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A drop in flexibility of the vertebral column is connected with chronic low back pain. Qualification of vertebral column flexibility is not so simple. Beside of clinical methods (for example Schober test), we can use a radiological method. Comparing values of Whitman- Fergusson's angle and Cobb's angle for standing and supine- lying position, author has stated a significant drop in elastic properties of the vertebral column in patients with chronic low back pain.
Chronic low back pain is a very important problem in our civilization. Does a spatial configuration of the vertebral column have an influence on the occurrence of chronic low back pain? Author has compared values of Whitman- Fergusson's angle and Cobb's angle for standing position in-patients and controls. No significant differences between both groups have been founded. Beside of this, inclination od sacrum to a horizontal line has had an influence on a value lumbar lordosis in both groups.
Surface electromyography (sEMG) is generally considered by neurologists as an unacceptable diagnostic tool for examination of changes in the activity of muscle motor units in patients with non-specifi c back pain. The aim of this review is to demonstrate the usefulness of neurophysiological findings for the application of sEMG in differentiation of root-conflict and non-root-conflict sources of muscle pathologies with pain as the main symptom. In the first experiment carried out on 30 patients with clinically recognized myofascial pain, an attempt was undertaken to find out whether surface electromyographic (sEMG) readings during relaxation and maximal contraction revealed differences in the activity of muscles with or without trigger points (TrPs) detected by palpation. In the second experiment carried out on 40 office workers similar methodologies of clinical and neurophysiological examination were used, however, with the aim to verify a hypothesis about the dysfunction of cervical and shoulder girdle muscle motor units as the cause of cervicogenic headache (CEH). The results of both experiments led to the following conclusions: 1. Surface EMG performed at rest and during maximal contraction is a precise diagnostic tool that can be used for detection of changes in the activity of motor units in patients with myofascial pain syndrome and cervocogenic headache; 2. Surface EMG readings at rest, with an amplitude exceeding 25μV, may be helpful for evaluation of increased muscle tension, which leads to a decrease of the activity of muscle motor units during maximal contraction.
Introduction. Intermittent claudication is one of the most distinctive symptoms in Peripheral Arterial Disease (PAD), which causes gradually increasing muscle pain in the lower limbs during physical activity. Guided kinesiotherapy of patients suffering from intermittent claudication is an integral part of the treatment. Aim of the Study. The paper discusses various forms of exercises used in the treatment of intermittent claudication. Conclusions. The most common form of rehabilitation of patients with PAD is unassisted treadmill training in a home environment or assisted treadmill training. Alternative options include strength exercises of the lower limbs, osteopathic techniques, stationary bike exercises or the combination of the mentioned methods. The alternative methods of rehabilitation have a positive effect on PAD patients; however, their efficacy has been studied only recently. Due to the lack of reliable data in peer-reviewed journals it is difficult to establish which of the alternative methods is the most effective. The effects of treadmill training have been studied for many years and have been widely reported in science journals. Currently, treadmill training is considered to be the most effective, evidence-based, form of rehabilitation of patients with intermittent claudication.
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