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标题：Comparison of local cryotherapy and sonotherapy effectivenessin the treatment of gonarthrosis symptoms
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作者：Agata Bloch ; Małgorzata Kordowska ; Ewa Frankiewicz 等
期刊名称：Journal of Education, Health and Sport
电子版ISSN：2391-8306
出版年度：2018
卷号：8
期号：11
页码：653-664
DOI：10.5281/zenodo.2572456
语种：English
出版社：Kazimierz Wielki University
摘要：The aim of this study was comparison of local cryotherapy and sonotherapy effectivenessinthe treatment of gonarthrosis symptoms. Material and methods: The studies on the comparison of local cryotherapy and sonotherapyeffectiveness were conducted in a research group of one hundred people singled out from thepatients staying at the Wieniec Zdrój Sanatorium in Wieniec Zdrój. Before the series ofsonotherapy and cryotherapy treatments and after their completion, all patients were assessedusing: Centimeter tape, Goniometer, VAS (Visual Analog Scale), Laitinen Questionnaire andSit-up Test. Results: After the rehabilitation, the intensity of pain was determined at 4.45 points, on ascale from 0 to 8 points. The intensity of pain in the VAS scale among respondents decreasedsignificantly by 1.750 points. The average pain intensity was 1.40 points (SD = 0.778), whichresulted in a significant change in the form of pain relief (p = 0.580). The frequency of painranges 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, andthe limit on physical activity was 1.40 points (p = 0.520). The limitation of physical activitywas 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, therange 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. Theaverage result was 42.375 cm and decreased significantly by 0.1676 cm. The circumferenceof the knee joint above the kneecap oscillated between 28 - 80.5 cm (D = 44.335 cm), whichgave the effect of reducing the edema by 0.320 cm. The treatments performed varied only theresults in the frequency of analgesics (p = 0.45). Better effects occurred in patientsundergoing sonotherapy (M = 0.048) than in cryotherapy (M = 0.84). Conclusions: Local cryotherapy and sonotherapy reduces the severity and frequency of painand reduces swelling in the knee joints. Positive effects of therapy reduce the amount ofanalgesics used. However, better results are obtained in patients undergoing sonotherapy thanin cryotherapy. In addition, the range of flexion movements of the knee joints is increasedunder the influence of treatments. There are significant differences in the improvement of therange of motion among patients treated with sonotherapy than cryotherapy.
关键词：The aim of this study was comparison of local cryotherapy and sonotherapy effectivenessinthe treatment of gonarthrosis symptoms. Material and methods: The studies on the comparison of local cryotherapy and sonotherapyeffectiveness were conducted in a research group of one hundred people singled out from thepatients staying at the Wieniec Zdrój Sanatorium in Wieniec Zdrój. Before the series ofsonotherapy and cryotherapy treatments and after their completion, all patients were assessedusing: Centimeter tape, Goniometer, VAS (Visual Analog Scale), Laitinen Questionnaire andSit-up Test. Results: After the rehabilitation, the intensity of pain was determined at 4.45 points, on ascale from 0 to 8 points. The intensity of pain in the VAS scale among respondents decreasedsignificantly by 1.750 points. The average pain intensity was 1.40 points (SD = 0.778), whichresulted in a significant change in the form of pain relief (p = 0.580). The frequency of painranges 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, andthe limit on physical activity was 1.40 points (p = 0.520). The limitation of physical activitywas 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, therange 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. Theaverage result was 42.375 cm and decreased significantly by 0.1676 cm. The circumferenceof the knee joint above the kneecap oscillated between 28 - 80.5 cm (D = 44.335 cm), whichgave the effect of reducing the edema by 0.320 cm. The treatments performed varied only theresults in the frequency of analgesics (p = 0.45). Better effects occurred in patientsundergoing sonotherapy (M = 0.048) than in cryotherapy (M = 0.84). Conclusions: Local cryotherapy and sonotherapy reduces the severity and frequency of painand reduces swelling in the knee joints. Positive effects of therapy reduce the amount ofanalgesics used. However, better results are obtained in patients undergoing sonotherapy thanin cryotherapy. In addition, the range of flexion movements of the knee joints is increasedunder the influence of treatments. There are significant differences in the improvement of therange of motion among patients treated with sonotherapy than cryotherapy.