Functional assessment of orthopedic patients undergoing selected methods of physiotherapy.
Jagiellonian University Medical College, Department of Orthopedics and Physiotherapy
250 participants
May 2, 2022
Interventional
Conditions
Summary
The purpose of the study will be to objectively assess the effectiveness of various methods of physiotherapy, individually customized for each patient, appropriate for a given group of patients. The following will be assessed: muscle activity, proprioception, mechanical properties of soft tissues, pain level and the function of the musculoskeletal system. Participants will be undergo 2-6-month (depending on the group of patients and the treatment method used: conservative or surgical) physiotherapy (one-on-one face-to-face consultation, the frequency/duration of the intervention: 2 hours of consultation every 5 days) with the use of various physiotherapeutic methods: manual therapy (soft tissue therapy, joint mobilisation), exercises (patterned movement and resistance exercises) appropriate for a given group of patients, physical therapy (mainly cryotherapy, electrostimulation). The study hypothesis: An individual process of physiotherapy aimed at treating areas with structural changes results in a long-lasting improvement in the function of the locomotor system in patients with orthopedic diseases.
Eligibility
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Interventions
Due to the continuity of the musculoskeletal system and the myofascial system, each patient will be examined by a physiotherapist before each individual physiotherapeutic session, and the therapy will be carried out individually within the dysfunctional elements of the musculoskeletal system (including the myofascial system). Participants will be allocated to the various, available interventions on the basis of a test (functional and palpation assessment) carried out by a physiotherapist. Dysfunctional elements of the locomotor system (including the fascial system) of the study participants will be subjected to selected, personalized interventions: 1. Manual therapy: a) soft tissue therapy: targeted myofascial therapy (targeting: deep fascia of muscles and/or intermuscular furrows and/or trigger points and/or densification or fibrosis points/regions of deep and superficial fascia) and/or b) joint mobilisation depending on the treatment plan co-designed with the treating physiotherapist. Treatment will be targeted to areas with structural changes. 2. Exercises: a) patterned movement exercises (using regional and global movement patterns) and/or b) resistance exercises (using manual or instrument-generated resistance). 3. Physical therapy (targeting: cryotherapy and/or electrostimulation). The frequency/duration of the intervention: 2 hours of consultation every 5 days for 2-6 months. The mode of administration: one-on-one face-to-face consultation. The intervention will be performed by a physiotherapist with 15 years of experience. Session attendance checklists will be conducted.
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ACTRN12622000573752