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Biomedical subjects

V Fialka

Publications and source records attributed to V Fialka.

At least 37 records · Page 2Linked to original sources
PubMed1993

[Conservative therapy of backache. Part 4: Manual therapy].

The literature on the clinical effectiveness of manipulation in low back pain is extensive, although scientific studies that are free from flaws are much rarer. Most of the studies so far done show--with some reservations--a positive effect for manipulation. Given the proper indication, and with care being taken to observe contraindications, this modality can thus be recommended if performed by an experienced manipulator. However, this should not blind us to the fact that further investigations are necessary, and that the technique has no unequivocal advantages over exercise.

Contraindications↗
PubMed1993

[Conservative therapy of backache. Part 3: Physical therapy].

Physical exercise is accepted by many as the first line of treatment of low back pain. Nevertheless, hard data published so far have failed to demonstrate its benefit as clearly as we would wish. A wealth of exercise programs is available that escape systematic classification. The authors differentiate between general endurance training, and stretching, flexion and extension exercises. Whether endurance training is of benefit has not yet been unequivocally established. In contrast, stretching exercises have been shown to be effective. Flexion exercises have both proponents and opponents, while most randomized studies on extension exercises appear to demonstrate their effectiveness. Thus, physical exercise may be considered, at least in part, an effective form of treatment. Further research is needed to define the optimal exercise program for the individual patient as accurately as possible.

Exercise Therapy↗
PubMed1993

[Conservative therapy of low back pain. 2: Drug therapy].

Drug treatment of back pain is a useful adjunct to initial bedrest. A number of groups of drugs have proved effective. Analgesics and non-steroidal anti-inflammatory drugs can be recommended for short term treatment of acute cases. The effectiveness of muscle relaxants is unclear and, if prescribed they should be given only over the short term. Tricyclic antidepressants should be given only to patients with chronic pain complicated by a depressive component. A number of injection techniques are available for the treatment of refractory severe pain.

Anesthesia, Conduction↗
PubMed1993

[Conservative therapy of low back pain. Part 1: Immobilization].

The most common treatment for low back pain is bedrest, the purpose of which is to minimize pain caused by movement. Randomized studies have shown that this form of treatment is of use only over the short term. Whenever possible, the patient should be mobilized again after only 2 days. Long-term immobilization has a number of disadvantages. Lumbar corsets may be considered a form of partial immobilization, and are usually not recommended for unspecific back pain. As initial treatment of acute back pain, short term bedrest with proper positioning of the sufferer, possibly in combination with drug treatment can be employed.

Aged↗
PubMed1993

[Low-dose laser therapy: critical analysis of clinical effect].

Low dose laser therapy (LDLT) has been available for the treatment of various diseases for almost two decades. The aim of therapy is usually to reduce pain. The literature offers a plethora of reports, some negative and some positive. This review discusses the relatively few placebo-controlled, double-blind trials on the subject, in an attempt to provide an evaluation of the clinical effectiveness of LDLT. The majority of these studies suggest that LDLT is not clinically effective. There is no particular disease or symptom which seems to respond to LDLT. The same can be said of the type of laser light or its intensity. Based on this collective data, LDLT does not seem to be a scientifically proven therapy.

Analgesia↗
PubMed1993

[Personality markers in patients with Sudeck's disease. A psychoanalytic study].

We examined 22 patients suffering from reflex sympathetic dystrophy with psychoanalytic interviews. In all 22 patients we found a common psychological structure corresponding to Balint's basic fault (Balint, 1970). For people with this structure the accident that preceded the reflex sympathetic dystrophy and the following pain, immobilisation and need to help are promoting the patient's regression in a specific way ending in the developing of reflex sympathetic dystrophy. The dispair of the patients about their reflex sympathetic dystrophy expresses unsolved fears of early childhood.

Adult↗
PubMed1992

[Sympathetic reflex dystrophy. Effectiveness of physical therapy treatment of Sudeck's syndrome].

To investigate the impairment of patients with reflex sympathetic dystrophy syndrome (RSDS) and to establish the effectiveness of two physiotherapeutic regimens in the treatment of this entity, 54 RSDS patients were examined clinically, radiologically and scintigraphically an average of 112 days after the triggering event. The patients were assigned to either of two treatment groups in accordance with the results of preliminary scintigraphic examinations. After physiotherapy comprising exercises and cryotherapy either with or without galvanic stimulation, a significant therapeutic effect on clinical and scintigraphic parameters was found in both treatment groups. Scanning, in combination with clinical diagnostic measures proved a valuable tool in the diagnostic evaluation, selection of treatment and follow-up in patients with RSDS.

