Przezskórna elektrostymulacja nerwów (TENS) w leczeniu zespołów bólowych kręgosłupa lędźwiowo-krzyżowego = Transcutaneous electrical nerve stimulation (TENS) in the treatment of low back pain

Magdalena Weber-Rajek; Monika Kowalska; Agnieszka Radzimińska; Agnieszka Strączyńska; Walery Zukow

Przezskórna elektrostymulacja nerwów (TENS) w leczeniu zespołów bólowych kręgosłupa lędźwiowo-krzyżowego = Transcutaneous electrical nerve stimulation (TENS) in the treatment of low back pain

Magdalena Weber-Rajek, Monika Kowalska, Agnieszka Radzimińska, Agnieszka Strączyńska, Walery Zukow

Abstract

Weber-Rajek Magdalena, Kowalska Monika, Radzimińska Agnieszka, Strączyńska Agnieszka, Zukow Walery. Przezskórna elektrostymulacja nerwów (TENS) w leczeniu zespołów bólowych kręgosłupa lędźwiowo-krzyżowego = Transcutaneous electrical nerve stimulation (TENS) in the treatment of low back pain. Journal of Education, Health and Sport. 2016;6(3):11-20. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.47232

http://ojs.ukw.edu.pl/index.php/johs/article/view/3415

https://pbn.nauka.gov.pl/works/718828

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).

755 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Author (s) 2016;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License

(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 05.01.2016. Revised 12.02.2016. Accepted: 27.02.2016.

Przezskórna elektrostymulacja nerwów (TENS) w leczeniu zespołów bólowych kręgosłupa lędźwiowo-krzyżowego

Transcutaneous electrical nerve stimulation (TENS) in the treatment of low back pain

Magdalena Weber-Rajek¹, Monika Kowalska², Agnieszka Radzimińska¹, Agnieszka Strączyńska¹, Walery Zukow³

1 Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum w Bydgoszczy Katedra Fizjoterapii, Bydgoszcz, Polska / Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Department of Physiotherapy, Bydgoszcz, Poland

2 Bydgoska Szkoła Wyższa, Bydgoszcz, Polska / University of Bydgoszcz, Bydgoszcz, Poland

3 Uniwersytet Kazimierza Wielkiego, Bydgoszcz, Polska / Kazimierz Wielki University, Bydgoszcz, Poland

Streszczenie

Wstęp

Bóle kręgosłupa lędźwiowo-krzyżowego są poważnym problemem medycznym i społecznym. Fizjoterapia jest nieodzownym elementem leczenia zespołów bólowych kręgosłupa. Metodą, która zdobywa coraz większe uznanie wśród fizjoterapeutów, a także wśród pacjentów jest stymulacja TENS (transcutaneus electrical nerve stimulation).

Cel badań

Celem niniejszej pracy była ocena skuteczności terapii TENS w terapii zespołów bólowych kręgosłupa lędźwiowo-krzyżowego.

Materiał i Metody

Badania przeprowadzono w grupie czterdziestu pacjentów w wieku 30 - 60 lat (średnia wieku 45 lat). Bezpośrednio przed oraz po zakończeniu terapii u wszystkich pacjentów wykonano: ocenę dolegliwości bólowych przy użyciu skali VAS, ocenę natężenia i częstotliwości bólu, ilości stosowanych leków przeciwbólowych, ograniczenia aktywności ruchowej przy użyciu kwestionariusza Laitinena, test Schobera oceniający zakres zgięcia kręgosłupa lędźwiowo-krzyżowego. Analizę statystyczną przeprowadzono wykorzystując pakiet PQStat wersja 1.4.8. Normalność rozkładu zmiennych sprawdzano testem Shapiro-Wilka. W celu porównania wyników otrzymanych w testach przed terapią z wynikami otrzymanymi po terapii przeprowadzono test Wilcoxona na poziomie istotności α = 0,05.

Wyniki

Uzyskano istotne statystycznie zmniejszenie intensywności i częstotliwości bólu, zmniejszenie ilości stosowanych leków przeciwbólowych, zmniejszenie ograniczenia aktywności ruchowej oraz zwiększenie zakresu zgięcia kręgosłupa lędźwiowo-krzyżowego.

Wnioski

Stymulacja TENS jest skutecznym zabiegiem w leczeniu zespołów bólowych kręgosłupa lędźwiowo-krzyżowego.

