11 research outputs found
Short-term effects of Manual Therapy on pain, disability and oxidative stress in patients with chronic mechanical neck pain
No full textThe aim of this study is to examine the possible reduction of oxidative stress levels (LOOH) in patients with chronic mechanical neck pain after manual therapy intervention
Βραχυπρόθεσμη επίδραση τεχνικών Χειροθεραπείας (Manual Therapy) στην κλινική εικόνα και στα επίπεδα του οξειδωτικού στρες σε ασθενείς με χρόνιο αυχενικό μηχανικό πόνο
No full textΕΙΣΑΓΩΓΗ: Ο χρόνιος μηχανικός αυχενικός πόνος μπορεί να οφείλεται σε αρκετούς παράγοντες, ένας από τους οποίους είναι και το οξειδωτικό στρες. Έχει δειχθεί ότι ένας από τους αποτελεσματικούς τρόπους βραχυπρόθεσμης αντιμετώπισης αυτού του είδους πόνου είναι η χειροθεραπεία. Η παρούσα μελέτη στοχεύει στη διερεύνηση της επίδρασης τεχνικών χειροθεραπείας στον χρόνιο μηχανικό αυχενικό πόνο και στο οξειδωτικό στρες αυτών των ασθενών. ΜΕΘΟΔΟΛΟΓΙΑ: Η μελέτη εφαρμόστηκε σε ασθενείς οι οποίοι έπασχαν από χρόνιο αυχενικό μηχανικό πόνο. Συμμετείχαν 32 εθελοντές ασθενείς, οι οποίοι χωρίστηκαν σε 3 ομάδες: 11 αποτελούσαν την ομάδα παρέμβασης και θεραπεύτηκαν με χειροθεραπεία, 11 αποτελούσαν την ομάδα εικονικής θεραπείας (SHAM χειροθεραπεία) και έλαβαν εικονική θεραπεία και 10 αποτέλεσαν μια έτερη ομάδα ελέγχου και δεν έλαβαν καμία θεραπεία. Λήφθηκαν δείγματα αίματος από τις ομάδες παρέμβασης, εικονικής θεραπείας και την έτερη ομάδα ελέγχου σε τρεις διαφορετικές συνθήκες: α) πριν την έναρξη μιας θεραπευτικής (ή της εικονικής) συνεδρίας, β) μετά από την ολοκλήρωσή της και γ) μετά την ολοκλήρωση της τελευταίας (ένατης) θεραπευτικής συνεδρίας. Η συνολική διάρκεια της μελέτης ήταν τρεις εβδομάδες και πραγματοποιήθηκαν εννέα συνεδρίες. Οι εξαρτημένες μεταβλητές της μελέτης ήταν ο πόνος, τα επίπεδα των λιπιδικών υδροϋπεροξειδίων (LOOH), ως δείκτη οξειδωτικού στρες και η λειτουργικότητα των ασθενών με χρόνιο μηχανικό αυχενικό πόνο, οι οποίες αξιολογήθηκαν στα ανωτέρω τρία χρονικά σημεία, πριν και μετά την παρέμβαση. ΑΠΟΤΕΛΕΣΜΑΤΑ: Παρατηρήθηκε μείωση των επιπέδων των LOOH στον ορό του αίματος των ασθενών ήδη από την πρώτη συνεδρία χειροθεραπείας, ενώ μεγαλύτερη μείωση παρατηρήθηκε μετά την ολοκλήρωση της ένατης θεραπείας. Οι ασθενείς που ακολούθησαν εικονική θεραπεία παρουσίασαν μικρότερη μείωση των επιπέδων των LOOH σε σύγκριση με την ομάδα παρέμβασης, η οποία παρέμεινε σταθερή ακόμη και μετά την ένατη θεραπεία. ΣΥΜΠΕΡΑΣΜΑ: Οι ασθενείς με χρόνιο μηχανικό αυχενικό πόνο στους οποίους εφαρμόστηκε χειροθεραπεία παρουσίασαν βελτίωση της κλινικής τους εικόνας, τόσο ως προς τον πόνο, όσο και ως προς τη λειτουργικότητά τους. Τα ευρήματα αυτά υποδηλώνουν ότι η χειροθεραπεία μπορεί να είναι μια αποτελεσματική μέθοδος στην αντιμετώπιση του χρόνιου μηχανικού αυχενικού πόνου και στη μείωση του οξειδωτικού στρες αυτών των ασθενών.INTRODUCTION: Chronic mechanical neck pain can be caused by several factors, one of which is oxidative stress, while it has been shown that Manual Therapy is one of the most effective ways to treat this type of pain. The present study aimed to investigate the effect of Manual Therapy techniques on chronic mechanical neck pain and oxidative stress in patients with chronic mechanical neck pain. METHODOLOGY: The study was performed on patients suffering from chronic mechanical neck pain. Thirty two volunteer patients were divided into 3 groups: 11 were the intervention group and were treated with Manual Therapy, 11 were the placebo group and received SHAM manual therapy and 10 formed another healthy control group that did not receive any treatment. Blood samples were taken from the intervention, placebo and healthy groups in three different conditions: a) before the start of a Manual Therapy (or placebo) session, b) after its completion and c) after