Post-isometric Relaxation Technique Research Articles

Comparative effects of post isometric relaxation technique and Bowen’s therapy on pain, range of motion and function in patients with temporomandibular joint disorder

BackgroundThe most common cause of mouth and facial pain is a temporomandibular joint disorder, which affects the patient’s quality of life and interferes with their ability to perform daily tasks.ObjectiveThe purpose was to compare the effects of the Post-Isometric Relaxation Technique and Bowen’s Therapy on pain, range of motion and functional activity in patients with temporomandibular joint disorders.MethodsThis study was a randomized clinical trial. A total of 24 participants were randomly allocated into two groups using the lottery method. Baseline treatment was the same (ultrasound and tapping) in both groups. Group 1 (12 participants) was treated with a post-isometric relaxation technique, and Group 2 (12 participants) with Bowen’s therapy for two sessions per week (total duration of 4 weeks). Outcome measures were the Numeric Pain Rating Scale, Maximal mouth opening inter-incisal rural and jaw functional limitation scale-20. SPSS version 25 was used for statistical analysis.ResultsA significant improvement in pain, range of motions and functional activities in the post-isometric group showed significant results (p < 0.05) as compared to Bowen’s group (independent t-test). However, within-group comparison (paired t-test), both groups showed significant results (p < 0.05).ConclusionThis study concluded that post-isometric relaxation was more effective in terms of pain, range of motions for mouth opening, lateral deviations and functional activity of temporomandibular joint disorder patients. However, both groups showed clinical results according to minimal clinical difference values.Trial registry numberThe trial is registered under ClinicalTrials.govt with reference no. ID: NCT05392049 registered on 26/05/2022.

Efficacy of massage versus massage with post isometric relaxation in temporomandibular disorders: a randomized controlled trial

BackgroundTemporomandibular joint disorder (TMD) is a common condition affecting the masticatory muscles and joint mobility.ObjectivesThe primary objective was to compare the effects of massage therapy alone and massage therapy combined with post-isometric relaxation exercises in patients with TMD for pain and maximal mouth opening.DesignAssessor-blinded randomized controlled trial.SettingSir Ganga Ram Hospital, Chaudhry Muhammad Akram Dental Hospital, Lahore Medical and Dental Hospital.SubjectsTemporomandibular joint disorder patients.InterventionGroup A (n = 23) received conventional treatment including massage and therapeutic exercises consecutively for 2 weeks. Group B (n = 23) received post-isometric relaxation technique along with conventional treatment for consecutive 2 weeks.Main measuresThe main outcome measures were pain and maximal mouth opening. Pain was measured using the Visual Analogue Scale (VAS) and maximal mouth opening (MMO) was measured using the TheraBite Scale.ResultsBoth groups demonstrated significant improvements in pain and MMO scores post-treatment. However, Group B (massage with post-isometric relaxation exercises) showed significantly better outcomes compared to Group A (massage alone). There was a statistically significant difference in post-treatment pain scores (P = 0.000) and MMO scores (P = 0.000) between the two groups.ConclusionThe results suggest that massage therapy combined with post-isometric relaxation is more effective than massage therapy alone in managing pain and improving mouth opening in TMD patients. The study provides evidence supporting the use of these therapies in TMD management.Trial registry numberNCT05810831. Date of registration/First submission: 15 March 2023.

Comparison of deep friction massage and post isometric relaxation technique in cervicogenic headache: A randomised clinical trial

The study aimed to compare the effectiveness of Deep Neck Friction Massage (DNFM) and Post Isometric Relaxation Technique (PIR) in managing Cervicogenic Headache (CGH). A randomized clinical trial was conducted, with participants from the community with CGH.