Słowa kluczowe: przezskórna stymulacja nerwów (TENS), zespoły bólowe kręgosłupa lędźwiowo-krzyżowego.

Summary

Introduction

Low back pain is a serious medical and social problem. Physiotherapy is the indispensable component of treatment of back pains. A method that is gaining more recognition among physiotherapists, as well as among patients is the transcutaneus electrical nerve stimulation (TENS).

Aim of the study

The aim of this study was to evaluate the effectiveness of TENS in the treatment of low back pain.

Material and Methods

Study included of forty patients aged 30 - 60 years (mean age 45 years). Immediately before and after therapy in all patients: assessment of pain using the VAS assessment of pain intensity and frequency, amount of applied analgesics, limiting physical activity using a questionnaire Laitinen, Schober test assessing the scope bending lumbosacral spine. Statistical analysis was performed using version 1.4.8 PQStat package. In order to compare the results obtained in the test prior to treatment with the results obtained after treatment was Wilcoxon test at the significance level α = 0.05.

Results

Achieved a statistically significant reduction in the intensity and frequency of pain, reduction of applied analgesics, reduced physical activity limitations and increasing the range of flexion of low back pain.

Conclusion

TENS is an effective treatment for both acute and chronic low back pain

Key words: transcutaneous electrical nerve stimulation, low back pain.

Keywords

przezskórna stymulacja nerwów (TENS), zespoły bólowe kręgosłupa lędźwiowo-krzyżowego, transcutaneous electrical nerve stimulation, low back pain.

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Gozhenko, A. I., Nasibullin, B. A., & Kokhno, I. S. (2000). Activity of gastric mucosal NO synthase in duodenal ulcer. [Aktivnost' NO-sintazy slizistoi obolochki zheludka pri iazvennoi bolezni dvenadtsatiperstnoi kishki.] Vestnik Rossiiskoi Akademii Meditsinskikh Nauk / Rossiiskaia Akademiia Meditsinskikh Nauk, (7), 8-11. Retrieved from www.scopus.com

Gozhenko, A. I., & Pakhmurnyǐ, B. A. (1984). The osmoregulatory function of the kidneys in chronic nephritis. [Osmoreguliruiushchaia funktsiia pochek pri khronicheskom nefrite.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (4), 57-60. Retrieved from www.scopus.com

Gozhenko, A. I., Pogorelaia, I. V., Dolomatov, S. I., Topor, E. A., Dolomatova, E. A., & Pykhteev, D. M. (2005). Renal clearance of nitrates after single injection of sodium nitrate to white rats. Meditsina Truda i Promyshlennaia Ekologiia, (2), 42-45. Retrieved from www.scopus.com

Gozhenko, A. I., Slavina, N. G., Kotyuzhinskaya, S. G., Kotyuzhinskij, A. L., Fedoruk, A. S., & Gozhenko, E. A. (2001). Method to determine nitrite and nitrate ecological load on humans. Meditsina Truda I Promyshlennaya Ekologiya, (3), 38-39. Retrieved from www.scopus.com

Gozhenko, A. I., Zhuk, O. P., Tanasiuk, V. S., & Sheliag, A. R. (1985). Controllable amplifier for registering tissue blood flow by the hydrogen clearance method. [Upravliaemyǐ usilitel' dlia registratsii tkanevogo krovotoka metodom klirensa vodoroda.] Fiziologicheskii Zhurnal SSSR Imeni I.M.Sechenova, 71(5), 673-675. Retrieved from www.scopus.com

Hozhenko, A. I., Bieliakov, O. V., Kovalevs'ka, L. A., Selyvanenko, V. T., Svirs'kyi, O. O., Popik, H. S., . . . Stepanov, V. V. (2001). Content of myocardial catecholamines in patients with natural and acquired heart disease. [Vmist katekholaminiv u miokardi khvorykh na pryrodzheni ta nabuti poroky sertsia.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 47(3), 47-53. Retrieved from www.scopus.com

Hozhenko, A. I., Fedoruk, O. S., & Pohorila, I. V. (2002). Influence of arginine on the renal functional condition of rats in sublimate nephropathy. [Vplyv arhininu na funktsional'nyi stan nyrok shchuriv pry sulemovii nephropatiï.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 48(6), 26-30. Retrieved from www.scopus.com

