RESEARCH PAPER
Use of combined therapy (TENS+UD) and postisometric relaxation (PIR) of muscles in seniors with degenerative disease of the hip jointnt
 
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Department of Physiotherapy, University of Gdansk, Poland
 
 
Corresponding author
Magdalena Podczarska-Głowacka   

Katedra Fizjoterapii, AWFiS Gdańsk, Hoża 11H/7, 80-628 Gdańsk, Poland
 
 
J Pre Clin Clin Res. 2016;10(2):95-99
 
KEYWORDS
ABSTRACT
Introduction:
The aim of the study was to assess the effectiveness of a combined therapy (TENS+UD) and postisometric relaxation of muscles in a 3-week therapeutic programme directed to seniors with diagnosed degenerative disease of the hip joint (OA).

Material and Methods:
The study involved patients with diagnosed degenerative disease of the hip joint. A total of 60 people – 11 men and 49 women (mean age – 68 years) were examined. The therapy was applied for a period of 3 weeks. Seniors were randomly divided into 2 equal groups. In Group I, the treatment programme included a combined therapy (TENS+UD) and individual exercises, i.e. postisometric relaxation of muscles (PIR) at the hip joint; in Group II, seniors were treated with individual exercises, i.e. postisometric relaxation of muscles (PIR).

Results:
The study showed that the applied therapeutic programme had a significant effect. In both groups an improvement in mobility after the therapy was shown in all planes of movement. It was also found that the therapy proved effective in fighting pain syndromes. However, it should be noted that after assessing pain twice (VAS, Laitinen Scale) in Group I, the therapy proved to be more effective in fighting pain in comparison to Group II.

Conclusions:
In non-invasive treatment, in order to increase the analgesic activity in patients with degenerative changes of the hip joint, it is also recommended to include a physical stimulus in the form of combined therapy in the physiotherapeutic procedure, comprising techniques of energising muscles.

REFERENCES (25)
1.
Masud T, Blundell A, Gordon AL, Mulpeter K, Roller R, Singler K, et al. European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique. Age Ageing. 2014; 43(5): 695–702.
 
2.
Lam R, Gallinaro A, Adleman J. Medical Problems Referred to a Care of the Elderly Physician: Insight for Future Geriatrics CME. Can Geriatr J. 2013; 16(3): 114–119.
 
3.
McKenzie S, Torkington A. Osteoarthritis-management options in general practice. Aust Fam Physician. 2010; 39(9): 622–625.
 
4.
Bello A, Ababio E, Atwi-Baffoe S, Seidu MA, Adjei DN. Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder. Ghana Med J. 2014; 48(4): 214–218.
 
5.
McNair PJ, Simmonds MA, Boocock MG, Larmer PJ. Exercise therapy for the management of osteoarthritis of the hip joint: a systematic review. Arthritis Res Ther. 2009; 11: R98–106 doi: 10.1186/ar2743.
 
6.
Zhang W, Nuki G, Moskowitz RW, Abramson S, Altman RD, Arden NK, et al. OARSI recommendations for the management of hip and knee osteoarthritis, III: changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage. 2010; 18(4): 476–499.
 
7.
Fernandes L, Hagen K, Bijlsma J, Andreassen O, Christensen P, Conaqhan PG, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013; 72(7): 1125–1135.
 
8.
Van Es PP, Luijsterburg PA, Dekker J, Koopmanschap MA, Bohnen AM, Verhaar JA, et al. Cost-effectiveness of exercise therapy versus general practitioner care for osteoarthritis of the hip: design of a randomized clinical trial. BMC Musculoskeletal Disord. 2011; 12: 232–238.
 
9.
Moretti FA, Marcondes FB, Provenza JR, Fukuda TY, de Vasconcelos RA, Roizenblatt S. Combined therapy (ultrasound and interferential current) in patients with fibromyalgia: once or twice in a week? Physiother Res Int. 2012; 17(3): 142–149.
 
10.
Almeida TF, Roizenblatt S, Benedito-Silva AA, Tufik S. The effect of combined therapy (ultrasound and interferential current) on pain and sleep in fibromyalgia. Pain. 2003; 104(3): 665–672.
 