Efficacy of cervical mobilization with post-isometric relaxation in managing mechanical neck pain, ROM, and functional limitations associated with myofascial trigger points

Background: Sedentary lifestyle, age-related degenerative changes or traumatic injuries leads to cervical spine structural mal-alignment, which results in neck pain and other symptoms. Various therapeutic exercises and manual techniques have been proven to be beneficial in terms of managing these symptoms. This study aimed to determine the combined effects of cervical mobilization and post-isometric relaxation (PIR) technique on managing neck pain, cervical side flexion range of motion, and functional limitation in participants with mechanical neck pain linked with myofascial trigger points. Methods: This study followed a 2-arm, parallel-group, pretest-posttest randomized comparative design. Thirty participants with mechanical neck pain associated with myofascial trigger points aged 30.87 ± 4.45 years were randomly allocated to Groups 1 and 2. Group 1 received conventional intervention, PIR, and cervical mobilization techniques while Group 2 received conventional intervention and PIR technique only. Neck pain, muscle tenderness, cervical range of motion, and functional limitations were assessed using a visual analog scale, pressure pain threshold (PPT), goniometer, and neck disability index (NDI) questionnaire, respectively at baseline on day 1 and post-intervention on day 7, 14, and 21. Wilcoxon signed-rank test and the Mann–Whitney U test evaluated within-group and between-group analyses, respectively. Statistical significance was established at a 95% confidence interval, indicated by P &lt; .05. Results: Significant differences (95% confidence interval [CI], P &lt; .05) were observed within each group for all the outcomes scores when compared to the baselines across multiple time points. Significant variations were observed between the groups when comparing visual analog scale and NDI scores at weeks 1, 2, and 3 post-interventions. In contrast, insignificant differences (95% CI, P &gt; .05) were observed for side flexion range of motion and PPT compared at weeks 1, 2, and 3 post-interventions except for PPT at week 3 post-intervention (95% CI, P &lt; .05). Additionally, Cohen d test revealed the superiority of group 1 over group 2 in reducing pain and functional limitations and improving cervical side flexion range of motion and PPT. Conclusion: The combination of cervical mobilization and Post-isometric relaxation techniques was discovered to effectively alleviate neck pain and enhance functional abilities when contrasted with the application of post-isometric relaxation alone in patients with mechanical neck pain linked with myofascial trigger points.

Comparison of High-grade Maitland Mobilization and Post Isometric Relaxation (PIR) Muscle Energy Technique on pain, range of motion, and functional status in patients with Adhesive Capsulitis

Aim: To compare the effect of post isometric relaxation (PIR) muscle energy technique and high-grade Maitland mobilization technique on pain, glenohumeral joint abduction and external rotation, and functional activities in the subject of frozen shoulder. Study design: Randomized control trial Methods: A total of 60 patients were initially assessed for eligibility and 52 were included in the study after taking written consent. Patients were divided into two groups; Group A was treated with post isometric relaxation (PIR) technique and group B with Maitland grade (IV) mobilization for 4 weeks. Pain with a Numeric Pain rating scale, Glenohumeral joint abduction and external range of motion with a goniometer and shoulder function with shoulder pain and disability index were evaluated. Results: Both groups were similar at baseline (p&gt; 0.05) and within-group comparison has shown that there was a significant improvement in all variables in both groups as p&lt;0.05, but between-group comparison has shown that post-isometric relaxation (PIR) was more effective in reducing pain, improving range of motion and functional status and the mean difference between both groups for pain was 1.96, for shoulder abduction was 24.88, for external rotation was 10.42 and for SPADI was 23.27 with p&lt;0.05 for all, showing that post isometric relaxation (PIR) muscle energy technique is superior to the Maitland grade IV mobilization technique in improving pain, Glenohumeral joint range, and shoulder function. Conclusion: Both Post isometric relaxation (PIR) and Maitland Mobilization are effective but post isometric relaxation (PIR) muscle energy technique is superior to the Maitland grade IV mobilization technique in improving pain, Glenohumeral joint range, and shoulder function. Keywords: Adhesive capsulitis, Maitland mobilization technique, Muscle energy technique, Shoulder pain and disability

Measuring the Efficacy of Myofascial Rollers and Post-isometric Relaxation Technique in Relieving Pain Intensity and Postural Deviation Using Plumb Line Assessment for the Treatment of Upper Cross Syndrome in Dental Undergraduate (UG) Students.