Hozhenko, A. I., & Filipets', N. D. (2014). [The functional state of the kidneys after adenosine triphosphate-sensitive potassium channels activation in experimental acute hypoxia]. Fiziolohichnyĭ Zhurnal (Kiev, Ukraine : 1994), 60(4), 22-29. Retrieved from www.scopus.com

Hozhenko, A. I., Moskalenko, O. M., Sirman, V. M., ZhiZhnievs'ka, O. O., & Storozhenko, S. A. (2012). [Kidney function in oncologic patients after cisplastin chemotherapy]. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 58(3), 72-76. Retrieved from www.scopus.com

Hozhenko, A. I., Nasibullin, B. A., & Kokhno, I. S. (2000). The pathogenetic aspects of an ulcerative lesion of the duodenal mucosa. [Deiaki aspekty patohenezu vyrazkovoho urazhennia slyzovoï obolonky dvanadtsiatypaloï kyshky.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(1), 70-74. Retrieved from www.scopus.com

Hozhenko, A. I., Peresun'ko, O. P., Orenchuk, V. S., & Vysochyna, K. V. (1999). Active radiation telethermometry in the complex diagnosis of ovarian tumors. [Aktyvna dystantsiina radiatsiina teplometriia v kompleksnii diahnostytsi pukhlyn iaiechnykiv.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (5), 119-124. Retrieved from www.scopus.com

Hozhenko, A. I., & Trusova, M. V. (2006). Effect of cytostatic ifosfamide on the function of the kidneys in white rats. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 52(4), 19-23. Retrieved from www.scopus.com

Hozhenko, A. I., Vladymyrova, M. P., & Topor, O. A. (2006). Effect of amber acid on the kidney function in gentamycin-induced nephropathy in white rats. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 52(5), 41-46. Retrieved from www.scopus.com

Hrach, I. I., Hozhenko, A. I., Voǐtenko, A. M., & Dorens'kyǐ, V. S. (1992). The water-electrolyte balance in rats with acute overheating and forced rehydration. [Stan vodno-elektrolitnoho balansu u shchuriv pry hostromu perehrivanni ta forsovaniǐ rehidratatsiï.] Fiziologicheskii Zhurnal, 38(2), 91-96. Retrieved from www.scopus.com

Kalugin, V. A., Gozhenko, A. I., Vetoshnikov, V. S., Belov, M. E., & Grigorishin, P. M. (1989). A method of dynamic teplometry. [Sposob dinamicheskoǐ teplometrii.] Meditsinskaya Tekhnika, (4), 44-47. Retrieved from www.scopus.com

Kiriliuk, M. L., Kukharchuk, A. L., & Gozhenko, A. I. (1990). Effect of destruction of the lateral septal nucleus on renal function. [Vliianie razrusheniia lateral'nogo iadra peregorodki mozga na funktsiiu pochek.] Fiziologicheskii Zhurnal, 36(3), 48-52. Retrieved from www.scopus.com

Krishtal', N. V., & Gozhenko, A. I. (1989). Role of the hypophyseo-adrenal system in regulating the acid-secreting function of the kidneys. [Rol' gipofizarno-nadpochechnikovoǐ sistemy v reguliatsii kislotovydelitel'noǐ funktsii pochek.] Fiziologicheskii Zhurnal, 35(1), 59-62. Retrieved from www.scopus.com

Krishtal', N. V., Gozhenko, A. I., & Gareeva, E. G. (1994). Mechanisms of renal adaptation to disorders of water-electrolyte balance in metabolic acidosis. [Mekhanizmy pochechnoǐ adaptatsii k narusheniiam vodno-élektrolitnogo obmena pri metabolicheskom atsidoze.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (3), 42-44. Retrieved from www.scopus.com

Kryshtal, M. V., Hareieva, E. H., & Hozhenko, A. I. (1993). Response and endocrine mechanisms in the kidney effected by sodium chloride. [Reaktsiia nyrok na hostre navantazhennia natriiem khlorydom ta ǐǐ endokrynni makhanizmy.] Fiziologicheskii Zhurnal, 39(5-6), 56-60. Retrieved from www.scopus.com