11.
Grymel-Kulesza E, Polak A, Kubacki J, Skrzypek-Poloczek B, Król P. The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy, and a combination of ultrasound and electrical stimulation on rotator cuff injuries. Fizjot Pol. 2007; 2(4): 107–123.
 
12.
Itoh K, Hirota S, Katsumi Y, Ochi H, Kitakoji H. A pilot study on using acupuncture and transcutaneous electrical nerve stimulation (TENS) to treat knee osteoarthritis (OA). Chin Med. 2008; 3: 2 doi: 10.1186/1749–8546–3–2.
 
13.
Farina S, Casarotto M, Benelle M, Tinazzi M, Fiaschi A, Goldoni M, et al. A randomized controlled study on the effect of two different treatments (FREMS AND TENS) in myofascial pain syndrome. Eura Medicophys. 2004; 40(4): 293–301.
 
14.
Hoeksma HL, Dekker J, Ronday HK, Heering A, Van der Lubbe N, Vel C, et al. Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial. Arthritis Rheum. 2004; 51(5): 722–729.
 
15.
French HP, Cusack T, Brennan A, White B, Gilsenan C, Fitzpatrick M, et al. Exercise and manual physiotherapy arthritis research trial (EMPART): a multicentre randomized controlled trial. BMC Musculoskeletal Disord. 2009; 10: 9 doi:10.1186/1471–2474–10–9.
 
16.
Gould D, Kelly D, Goldstone L, Gammon J. Examining the validity of pressure ulcer risk assessment scales: developing and using illustrated patient simulations to collect the data information point: Visual Analogue Scale. J Clin Nurs. 2001; 10(5): 697–706.
 
17.
Laitinen J. Acupuncture and transcutaneous electrical nerve stimulation in the treatment of chronic sacrolumbalgia and ischialgia. Am J Chin Med. 1976; 4(2): 169–175.
 
18.
Russe OA, Gerhardt J. International SFTR method of measuring and recording joint motion ISOM, international standard orthopedic measurements. Bern: Hans Huber Publishers; 1975.
 
19.
Lee D. Obręcz biodrowa. Badanie i leczenie okolicy lędźwiowo-miedniczno-biodrowej [The pelvic girdle. Examination and treatment of the lumbopelvic area]. DB Publishing, Warszawa 2001. Polish.
 
20.
Nonaka H, Mita K, Watakabe M, Akataki K, Suzuki N, Okuwa T, et al. Age-related changes in the interactive mobility of the hip and knee joints: a geometrical analysis. Gait Posture. 2002; 15(3): 236–243.
 
21.
Holla JF, Steultjens MP, van der Leeden M, Roorda LD, Bierma-Zeinstra SM, den Broeder AA, et al. Determinants of range of joint motion in patients with early symptomatic osteoarthritis of the hip and/or knee: an exploratory study in the CHECK cohort. Osteoarthritis Cartilage. 2011; 19(4): 411–419.
 
22.
Hernández-Molina G, Reichenbach S, Zhang B, LaValley M, Felson DT. Effect of Therapeutic Exercise for Hip Osteoarthritis Pain: Results of a Meta-Analysis. Arthritis Rheum. 2008; 59(9): 1221–1228.
 
23.
Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W. Manipulative therapy for lower extremity conditions. Expansion of literature review. J Manipulative Physiol Ther. 2009; 32(1): 53–71.
 
24.
Taradaj J, Feliksik M, Franek A, Błaszczak E. Terapia skojarzona (TENS+UD) w leczeniu bólów krzyża [The combined therapy (TENS+UD) in the treatment of lower back pains]. Rehabil Prakt. 2008; 4: 38–39. Polish.
 
25.
Certin N, Aytar A, Atalay A, Akman MN. Comparing hot pack, short-wave diathermy, ultrasound, and TENS on isokinetic strength, pain, and functional status of woman with osteoarthritic knees: a single-blind, randomized, controlled trial. J Phys Med Rehabil. 2008; 87: 443–451.
 
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