In today's world, the upper cross syndrome is growing more common and becoming very prevalent among dental undergraduate practitioners. One of the most important conditions for which dentists seek physiotherapy treatment is neck pain. It is characterized by overactive pectoralis and trapezius muscles. It is frequently linked to poor posture in dental students' daily life, causing them to miss their work. The first objective of our study was to find the efficacy of myofascial rollersand post-isometric relaxation technique along with conventional therapy for pain relief and correction of postural deviation in undergraduate dental students. And, the second objective of the study was to compare the effect of myofascial rollers and post-isometric relaxation techniques in upper cross syndrome. The study was conducted with pre-test and post-test methods. The study consisted of 80 participants who were included based on our inclusion and exclusion criteria. The study sample was randomly assigned into two groups. Each group consisted of a total of 40 participants. Group A was treated using myofascial rollers and hot packs, and Group B was treated using the post-isometric relaxation technique and hot packs.Patients were asked to mark their intensity of painon the Numerical Pain Rating Scale and an assessmentof postural deviations (in mm) was noted through a plumb line in the posture grid. Posture assessment was done in lateral view. The protocol covered four weeks of treatment based on the defined protocol. Finally, the t-square test and Chi-square test were used to compare the difference in the result. Also, the level of significance was kept at <0.05. Statistical analysis was done using descriptive and inferential statistics using student paired, unpaired, and chi-square test. IBM SPSS Statistics for Windows, Version 27.0 (Released 2020; IBM Corp., Armonk, New York, United States) was used. The Numerical Pain Rating Scale showed mean deviations of(4.15±1.29) for Group A and(3.30±1.01) for Group B. Plumb line assessment showed mean deviations of(9.09±4.31) for Group Aand (6.33±2.36) for Group B.Also,Numerical Pain Rating Scaleshowed (t=3.26, p=0.002) and Plumb line deviation showed(t=3.57, p=0.001). Through our study, we conclude that statistically no significant differences were found in pre-intervention and post-intervention, butmyofascial rollers gave better results as compared to the post-isometric relaxation technique in alleviating pain and correcting postural deviation.

Effectiveness of Post Isometric Relaxation Versus Reciprocal Inhibition Technique on Hamstring Muscle Flexibility

Background: To expand the muscular extensibility, alternation of muscle energy techniques have been upheld, yet proof present to help the general value of a specific methodology. Two strategies of muscle energy techniques have been explored in the osteopathic writing that differs principally in the group of muscles focused on. Objective: The objective of our study was to find out the effectiveness of post isometric relaxation and reciprocal inhabitation technique on hamstring muscle flexibility among students of Johar Institute of Professional Studies Lahore. Methods: The Quasi-experimental study was for comparison of two Relaxation Techniques with 50 healthy students of both gender were recruited by non-probability convenient sampling technique from different department of Johar Institute&#x0D; st of Professional Studies Lahore from 1 October to March 2020. For enrolling the subjects in this study we used convenience sampling technique. Furthermore, 50 subjects were selected on the basis of inclusion exclusion criteria and were arbitrarily divided in to two groups with 25 in each group. Hamstring length was assessed using AKE test. For intervention, Group A performed post isometrics relaxation and Group B performed Reciprocal Inhibition Technique. Knee range of motion was assessed pre-intervention and post-intervention. Numeric Pain Rating Scale (NPRS) and Universal Goniometer were assessment tools accessed for all patients before and after 4 weeks of physical therapy intervention. Data were documented and analysis was done using SPSS version 20. Paired sample t-test and independent sample t-test was applied to find association between the variables of hypothesis. Results: In both groups, the pre-intervention and post-intervention measurements by statistical analysis found that there is significant improvement in hamstring muscle flexibility with P value ≤ 0.05 for both right side and left side. Conclusion: The current study found out that both post isometric relaxation and reciprocal inhibition are equally beneficial in the treatment of tight hamstrings.