Kucher, V. I., Terenozhkina, N. P., & Gozhenko, A. I. (1983). Isolation of fractions containing natriuretic hormone from blood plasma and their testing in in vivo and in vitro experiments. [Vuydelenie iz plazmy krovi fraktsiǐ, soderzhashchikh natriǐureticheskiǐ gormon, i ikh testirovanie v opytakh in vivo i in vitro.] Problemy Endokrinologii, 29(3), 47-50. Retrieved from www.scopus.com

Kukharchuk, A. L., & Gozhenko, A. I. (1985). Effect of progesterone on ion-regulating kidney function. Problemy Endokrinologii, 31(2), 55-58. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Effect of prostacyclin and its synthetic analogue MM-706 on renal function in sublimate nephropathy. Experimental and Clinical Pharmacology, 55(5), 36-39. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Influence of prostacycline synthetic analogue on the renal function and the blood aggregate state regulation system in experimental acute renal insufficiency. Gematologiya i Transfuziologiya, 37(9-10), 23-25. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille, I. E., & Loppe, M. (1992). The effect of prostacyclin and its synthetic analog MM-706 on kidney function in corrosive sublimate-induced nephropathy. [Vliianie prostatsiklina i ego sinteticheskogo analoga MM-706 na funktsional'noe sostoianie pochek pri sulemovoǐ nefropatii.] Eksperimental"Naia i Klinicheskaia Farmakologiia, 55(5), 36-39. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., Kokhno, I. S., Gul'chenko, I. I., Grinchenko, P. A., & Osipova, E. R. (1996). The rate of healing of an ulcerous defect in the duodenal bulb in relation to the site (based on video endoscopic data). [Skorost' zazhivleniia iazvennogo defekta lukovitsy dvenadtsatiperstnoi kishki v zavisimosti ot lokalizatsii (po dannym videoéndoskopii).] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (10-12), 117-119. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Mishchenko, V. V. (1999). Dynamic radiation telethermometry in the diagnosis of acute appendicitis. [Distantsionnaia radiatsionnaia dinamicheskaia teplometriia v diagnostike ostrogo appenditsita.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (3), 103-106. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1995). The efficacy of metabolic therapy in chronic gastritis with secretory deficiency in flight personnel. [Effektivnost' metabolicheskoi terapii pri khronicheskom gastrite s sekretornoi nedostatochnost'iu u lits letno-pod''emnogo sostava.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (9-12), 175-179. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1997). The use of otsid in treating patients with chronic gastroduodenitis and duodenal peptic ulcer. [Primenenie otsida v lechenii bol'nykh khronicheskim gastroduodenitom i iazvennoi bolezn'iu dvenadtsatiperstnoi kishki.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (4), 118-121. Retrieved from www.scopus.com

Lobenko, A. A., Tarabrin, O. A., Zaporozhchenko, B. S., Gozhenko, A. I., & Kiriliuk, A. A. (1998). The method of integral estimation of a functional status of the hemostatic system. [Sposob integral'noi otsenki funktsional'nogo sostoianiia sistemy gemostaza.] Klinichna Khirurhiia / Ministerstvo Okhorony Zdorov'Ia Ukraïny, Naukove Tovarystvo Khirurhiv Ukraïny, (7), 30-32. Retrieved from www.scopus.com

Milkov, B. O., Gozhenko, A. I., & Shamrei, G. P. (1987). Diagnosis of acute appendicitis with the use of remote heat flow meter based on anisotropic thermoelements. Klinicheskaya Khirurgiya, No. 4, 28-29. Retrieved from www.scopus.com

Mishcheriakova, N. G., Klenov, V. A., Sviridova, T. G., Khaǐrullina, A. B., & Gozhenko, A. I. (1995). Effects of vanadium on the physical-chemical properties of peripheral blood erythrocytes in rats. [Izuchenie vliianiia vanadiia na nekotorye fiziko-khimicheskikh svoǐstva éritrotsitov perefericheskoǐ krovi krys.] Voprosy Pitaniia, (1), 24-26. Retrieved from www.scopus.com

Mokienko, A. V., Petrenko, N. F., & Gozhenko, A. I. (2015). Hygienic estimation of biocide actions of ozone at water disinfecting. Water and Ecology, 1, 19-25. Retrieved from www.scopus.com