Combined Modality Therapy↗
PubMed1991

[Sudeck's disease--MRT as a new diagnostic procedure].

In this prospective study, we determined the value of MR as an imaging technique in diagnosis and therapy with the option of simultaneous assessment of bone and soft tissue. 20 patients with clinical diagnosis of reflex sympathetic dystrophy syndrome (RSDS) and positive results in radiogram and three-phase radionuclide bone scanning were examined by MR, using T1- and T2-weighted images before and after Gadolinium-DTPA i.v. Soft tissue and bone signal intensity changes can be classified in our diagnostic-therapeutic scheme and proven by histopathological changes. The differentiation between clinical stages is possible and allows an evaluation of course and therapy. The higher costs are justified by shorter examination time without using radiation.

Adult↗
PubMed1991

[Comparative clinical, roentgenologic, scintigraphic and nuclear magnetic resonance tomography studies in sympathetic reflex dystrophy].

The results of clinical, radiological, three phase bone scan and magnetic resonance imaging (MRI) examinations in 17 patients with reflex sympathetic dystrophy (RSD) are reported. Characteristic clinical symptoms, positive radiographic and scintigraphic findings were compared with the MRI. Soft tissue and bone signal intensity changes in MRI as well as bone scan demonstrated significant correlation to the duration of RSD. In conjunction with scintigraphy soft tissue diagnostic sensitivity and specificity are 1, 0.67 or 0.71 respectively. Bone signal diagnostic sensitivity and specificity are 0.5 or 0.67 respectively and 0.93 or 0.87 respectively. According to the results MRI appears to be of much value in establishing the diagnosis of RSD. In consequence a diagnostic schedule is evaluated.

Adult↗
PubMed1990

[Postoperative physical rehabilitation. Therapeutic goals and procedures in head and neck cancer].

The objective of postoperative physical rehabilitation of patients with head and neck carcinoma is to re-establish their physical, emotional, and social capabilities as far as possible. It is the task of the specialist in physical medicine to diagnose on musculoskeletal system-related problems, to establish concepts for rehabilitation treatment, and to define the aims of therapy. Depending on the clinical situation, pain has to be reduced, edemas eliminated, muscle balance re-established and endurance improved. Special emphasis must be put on correct breathing and to the training of the activities of daily living.

Combined Modality Therapy↗
PubMed1988

Investigations into shoulder function after radical neck dissection.

In order to determine shoulder function after radical neck dissection, and to evaluate the outcome of postoperative physical treatment, 43 patients were investigated 10 days up to 1 month after this procedure. Shoulder function was judged by means of (a) clinical investigation of the shoulder girdle and by (b) electromyographic testing of the trapezius muscle. Our results demonstrated a correlation between the extent of atrophy and clinical parameters such as abduction and lateral displacement of the scapula. Electromyography revealed damage present mainly in the descending part of the trapezius, while in the majority of patients the ascending part was only slightly damaged or normal. Electromyography proved a valuable tool for the determination of the clinical state after neck dissection. There was also evidence supporting the efficacy of physical therapy in case of irreversible shoulder disability.

Adult↗
PubMed1988

[Sudeck syndrome--a combined clinico-roentgenologic-nuclear medicine study].

147 patients with clinical suspicion of a Sudeck syndrome were submitted to X-ray and nuclear medical examinations. The clinical suspicion was confirmed in 122 patients. In six cases showing no X-ray symptoms, the diagnosis could only be confirmed by scintigraphy. A new classification of stages was necessary for therapeutic reasons: I = early stage, II = acute/subacute stage, III = healing stage, IV = defective recovery. Modifications due to therapy were demonstrated early by 100 scintigraphic check-up examinations, whereas the evidence of such modifications in X-ray pictures was delayed. The study describes the X-ray morphology as well as the scintigraphic manifestations of the Sudeck syndrome. The study shows that scintigraphy is a valuable examination method. It is useful in diagnosing early stages often not detected in X-ray examination, in the assessment of the evolution of a disease, and in the classification of stages.

Adolescent↗
PubMedDate not supplied

[Acupuncture in the treatment of a posttraumatic pain syndrome].

Overall, fourteen patients with reflex sympathetic dystrophy (Sudeck's disease) presenting with pain syndrome were examined. The diagnosis was made on the basis of clinical symptomatology and was confirmed by thermographic and scintigraphic investigations. The patients were divided into two groups and they were administered double blind classical and sham acupuncture treatments, under the exposure to which treatments the pains began to subside in the above patients, with their general wellbeing having gotten improved.

Acupuncture Points↗