The influence of the post-isometric relaxation technique of the iliopsoas muscle on the functional abbreviation of the lower limb. Case study.

The influence of the post-isometric relaxation technique of the iliopsoas muscle on the functional abbreviation of the lower limb. Case study.IntroductionLeg length discrepancy (LLD) is an effect often described in the literature as uneven lengthof the lower limbs. It covers about 40-70% of the population and can exceed 2 cm of inequality in nearly 0.1%.MethodyMaterial/Methody A woman of 40 years with a functional leg abbreviation (LLD), for a period of 6 weeks performed the technique of post-isometric relaxation of the hip-lumbar muscle. In the morning with a therapist, in the evening as self-therapy.Hipoteza:1.Does the pir technician affect the elongation of a seemingly shortened leg?2. What is the duration of the leg extension?Conclusion:1.Unfortunately, the effect lasted up to two days after 6 weeks of therapy, after 2 days there was a return from before the therapy2. The effect of hip-lumbar pir gave effects but unfortunately not permanent

EFFECTIVENESS OF POST ISOMETRIC RELAXATION TECHNIQUE OVER POST FACILITATION STRETCHING TECHNIQUE FOR PATIENT WITH TRAPEZITIS

Introduction: Trapezitis is an inflammation caused in the Trapezius Muscle which further leads to pain and spasm in the neck. It increases commonly among people who are work at desk and computers, drivers, tailors, painters who uses their neck muscles a lot. MET is an active muscle based treatment approach that involves the voluntary contraction of a muscle in a controlled direction against the counterforce provided by the therapist. Methodology: This is a comparative experimental study conducted at physiotherapy OPD, ACS Medical College and Hospital. Study duration was 2 weeks with 4 session .Patient aged between 20-45 years. The sampling was chosen on purposive sampling. The pre and posttest were Visual Analogue Scale (VAS), Neck Disability Index (NDI) and cervical lateral flexion ROM. In this study, 30 subjects are characterised into 2 groups of 15 subject each .Group A received post isometric relaxation technique and Group B received post facilitation stretching technique. Both pre and post test were measured using VAS,NDI and cervical lateral flexion ROM. Inclusion criteria are age of patient 20-45 years, pain, muscle spasm and tenderness. Exclusion criteria are patient age below 20 years, any cervical injury, recent surgery over cervical region. Result: On comparing pre and post test for both group on VAS,NDI and cervical lateral flexion ROM, post facilitation streching technique show better result than post isometric relaxation technique in reducing pain, neck disability and improve neck ROM. Conclusion: The study concluded that post facilitation stretching technique was more effective than post isometric relaxation technique for patient with Trapezitis.

A Comparative Study on Effect of Non-Ballistic Active Knee Extension in Neural Slump Position Versus Post Isometric Relaxation Techniques on Hamstring Flexibility in Sedentary Workers

Introduction: Flexibility is the ability to move single joint or series of joints smoothly and easily through anunrestricted, pain free ROM. Adequate flexibility is an important characteristic of physical and health relatedfitness.Objective: To find out the effect of Non-Ballistic Active Knee Extension in Neural Slump Position versus PostIsometric Relaxation techniques on hamstring flexibility in sedentary workers assessed using Active KneeExtension (AKE) test and Sit and Reach Flexibility test at the end of 3 weeks of intervention.Methodology: The present experimental study was carried out in sedentary workers having hamstring tightness(age group of 30 to 50) at musculoskeletal physiotherapy department at PES Moderna College of Physiotherapy,Pune.Results: Majority of the patients in group A were from 36-40 years age group i.e. 14(31.1%). Majority of thepatients in group B were from 30-35 years age group i.e. 18(40%). Hamstring flexibility of right leg and left legare comparable at the end of 3 weeks. Post intervention hamstring flexibility using Sit and Reach in both legs arecomparable at the end of 3 weeks.Conclusion: Both non-ballistic active knee extension in neural slump position versus post isometric relaxationtechnique’s along with conventional treatment are equally effective in improving hamstring flexibility in sedentaryworkers.