Nabukhotnyǐ, T. K., Pavliuk, V. P., Gozhenko, A. I., & Kukharchuk, A. L. (1987). Role of breast feeding in providing the newborn infant with thyroid hormones. [Rol' estestvennogo vskarmlivaniia v obespechenii organizma novorozhdennogo gormonami shchitovidnoǐ zhelezy.] Voprosy Pitaniia, (1), 29-31. Retrieved from www.scopus.com

Rakhmanin, I. A., Petrenko, N. F., Mokienko, A. V., & Gozhenko, A. I. (2007). Chlorine dioxide as an agent for optimization of drinking water preparation. Gigiena i Sanitariia, (6), 11-13. Retrieved from www.scopus.com

Rogovoǐ, I. E., & Gozhenko, A. I. (1989). Pathogenetic significance of lipid peroxidation in damage of the proximal segment of the nephron in acute masugi's nephritis. [Patogeneticheskoe znachenie perekisnogo okisleniia lipidov v povrezhdenii proksima'lnogo otdela nefrona pri ostrom nefrite Lindemana-Mazugi.] Fiziologicheskii Zhurnal, 35(5), 18-23. Retrieved from www.scopus.com

Sahach, V. F., Shymans'ka, T. V., Zul'fiharov, O. S., Ovchynnikova, O. H., & Hozhenko, A. I. (1999). The effect of a grape extract on the contractile activity of the myocardium and on the coronary flow of the isolated guinea pig heart. [Vplyv ekstraktu vynohradu na skorotlyvu aktyvnist' miokarda ta koronarnyi potik izol'ovanoho sertsia mors'koï svynky.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 45(5), 117-121. Retrieved from www.scopus.com

Shaplavskiǐ, N. V., Vladkovskiǐ, I. K., Kukharchuk, A. L., & Gozhenko, A. I. (1988). A method of increasing the accuracy of pipetting. [Sposob povysheniia tochnosti pipetirovaniia.] Laboratornoe Delo, (11), 77-78. Retrieved from www.scopus.com

Shukhtin, V. V., Hozhenko, A. I., & Levyts'kyǐ, A. P. (2013). [Pathogenesis of skin injury in immunodeficient rats]. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 59(4), 63-66. Retrieved from www.scopus.com

Terenozhkina, N. P., Kucher, V. I., Gozhenko, A. I., & Ivanov Yu., I. (1987). The effect of natriuretic factor on the electrolyte transport and energy exchange in slices of the rat kidney cortex. Fiziologicheskii Zhurnal SSSR Imeni I.M.Sechenova, 73(8), 1090-1093. Retrieved from www.scopus.com

Vasil'ev, V. A., Lobenko, A. A., & Gozhenko, A. I. (1996). On early diagnosis of metabolic disorders in gastric lining of pilots. Meditsina Truda I Promyshlennaya Ekologiya, (3), [d]38-39. Retrieved from www.scopus.com

Ye Babelyuk, V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zaporozhan, V. M., Gozhenko, A. I., & Gerasymova, L. V. (2001). The kiev period of the scientific activities of V. V. pidvysots'kyi. [Kyïvs'kyi period naukovoï diial'nosti V. V. Pidvysots'kogo.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 47(1), 133-138. Retrieved from www.scopus.com

Zaporozhan, V. M., & Hozhenko, A. I. (2000). Clinical pathophysiology: Current status, problems and future development. [Klinichna patofiziolohiia: suchasnyi stan, problemy ta perspektyvy rozvytku.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(6), 123-126. Retrieved from www.scopus.com

Zaporozhan, V. M., Hozhenko, A. I., Svirs'kyi, O. O., & Zalins'kyi, O. O. (2000). The hormonal factors regulating water-electrolyte exchange in the pathogenesis of the hemodynamic disorders in pre-eclampsia. [Hormonal'ni faktory rehuliatsiï vodno-elektrolitnoho obminu v patohenezi porushen' hemodynamiky pry preeklampsï.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(2), 48-54. Retrieved from www.scopus.com

Zaporozhan, V. M., Nasibullin, B. A., Hozhenko, A. I., & Shapranov, R. A. (2002). Effects of hypogeomagnetic fields on the structural-functional activity of rat cerebral cortex. [Vplyv hipoheomahnitnoho polia na strukturno-funktisonal'ni koreliaty kory holovnoho mozku shchuriv.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 48(3), 16-21. Retrieved from www.scopus.com

