Comparison of local cryotherapy and sonotherapy effectiveness in the treatment of gonarthrosis symptoms
| Main Authors: | Bloch, Agata, Kordowska, Małgorzata, Frankiewicz, Ewa, Kałużny, Krystian, Kałużna, Anna, Hagner-Derengowska, Magdalena, Zukow, Walery |
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| Format: | Article eJournal |
| Terbitan: |
, 2018
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| Online Access: |
https://zenodo.org/record/2572456 |
Daftar Isi:
- Bloch Agata, Kordowska Małgorzata, Frankiewicz Ewa, Kałużny Krystian, Kałużna Anna, Hagner-Derengowska Magdalena, Zukow Walery. Comparison of local cryotherapy and sonotherapy effectiveness in the treatment of gonarthrosis symptoms. Journal of Education, Health and Sport. 2018;8(11):653-664. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2572456 http://ojs.ukw.edu.pl/index.php/johs/article/view/6611 https://pbn.nauka.gov.pl/sedno-webapp/works/904726 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 2018; 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: 03.11.2018. Revised: 10.11.2018. Accepted: 30.11.2018. Comparison of local cryotherapy and sonotherapy effectiveness in the treatment of gonarthrosis symptoms Agata Bloch1, Małgorzata Kordowska2, Ewa Frankiewicz3, Krystian Kałużny4, Anna Kałużna4, Magdalena Hagner-Derengowska5, Walery Zukow5 1) Nicolaus Copernicus University in Toruń, Ludwik Rydygier Collegium Medicum in Bydgoszcz 2) University of Bydgoszcz in Bydgoszcz 3) FMC Medical Centre in Łódź 4) Department of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Ludwik Rydygier Collegium Medicum in Bydgoszcz 5) Department of Spatial Management and Tourism, Faculty of Earth Sciences, Nicolaus Copernicus University in Toruń Abstract The aim of this study was comparison of local cryotherapy and sonotherapy effectiveness in the treatment of gonarthrosis symptoms. Material and methods: The studies on the comparison of local cryotherapy and sonotherapy effectiveness were conducted in a research group of one hundred people singled out from the patients staying at the Wieniec Zdrój Sanatorium in Wieniec Zdrój. Before the series of sonotherapy and cryotherapy treatments and after their completion, all patients were assessed using: Centimeter tape, Goniometer, VAS (Visual Analog Scale), Laitinen Questionnaire and Sit-up Test. Results: After the rehabilitation, the intensity of pain was determined at 4.45 points, on a scale from 0 to 8 points. The intensity of pain in the VAS scale among respondents decreased significantly by 1.750 points. The average pain intensity was 1.40 points (SD = 0.778), which resulted in a significant change in the form of pain relief (p = 0.580). The frequency of pain ranges from 0 to 4 points (M = 1.35). The frequency of its occurrence decreased significantly (p = 0.670). After rehabilitation, the frequency of analgesics was on average 0.66 points, and the limit on physical activity was 1.40 points (p = 0.520). The limitation of physical activity was determined on average at the level of 1.04 points, which reduced its limit by 0.560 points. After rehabilitation, the range of motion in the knee joint increased to 99.60 °. On average, the range of movement of patients in the knee joint after rehabilitation increased by -1.429 °. After rehabilitation, knee circumference of the kneecap was between 30 cm and 76 cm. The average result was 42.375 cm and decreased significantly by 0.1676 cm. The circumference of the knee joint above the kneecap oscillated between 28 - 80.5 cm (D = 44.335 cm), which gave the effect of reducing the edema by 0.320 cm. The treatments performed varied only the results in the frequency of analgesics (p = 0.45). Better effects occurred in patients undergoing sonotherapy (M = 0.048) than in cryotherapy (M = 0.84). Conclusions: Local cryotherapy and sonotherapy reduces the severity and frequency of pain and reduces swelling in the knee joints. Positive effects of therapy reduce the amount of analgesics used. However, better results are obtained in patients undergoing sonotherapy than in cryotherapy. In addition, the range of flexion movements of the knee joints is increased under the influence of treatments. There are significant differences in the improvement of the range of motion among patients treated with sonotherapy than cryotherapy. Key words: osteoarthritis of the knee joints; sonotherapy; cryotherapy; physical therapy