Center bowel function instrument score before acupuncture was 55.33 (±11.55), after the procedure it was 60 (±14.97), and 6 months later it was 70.22 (±12.2; p < 0.000). LIMITATIONS:The small sample size and the fact that this is a single-center nonblinded study are limitations of this work.
Objective: Fecal incontinence affects up to 15% of the general population, with higher rates of incidence among women and the elderly. Acupuncture is an old practice of Traditional Chinese Medicine that might be used to treat fecal incontinence. The aim of this mini review was to assess the effect of acupuncture for fecal incontinence. Materials and Methods: Cochrane Library, Web of Science, Embase, PubMed, and CENTRAL electronic databases were searched until August 2020. The following keywords were used: acupuncture, electroacupuncture, moxibustion, fecal incontinence, diarrhea, irritable bowel syndrome, and bowel dysfunction. In addition, references were searched. Five studies (two randomized controlled trials), out of 52,249 predefined publications after an electronic database search, were included into the review. Results: Overall, 143 patients were included. All studies report significant improvements in continence, although they all apply different acupuncture regimens. Randomized controlled trials show significant differences in experimental groups treated with acupuncture in improving continence. Significant improvement in quality of life scores was reported. In addition, improvement in fecal continence remained significantly improved after 18 months of follow-up. Conclusion: Acupuncture is a promising treatment alternative for fecal incontinence. Based on small, low-quality studies, it might be a safe, inexpensive, and efficient method. However, more high-quality studies are needed in order to apply this treatment technique routinely.
Objective: To determine pain and functional changes during comprehensive rehabilitation (CR) in adolescents with nonspecific low back pain (NLBP), and to determine the optimal CR duration. Methods: The study included 106 adolescents (39 boys [36.8%], 67 girls [63.2%]), 14 to17 years old, with the following inclusion criteria: duration of NLBP for at least 12 weeks; conservative NLBP treatment was effectless; pain intensity using the visual analogue pain scale (VAS) ≤ 7 points; disrupted daily activities; ability to understand and answer the questions; written consent to participate voluntarily in the study. The pain was assessed using the VAS scale, functional changes were assessed using the Oswestry Disability Index (ODI), 12-Item Short Form Survey, Hospital Anxiety and Depression Scale (HAD), and physical functional capacity and proprioception (Proprio) were assessed using an isokinetic dynamometer. The participants performed a comprehensive pain rehabilitation program consisting of physiotherapy, TENS, magnetotherapy, lumbar massage, and relaxing vibroacoustic therapy. The active CR cycle lasted for 22 sessions (with intermediate measurements after 5 and 16 sessions), after which we performed passive observation for another half a year. Five measurements were performed. Results: Pain, functional assessment, and physical capacity were improved with CR. Statistically significant improvement became apparent after 5 CR sessions, but statistical and clinical significance became apparent after 16 CR sessions. In the distant period, after the completion of CR, neither statistical nor clinical changes occurred. Conclusions: CR is effective in reducing pain, and improving functional state and physical capacity quickly and reliably in 16 CR sessions, which is sufficient to obtain clinically satisfactory CR results. Good results were achieved during CR and neither improved nor deteriorated spontaneously in the distant period. This study shows a possible mismatch between NLBP intensity and impaired functional state in adolescents.
Atliktas 14 metų paauglių fizinių parametrų ir kuprinės svorio sąsajų su laikysena vertinimas. Tyrimas vyko 2019 metų vasario – balandžio mėnesiais Vilniaus Fabijoniškių mokykloje ir Vaikų ligoninės, Vilniaus universiteto ligoninės Santaros klinikų filialo Vaikų fizinės medicinos ir reabilitacijos skyriuje. Tiriamieji 8b klasės moksleiviai, n=20. Tyrimas vyko dviem etapais: kineziterapinis fizinių parametrų tyrimas mokykloje ir laikysenos parametrų bei jų pokyčių vertinimas Vaikų ligoninėje. Laikysena vertinta du kartus: be kuprinės ir po 10 minučių 15 proc. kūno svorio kuprinės nešimo. Taikyti testai: antropometrinių duomenų (ūgio ir svorio) vertinimas, McGill liemens raumenų ištvermės vertinimas, flamingo testas statinei pusiausvyrai vertinti, sėstis ir siekti testas lankstumui bei laikysenai vertinti, darant nuotraukas ir analizuojant DIERS formetic III 4D diagnostinės sistemos duomenis. Duomenų analizė atlikta naudojant statistinės analizės „MS Excel 2016“ ir „R“ programas. Tyrimo rezultatai. Fiziniai parametrai atitiko tiriamųjų amžiui rekomenduojamos fizinės raidos lygį, išskyrus šiek tiek sumažėjusią šoninių pilvo raumenų statinę ištvermę ir pusiausvyros sutrikimą. Įvertinus laikysenos parametrų rodiklius, nustatyta, kad sagitaliniai stuburo linkiai (krūtininė kifozė ir juosmeninė lordozė) skiriasi nuo rekomenduojamų normų. Atlikta fizinių parametrų sąsajų su laikysena analizė parodė statistiškai reikšmingas koreliacijas tarp pilvo bei nugaros raumenų ištvermės ir lateralinės deviacijos; pilvo ir nugaros raumenų ištvermės santykio ir dubens lateralinio pakrypimo; kairės pusės šoninių raumenų ir galvos padėties frontalioje plokštumoje; dešinės ir kairės šoninių raumenų ištvermės santykio ir svorio pasiskirstymo ant dešinės kojos; lankstumo ir kraniohorizontalinio kampo. Po 10 minučių kuprinės nešimo statistiškai reikšmingai padidėjo galvos fleksija ir krūtininės kifozės kampas, pasikeitė sagitalinė pečių padėtis. Prieita prie išvados, kad liemens raumenų ištvermė, pusiausvyra bei lankstumas reikšmingai koreliuoja su laikysenos parametrais. Net ir trumpas 10 minučių 15 proc. kūno masės svorio kuprinės nešimas neigiamai veikia laikysenos parametrus.
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