Evaluation of the Effectiveness of Using the Post-Isometric Relaxation (PIR) Technique and Exercises on the Mechanotherapy Apparatus in the Postoperative Period in Patients with Damage to the Rotator Cuff of the Shoulder

Objective: to evaluate the effectiveness of performing exercises on an innovative mechanotherapy apparatus and the PIR technique for the recovery of patients with damage to the rotator cuff of the shoulder at the postoperative stage.&#x0D; Materials and Methods. The study involved 46 patients after arthroscopic intervention due to damage to the structures of the shoulder joint. The reasons for arthroscopic intervention were: adhesive capsulitis (3 patients), damage to the rotator cuff of the shoulder (39 patients), and impingement syndrome (4 patients). The average age of patients was 44.7±8.3 years. All patients were divided into 2 groups: the control group (CG, n=21) and the main group (MG, n=25). The beginning of rehabilitation among patients averaged 4.9±2.4 weeks after the surgery. The duration of treatment was 4.5±3.2 weeks. The study was carried out on the basis of the Department of Rehabilitation of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine” during 2020-2021.&#x0D; Results and Discussion. According to the VAS results, the pain level after the rehabilitation program significantly decreased in both groups (p&lt;0.05). In the MG, the dynamics of pain syndrome according to the VAS ranged from 6.2±1.2 cm to 0.9±0.7 cm 6 weeks after the surgery. In the CG, the majority of patients also noted an improvement in the level of pain after surgery (from 6.5±1.1 cm to 1.1±1.2 cm); no significant differences after treatment in terms of the level of pain between the patients in the MG and the CG (p&gt;0.05) were observed. Also, patients who were included in the main group and did exercises with a simulator and elements of PIR according to the rehabilitation program showed generally better indicators of recovery of the function of the shoulder joint, namely there was a higher dynamics in increasing the amplitude of movements in the shoulder joint (112.5±10.60 flexion before physical rehabilitation (PR), 173.2±5.50 after РR). In the CG, the positive dynamics was less pronounced (107.7±6.80 flexion before PR, 151.2±6.50 after PR). Similar results were found according to the data of manual muscle testing (MMT).&#x0D; Conclusions. Therefore, the method of post-isometric muscle relaxation using the proposed technique of training on a mechanotherapy apparatus for developing the shoulder joint is an effective method for treating postoperative contractures and can be recommended for the use in the complex rehabilitation of patients with contracture of the shoulder joint as a result of arthroscopic intervention in patients with injury of the rotator cuff of the shoulder.

Effect of Mulligan’s Mobilization with Movement and Post Isometric Relaxation Technique on Pain, Range of Motion and Functional Outcome in Subjects with Adhesive Capsulitis

Mobilization techniques and soft tissue techniques are widely used in managing Adhesive Capsulitis. Among various researches on different mobilization, the study results showed that the clinical concepts of Mulligan’s Mobilization with movement is good. The results of various studies on different soft tissue techniques concluded that post isometric relaxation technique of Muscle energy technique is better. The aim of the study was to compare the effect of Mulligan’s Mobilization with movement and post isometric relaxation technique on pain, range of motion and functional outcome in subjects with Adhesive Capsulitis. 30 subjects were selected and divided into 2 groups of 15 subjects in each group by purposive sampling method. Subjects in Group A received Mulligan’s Mobilization with movement and conventional management, subjects in Group B received post isometric relaxation technique and conventional management for 4 weeks. Numerical Pain Rating Scale, Universal goniometer and Shoulder pain and disability index were used to measure pain, range of motion and functional outcome. There was a significant difference between the within group and between group in all parameters following intervention. However, Mulligan’s group has shown significant improvement in all parameters ( using unpaired ‘t’ test, the calculated ‘t’ value for pain is 10.27, p&lt;0.05 and the ‘t’ value for ROM is 22.45 for external rotation, 14.95 for abduction, p&lt;0.05 and the ‘t’ value for functional outcome is 6.71, p&lt;0.05). This study concludes that the Mulligan’s mobilization with movement is more effective in reducing pain, improving range of motion and functional outcome in subjects with Adhesive Capsulitis.