Zaporozhan, V. N., Gozhenko, A. I., Dolomatov, S. I., Dolomatova, E. A., Topor, E. A., & Badyin, I. Y. (2004). Renal mechanisms of the osmotic homeostasis maintenance on a background of the salt test.Aviakosmicheskaya i Ekologicheskaya Meditsina, 38(5), 58-59. Retrieved from www.scopus.com

Zaporozhan, V. N., Gozhenko, A. I., Korneenko, T. V., & Dubinina, V. G. (2004). Role of nitric oxide in tumor growth. [Biologicheskaia aktivnost' oksida azota v mekhanizmakh opukholevogo rosta.] Uspekhi Fiziologicheskikh Nauk, 35(1), 66-82. Retrieved from www.scopus.com

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Dolomatov, S. I., Hozhenko, A. I., Zhukov, V. A., & Dolomatova, O. O. (2003). Effect of ultraviolet irradiation of human blood on serum concentration of triiodothyronine and thyroxine. [Vplyv ul'trafioletovoho oprominennia krovi liudyny na kontsentratsiiu tryiodtyroninu ta tyroksynu v plazmi.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 49(4), 80-83. Retrieved from www.scopus.com

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Dzierzanowski, M., Dzierzanowski, M., Maćkowiak, P., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). The influence of active exercise in low positions on the functional condition of the lumbar-sacral segment in patients with discopathy. Advances in Clinical and Experimental Medicine, 22(3), 421-430. Retrieved from www.scopus.com

Dzierzanowski, M., Dzierzanowski, M., Wrzecion, K., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Advances in Clinical and Experimental Medicine, 22(1), 93-100. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Gorsha, O. V., Aplevich, V. M., & Zukow, W. (2017). Efficiency of kinesiotaping application in the complex rehabilitation of children with idiopathic scoliosis. Journal of Physical Education and Sport, 17(3), 1154-1157. 10.7752/jpes.2017.03177

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Kozina, Z., Sobko, I., Yermakova, T., Cieslicka, M., Zukow, W., Chia, M., . . . Korobeinik, V. (2016). Psycho-physiological characteristics of female basketball players with hearing problems as the basis for the technical tactic training methodic in world level teams. Journal of Physical Education and Sport, 16(4), 1348-1359. 10.7752/jpes.2016.04213

Kul'chyns'kyi, A. B., Kyjenko, V. M., Zukow, W., & Popovych, I. L. (2017). Causal neuro-immune relationships at patients with chronic pyelonephritis and cholecystitis. correlations between parameters EEG, HRV and white blood cell count. Open Medicine (Poland), 12(1), 201-213. 10.1515/med-2017-0030

Podrigalo, L., Iermakov, S., Rovnaya, O., Zukow, W., & Nosko, M. (2016). Peculiar features between the studied indicators of the dynamic and interconnections of mental workability of students. Journal of Physical Education and Sport, 16(4), 1211-1216. 10.7752/jpes.2016.04193

Sataieva, T., & Zukow, W. (2014). The respective effects of ethyl alcohol and grape polyphenols upon the morphological index of rat kidneys. Central European Journal of Medicine, 9(6), 866-869. 10.2478/s11536-013-0326-7

Babelyuk, Ye.V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zadnipryany, I. V., Sataieva, T. P., Tretiakova, O. S., Kubyshkin, A. V., & Zukow, W. (2017). Grape polyphenols concentrate demonstrates cardioprotection in terms of hypoxic myocardial injury. Russian Open Medical Journal, 6(4)10.15275/rusomj.2017.0404

Zadnipryany, I. V., Tretiakova, O. S., Sataieva, T. P., & Zukow, W. (2017). Experimental review of cobalt induced cardiomyopathy. Russian Open Medical Journal, 6(1)10.15275/rusomj.2017.0103

Zubkova, O., Semenova, V., Samosiuk, I., Zukow, W., Vaslovich, V., & Samosiuk, N. (2014). Analysis of ultrastructural synaptic apparatus in parietal neurocortical and midbrain neurons in animals with experimental mild craniocerebral injury prior to and following magneto-laser therapy. Central European Journal of Medicine, 9(5), 714-721. 10.2478/s11536-013-0338-3

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