Whole body cryotherapy (WBCT) is a physical method used in the rehabilitation of patients with osteoarthritis and other diseases of motor system. The aim of the study was to estimate the influence of WBCT on subjective pain feeling, functional efficiency and melatonin and serotonin plasma concentrations in patients with spondyloarthritis of the lumbar spine.Method: The study group A: 60 patients (mean 59 ± 8 years) with spondyloarthritis of lumbar spine. All patients participated in ten sessions of whole body cryotherapy (WBCT).The study group B: consisted (mean 60 ± 8 years) with spondyloarthritis of lumbar spine. All patients participated in ten sessions of exercise therapy.Before and after the series of physical procedures (WBCT) and exercise therapy the examination of pain (VAS) and functional efficiency (ODI, RMDQ) was performed. Plasma concentrations of melatonin and serotonin were measured by enzyme-linked immunosorbent assay (ELISA).Results: After WBCT and exercise therapy in both study groups decrease of pain feeling (33%) and improvement of functional efficiency (RMDQ) was noted (33%). In group A functional efficiency measured by ODI improved by 17%, in group B by 10% after applied physical therapy (p ≤ 0,05). The mean melatonin plasma concentration in group A increased by 8,44 pg/mL, and serotonin plasma concentration by 14,44 ng/mL, while in group B melatonin plasma ; concentration increased by 28,12 pg/mL and serotonin by 17,82 ng/mL. ConclusionsCryotherapy in the cryogenic chamber combined with therapeutic exercises as well as physiotherapy applied separately caused a significant reduction of pain and improved the functional efficiency in patients with osteoarthritis of the lumbar spine. The increases of melatonin and serotonin were more pronounced in patients undergoing physiotherapy alone.
Jaworek, Jolanta ; Spannbauer, Anna
Mar 14, 2023
Aug 29, 2018
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http://dl.cm-uj.krakow.pl:8080/publication/4256
Edition name | Date |
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ZB-128502 | Mar 14, 2023 |
Barłowska-Trybulec, Marta
Zagajewski, Jacek
Słupińska, Monika
Leja-Szpak, Anna
Istrati, Julita
Machowska, Anna
Zagórska, Agnieszka