the end of the last (ninth) treatment session. The study lasted three weeks and consisted of nine sessions. The dependent variables of the study were pain, lipid hydroperoxide (LOOH) levels as an indicator of oxidative stress, and functional ability of patients, which were evaluated at the above three time points, before and after the intervention. RESULTS: A decrease in serum LOOH levels was observed in patients after the completion of the first session of Manual Therapy, while a further decrease was observed after the end of the last treatment session. Patients that received placebo treatment exhibited a smaller reduction in LOOH compared with the intervention group, the reduction of which remained steady after the ninth treatment session. CONCLUSION: Patients with chronic mechanical neck pain showed an improvement in their clinical symptoms, both in terms of pain and functional ability, after treatment with Manual Therapy techniques. These findings suggest that Manual Therapy may be an effective method of treating chronic mechanical neck pain and reducing oxidative stress in those patients
SHORT-TERM EFFECTS OF MOBILIZATION-WITH-MOVEMENT (MWM) AND AUTO-MWM APPLICATION IN RECREATIONAL RUNNERS WITH ILIOTIBIAL BAND SYNDROME
No full textBackground: It is well known that Iliotibial band syndrome (ITBS) is the most frequent overuse injury in recreational runners. Given the fact that there are no clear guidelines on the optimal conservative treatment approach regarding ITBS rehabilitation, manual therapy effect by a functional joint mobilization is still unknown. The purpose of the study was to investigate whether implementation of mobilization-with-movement (MWM) and auto-mobilization had a significant short-term improvement in pain and functionality of recreational runners with ITBS. Methods: Participants: thirty ITBS patients, were randomly assigned into two groups. Design and Settings: One group pre-test / post-test with the control group. Interventions: Runners on the treatment group followed an MWM protocol of six sessions with an additive program of auto-MWM, while the control group received a SHAM form of MWM. Outcome measurements: Pain and functionality were measured at baseline and post-treatment, via Numeric Pain Rating scale and Lower Extremity Functional Scale respectively. Mixed-ANOVA test detected possible differences among treatment phases and between groups, but also interactions among factors. Result: The present findings revealed significant interactions between factors and significant main effects of each TIME and GROUP factors on pain and functionality. MWM-treatment group showed significant improvement in post-intervention NPRT and LEFS scores, compared to baseline scores (p<.001). SHAM- MWM group exhibited no significant differences on post-NPRT and LEFS scores, compared to baseline (p>.001). Differences between groups were significant in post-treatment scores (p<.001). Conclusion: Our findings suggest that MWM and auto-MWM are a significant treatment approach, improving pain and functionality in recreational runners suffering from ITBS
SHORT-TERM EFFECTS OF MOBILIZATION-WITH-MOVEMENT (MWM) AND AUTO-MWM APPLICATION IN RECREATIONAL RUNNERS WITH ILIOTIBIAL BAND SYNDROME
No full textBackground: It is well known that Iliotibial band syndrome (ITBS) is the most frequent overuse injury in recreational runners. Given the fact that there are no clear guidelines on the optimal conservative treatment approach regarding ITBS rehabilitation, manual therapy effect by a functional joint mobilization is still unknown. The purpose of the study was to investigate whether implementation of mobilization-with-movement (MWM) and auto-mobilization had a significant short-term improvement in pain and functionality of recreational runners with ITBS.