English

BACKGROUND Low back pain is a common condition in India. 90 % of Indian population experience low back pain at least once in their lifetime. Studies show that 98 % low back pain is because of mechanical disorder of spine. Piriformis tightness is one of the most misdiagnosed causes for low back pain or sacroiliac joint dysfunction. Various manual therapy approaches have been studied for reducing muscle tightness. We wanted to assess the effectiveness of muscle energy technique that is post-isometric relaxation technique on piriformis muscle tightness, its effectiveness in relieving low back pain with radiation, and increasing range of motion. METHODS 60 patients were included in the study as per inclusion and exclusion criteria from Ravi Nair Physiotherapy College, Sawangi Meghe, and were randomly assigned in to two groups. The duration of study was 12 days (6 sessions / week) and follow up was taken on 27th day. Subjects in muscle energy technique experimental group were treated with post isometric relaxation technique (PIR), subjects in control group were given simple passive stretching of piriformis. All subjects were educated about proper ergonomics. RESULTS Both interventions post isometric relaxation and simple stretching techniques were effective in terms of pain reduction, ROM (Range of Motion) improvement, piriformis tightness, disability with p &lt; 0.05 with post isometric relaxation technique superseding simple stretching. Moreover, post isometric relaxation technique in muscle energy technique had sustained effects on follow-up in terms of relieving pain, disability and tightness for longer period of time. CONCLUSIONS Muscle energy technique gives immediate relief of pain improving ROM and decreasing tightness of piriformis and disability and has longer lasting effects. KEY WORDS Piriformis Tightness, Muscle Energy Technique, Stretching.

Comparison between Immediate Effects of Post Isometric Relaxation and Reciprocal Inhibition Techniques on Hamstring Flexibility in Patients with Hamstring Tightness: An Experimental Study

Aim: There are studies comparing the effects of post isometric relaxation technique &amp; reciprocal inhibitiontechnique on hamstring muscle flexibility but to the best of our knowledge there is hardly any study that hasreported comparative immediate effect of these two techniques. Thus the aim of our study was to evaluatethe immediate effect of these two techniques on hamstring muscle flexibility.Method: The research design used was Comparative Experimental study design. Total 46 participants werescreened and those meeting the inclusion criteria (n=40) were included in the study. The participants wererandomly divided into two groups- group A - post isometric relaxation and Group B - reciprocal inhibitionof 20 each. Pre and immediate post intervention scores were measured in terms of AKETFindings: Inter group comparison (student’s unpaired t test) showed that there was no statistically significantdifference between the two groups in terms of AKET. The comparison of pre and post intervention values ofthe outcome measure in both the groups showed a statistically significant difference.Conclusion: It can be concluded from the present study that both post isometric relaxation technique &amp;reciprocal inhibition technique have an immediate effect on reducing hamstring muscle tightness. Fromthe mean difference values it is visible that PIR (13.20) is slightly more effective than RI (5.45) althoughstatistically significant difference is not seen.

