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
Magdalena Podczarska-Głowacka   

Katedra Fizjoterapii, AWFiS Gdańsk, Hoża 11H/7, 80-628 Gdańsk, Poland
J Pre Clin Clin Res. 2016;10(2):95–99
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).

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.

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.

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