Methods: Participants: thirty ITBS patients, were randomly assigned into two groups. Design and Settings: One group pre-test /post-test with the control group. Interventions: Runners on the treatment group followed an MWM protocol of six sessions with an additive program of auto-MWM, while the control group received a SHAM form of MWM. Outcome measurements: Pain and functionality were measured at baseline and post-treatment, via Numeric Pain Rating scale and Lower Extremity Functional Scale respectively. Mixed-ANOVA test detected possible differences among treatment phases and between groups, but also interactions among factors.
Result: The present findings revealed significant interactions between factors and significant main effects of each TIME and GROUP factors on pain and functionality. MWM-treatment group showed significant improvement in post-intervention NPRT and LEFS scores, compared to baseline scores (p.001). Differences between groups were significant in post-treatment scores (p<.001).
Conclusion: Our findings suggest that MWM and auto-MWM are a significant treatment approach, improving pain and functionality in recreational runners suffering from ITBS
Short-Term Effects of Mobilization-with-Movement (MWM) and Auto-MWM Application in Recreational Runners with Iliotibial Band Syndrome
No full textThe Short and Long-Term Effect of Weight-Bearing Mobilization-With-Movement (MWM) and Automobilization- MWM Techniques on Pain and Functional Status in Patients with Hip Osteoarthritis
No full textTHE SHORT AND LONG-TERM EFFECT OF WEIGHT-BEARING MOBILIZATION-WITH-MOVEMENT (MWM) AND AUTOMOBILIZATION- MWM TECHNIQUES ON PAIN AND FUNCTIONAL STATUS IN PATIENTS WITH HIP OSTEOARTHRITIS
No full textBackground: There is limited evidence to support the therapeutic effect of Manual Therapy on Hip Osteoarthritis (HOA) patients. The purpose of this study was to investigate whether implementation of weight-bearing mobilization-with-movement (MWM) and auto-mobilization had a significant improvement in pain and functionality after a series of sessions.
Methods: Forty patients 50-80 years of age, with HOA, were randomly assigned into two groups. Patients in the treatment group received MWM in standing position and auto-MWM for two weeks, while control patients received a Sham form of MWM. Pain and functionality were measured at baseline, post-treatment and three months’ follow-up,using the Visual Analogue Scale (VAS) and the Lower Extremity Functional Scale (LEFS). Mixed ANOVA was used to examine possible differences between treatment phases and between groups, but also interactions among Group and
Time factors.
Result: The present findings revealed a significant interaction between factors and significant main effects of each Time and Group factors on pain and functionality. The treatment group showed improved post-MWM VAS and LEFS scores compared to baseline scores (p.001). Differences between groups were significant in post-treatment and follow-up scores (p<.001).
Conclusion: Our findings suggest that weight bearing-MWM and auto-MWM are a significant treatment approach,improving pain and functionality in hip osteoarthritis patients
THE SHORT AND LONG-TERM EFFECT OF WEIGHT-BEARING MOBILIZATION-WITH-MOVEMENT (MWM) AND AUTOMOBILIZATION-MWM TECHNIQUES ON PAIN AND FUNCTIONAL STATUS IN PATIENTS WITH HIP OSTEOARTHRITIS
No full textBackground: There is limited evidence to support the therapeutic effect of Manual Therapy on Hip Osteoarthritis (HOA) patients. The purpose of this study was to investigate whether implementation of weight-bearing mobilization- with-movement (MWM) and auto-mobilization had a significant improvement in pain and functionality after a series of sessions. Methods: Forty patients 50-80 years of age, with HOA, were randomly assigned into two groups. Patients in the treatment group received MWM in standing position and auto-MWM for two weeks, while control patients received a Sham form of MWM. Pain and functionality were measured at baseline, post-treatment and three months' follow-up, using the Visual Analogue Scale (VAS) and the Lower Extremity Functional Scale (LEFS). Mixed ANOVA was used to examine possible differences between treatment phases and between groups, but also interactions among Group and Time factors. Result: The present findings revealed a significant interaction between factors and significant main effects of each Time and Group factors on pain and functionality. The treatment group showed improved post-MWM VAS and LEFS scores compared to baseline scores (p<.001), and improved follow-up MWM and LEFS scores compared to post-MWM scores (p<0.001). In control group, no significant differences were found on either of the post or follow up VAS and LEFS scores compared to baseline scores (p>.001). Differences between groups were significant in post-treatment and follow-up scores (p<.001). Conclusion: Our findings suggest that weight bearing-MWM and auto-MWM are a significant treatment approach, improving pain and functionality in hip osteoarthritis patients