Применение различных реабилитационных мероприятий в восстановительном лечении больных с имплантатом тазобедренного сустава (собственные данные и обзор литературы)

Introduction Total hip arthroplasty (THA) is one of the most successful orthopedic procedures performed today. Rates of THA have been steadily increasing over the past several decades with increasing number of patients who need proper effective rehabilitation therapy after orthopaedic surgery. Evaluation and introduction of new rehabilitation techniques is crucial for patients undergoing replacement of major joints. Objective Review the literature and our own findings with various rehabilitation programs used for THA patients to aid recovery following surgery at a short and long term. Material and methods The study included 57 THA patients referred to rehabilitation department of the Kurgan Ilizarov Center to help manage pain at different terms following surgery. The sample was divided into main (n = 29) and control (n = 28) groups. Post-isometric relaxation techniques were included in rehabilitation program of the main group. Clinical outcomes were evaluated with VAS, the Lequesne Index, McGill Pain Questionnaire, WOMAC, and Harris Hip Score. Results Outcome measures showed 1.5 times improvement in controls with high statistical significance (p > 0.01) and 3.3 times improvement in patients who received post-isometric relaxation therapy with greater significance level (p > 0.001). Conclusion The findings suggest that post-isometric relaxation techniques applied as a part of restorative treatment facilitate improved outcomes of rehabilitation. The optimal rehabilitation protocols have been shown to be largely unknown for THA patients.

Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in management of acute mechanical neck pain: a randomized controlled trial.

To compare the effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy on pain, disability and cervical range of motion in patients with acute mechanical neck pain. The randomised control trial was conducted at the District Headquarter Hospital in Nowshehra, Pakistan, from July to December 2017 and comprised subjects of either gender aged 16-49 years with acute neck pain. They were randomised into three groups; post-isometric relaxation group 1, myofascial trigger point release group 2 and routine physical therapy group 3. Neck disability index, numeric pain rating scale and cervical goniometry were documented before intervention, after the first session and after 6 sessions in two weeks. Data was analysed using SPSS 21. Of the 60 patients, there were 20(33.3%) in each of the three groups. Mean age in group 1 was 32.25±9.56 years, group 2 2.35±9.05 years and in group 3 it was 32.75±7.82 years. Scores for neck disability index and numeric pain rating scale as well as rotation to right and left showed significant difference among the groups post-treatment (p<0.05). Within group analysis showed significant improvements in all parameters post-treatment in all the groups (p<0.0001). Acute mechanical neck pain treated with post-isometric relaxation technique had more and faster effect in decreasing pain and disability and in improving mobility.

The Influence of Soft Tissue Therapy on Respiratory Efficiency and Chest Mobility of Women Suffering from Breast Cancer.

The aim of the following paper was to determine the influence of soft tissue therapy on respiratory efficiency and chest mobility of women suffering from breast cancer. This study was a controlled, randomized trial. Tests were carried out in a group of patients (n = 49) who were hospitalized in the Province Polyclinic Hospital, Konin, Poland. In the study group, irrespective of the standard physical therapy program, an additional therapy program was run. The program consisted of applying specific techniques of soft tissue treatment. All patients in each term were subject to pulmonary function tests, chest mobility, and pain assessment. Statistical analysis of the obtained results of spirometry and chest mobility assessment has revealed no differences in the analyzed parameters between the examined groups in the period of joint therapeutic treatment. In the period between the third examination and the end of the 11-month-rehabilitation treatment, statistically significant differences were observed in the analyzed spirometry parameters; however, there was no difference in the parameters describing airflow in small airways (maximal expiratory flow at 50% (MEF50), peak expiratory flow (PEF) between individual groups during consecutive examinations in the course of diversified therapeutic treatment. Chest mobility assessment of the patients, performed during diversified therapeutic treatment, revealed statistically significant differences between the groups. However, there was no difference between the examined groups as far as pain sensation is concerned. Enhancing the regular rehabilitation program by including additional therapeutic methods, which are based on myofascial release and post-isometric relaxation techniques, had beneficial effects regarding respiratory system efficiency.

EFFECT OF MUSCLE ENERGY TECHNIQUE IN CHRONIC SACROILIAC JOINT DYSFUNCTION

Objective: The study conducted for evaluating the effectiveness of muscle energy technique in chronic SIJ dysfunction. Methods: 30 patients with chronic sacroiliac joint dysfunction from both genders. Patients were divided into 2 groups 15 in each group .Group A: received muscle energy technique using post isometric relaxation technique to erector spinae, hamstrings, iliopsoas and quadratus lumborum plus conventional treatment program. Group B: control group received conventional treatment program only .Doppler imaging of vibration, palpation meter and visual analogue scale were utilized for evaluating patients (pre and post treatment). Results: The study findings revealed a statistical significant decrease of anterior pelvic tilting angle in group A (p<0.001), also a significant decrease of pain in the 2 groups compared with pre-intervention values(p<0.001) . Conclusion: Muscle energy technique is an effective treatment for decreasing anterior pelvic tilting angle and reducing pain in patients with chronic sacroiliac joint dysfunction. Key words: Muscle energy technique, Doppler imaging of vibration. Palpation meter.

Development and Validation of the Pre-Operative Counselling Module for Total Laryngectomy-An Interprofessional Approach

Background: Total laryngectomy (TL) is necessary for patients with malignant tumor on the larynx. This could however cause a devastating situation affecting patients’ quality of life. A comprehensive pre-operative counselling could reduce their anxiety and prepare them for TL. Laryngectomy rehabilitation requires a team approach and we aimed at developing (Phase 1) and validating (Phase 2) the pre-operative counselling module for TL, using an interprofessional (IP) approach. Material and Method: Phase 1: Development of the pre-operative counselling module through the literature review and discussions among the IP team consisting of a speech-language pathologist, head neck surgeon, psychologist and physiotherapist. Phase 2: Validation of the module by another IP team having a minimum of five years clinical experience in alaryngeal rehabilitation. The changes done to an item following specific “ratings” by at least two experts were as follows: “highly appropriate”- item exactly retained; “just appropriate” - minor modification; “inappropriate”- major modification, and “highly inappropriate” - excluded. Findings: Phase 1 resulted in the module having six domains (D) focusing on speech subsystems, oncological aspects, physical limitations, respiratory, phonatory, swallowing changes and their management. Following phase 2, the items under all domains were retained as they were, except for D3.7 which was rated as “inappropriate”. Discussion and Conclusion: The item D3.7 i.e., ‘progressive resistance strengthening with thera-bands’ was rated as ‘highly inappropriate’ by two experts, and ‘inappropriate’ by another two. Therefore, the item was excluded. However, as per the suggestion of two experts ‘post-isometric relaxation techniques’ and ‘myofascial release of cervical region’ were included as D3.7. The finalized module has four items each under D1, D2, D4, D5, and eight items under D3 beneficial in providing comprehensive information for patients undergoing TL. Future studies can focus on comparing anxiety levels of patients undergoing TL, before and after counselling using the module presented.

The effectiveness of applying medical rehabilitation methods during pregnancy in order to relieve back pain caused by dorsopathy

The study is held in order to estimate the efficiency of applying the methods of manual therapy on pregnant women during the second and third trimesters of their pregnancy to relieve pain caused by dorsopathy. During the period from October 2015 until March 2017 was defined a “study” group (n = 25) and the “control” group (n = 25) of pregnant women with the diagnosis of “dorsopathy” (mostly osteochondrosis 66%, scoliosis 18%, intervertebral hernia 16%). The age of pregnant women is ranged from 22 up to 39 years with the gestational term from 18 to 38 weeks. During the study the following methods are used: cranio-sacral technique, traction technique, myofascial release, post-isometric relaxation, and soft tissue techniques. The number of therapy sessions for pregnant women with dorsopathy is ranged from 1 to 4. To assess the quality of life and, separately, of the pain syndrome was used McGill questionnaire, visual analogue scale (VAS), verbal rating scale, questionnaire EuroQol-5D, Oswestry questionnaire, as well as medical and social characteristics of pregnant women with this pathology. Decrease of pain syndrome was noted in patients already after the first session. Preliminary results were already evaluated and allow us to speak about the effectiveness of applying manual therapy for pregnant women at their II and III trimesters of pregnancy. The data obtained not only prove the reduction but also the complete elimination of the back pain syndrome caused by dorsopathy.