La Battered Husband Syndrome, ovvero: quando la vittima è lui
No full textBy "Battered Husband Syndrome" Steinmetz means that kind of violence (psychological, economic or physical) in which the man is the victim and his partner the author. These kinds of domestic abuses are peculiar, since in this case the woman is the offender, whereas in the best known Battered Woman Syndrome she's the victim. The most important scientific research on this subject is quoted here with the purpose to provide information about BHS and to compare the most recent literature, in order to create a more detailed idea of this new phenomenon. But one of the leading goals in this paper is certainly the occasion to show some stories of abused men that contact our Listening Center and Therapy for abused men as examples. This Center belongs to Isabella Merzagora Betsos, Professor of Criminology at the University in Milan and it's maintained by a team of Psychotherapists and Psychologists. Thanks to this Center, a lot of witnesses has been collected and the final part of the paper is entirely dedicated to these depositions.Con il termine Battered Husband Syndrome, già nel 1978, la Steinmetz intendeva quella fenomenologia violenta che vede l'uomo oggetto di vessazioni di diversa natura, siano esse psicologiche, economiche o fisiche, da parte di una donna, solitamente la compagna. La natura di questi maltrattamenti familiari appare particolare, in quanto, contrariamente al più conosciuto fenomeno della Battered Woman Syndrome, in questo caso è la donna ad essere autrice delle violenze. Le ricerche scientifiche straniere sono molte, e lo scritto non manca di citare le più importanti, sia per portare alla luce i dati dei casi ad oggi posseduti, sia per confrontarsi con la recente letteratura in materia, ed avere quindi un'idea più dettagliata di questo fenomeno relativamente recente. Ma uno degli obiettivi primari di questo scritto è quello di rendere note alcune storie di uomini abusati che si sono rivolti al Centro di Ascolto e di Terapia per uomini abusati della Cattedra di Criminologia dell'Università degli Studi di Milano. Tale Centro, gestito da un team di Psicoterapeuti e Psicologi, ha visto susseguirsi alcuni casi di uomini battuti: la parte finale dello scritto è dedicata a tali testimonianze
THE IMPACT OF MANUAL THERAPY TECHNIQUES ON PAIN, DISABILITY AND IL-1B LEVELS IN PATIENTS WITH CHRONIC CERVICAL PAIN
No full textBackground: Chronic neck pain is a common musculoskeletal dysfunction, and Manual Therapy is one of the effective treatment modalities, but underlying mechanisms of action are unclear. The study's purpose was to investigate the short-term effect of mobilization-manipulations on patient's symptoms and to detect changes in the concentration of inflammatory biomarker interleukin-1b. Methods: Twenty-two patients aged 20-50 years with chronic neck pain, randomly assigned into two groups. The study group received nine sessions of a three-week Manual Therapy intervention. The control group received SHAM Manual Therapy of the same dosage. Pain and functionality measures conducted before and after the intervention via NPRS and NDI scales, respectively. Blood samples collected at baseline, after the first session and post-intervention, detecting IL-1 beta concentration, using the corresponding ELISA kit. Mixed ANOVA statistical analysis implemented for differences in the GROUP-TIME factors. Results: There was a significant statistical interaction between factors and significant main effects on pain, functionality, and IL-1 beta (p <.05). IL-1 beta was statistically significant reduced (p <.05) at second measurement for the study group, but not significantly reduced (p>.05) between second and final measurement. No statistical significance was found for the control group on any of the dependent variables across measures. Conclusion: Patients with chronic mechanical pain showed significant pain and functionality improvement after manual therapy application. The underlying mechanism of action seems to relate with a reduced IL-1b concentration of reinforcing future research at relevant pain biomarkers
