Physical Medicine Therapies for Human Health, Function, and Quality of Life

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Quality, Patient Safety, and Self-care Management".

Deadline for manuscript submissions: 9 January 2027 | Viewed by 2730

Editors


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Guest Editor
1. Department of Physiotherapy (Physical Medicine), Faculty of Health Sciences, Medical University of Silesia in Katowice, 40-055 Katowice, Poland
2. Collegium Medicum, Faculty of Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Kraków, Poland
Interests: transcutaneous electrical nerve stimulation (TENS); electrotherapy and neuromodulation; physical medicine and physical modalities; pain sensitivity and pain management; sensory processing and sensory thresholds; functional outcomes and quality of life; vibration therapy/whole-body vibration; individualized therapy and parameter optimization

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Guest Editor
Department of Basic Biomedical Science, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia in Katowice, 40-007 Katowice, Poland
Interests: electrotherapy; taste; vibration; smell; food preferences; body composition and dietary factors; skin; Interdisciplinary; light therapy; sport and physiology

Special Issue Information

Dear Colleagues,

Contemporary physical medicine is an integral part of evidence-based medicine, grounded in high-quality clinical research. It encompasses a wide spectrum of specialized therapies that employ physical agents, including electrotherapy, phototherapy, ultrasound, and vibrotherapy. These modalities modulate pain processing, support tissue healing processes, and influence neuromuscular activity, therefore promoting the restoration of physical function across a wide range of clinical conditions.

Properly planned and methodically applied physical medicine procedures, individualized for each patient, play a crucial role in the comprehensive rehabilitation process. Achieving such outcomes requires precise selection and adjustment of therapy parameters, taking into account clinical presentation, stimulus tolerance, and therapeutic goals. As a result, physical medicine therapies can lead to a clinically meaningful improvement in patient functioning, an increase in activity, and enhanced participation in daily life, as well as beneficial changes in patients’ quality of life.

Despite its well-documented potential, physical medicine still tends to be underestimated in many healthcare systems and is often regarded as an adjunctive treatment rather than an integral component of therapeutic management. This Special Issue will highlight clinical value and innovation in the field of physical medicine by bringing together studies that evaluate therapeutic protocols, clinical outcomes, and their impact on patients’ health, functioning, and quality of life.

For this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Physical medicine therapies for acute and chronic pain;
  • Electrotherapy and neuromodulation, including transcutaneous electrical nerve stimulation (TENS), high-voltage stimulation (HVS), and related techniques;
  • TENS-based analgesia: protocols and clinical outcomes;
  • Clinical applications of electrical muscle stimulation (EMS) for muscle performance, function, and recovery;
  • Phototherapy (e.g., laser therapy);
  • Ultrasound therapy and combined physical modalities (e.g., simultaneous application of ultrasound and electrical stimulation);
  • Vibration therapy and deep oscillation;
  • Parameter-driven and protocol-optimized approaches in physical medicine;
  • Individualized, patient-centered applications of physical medicine therapies;
  • Effects of physical medicine therapies on quality of life;
  • Safety, tolerability, and clinical decision-making in physical medicine;
  • Integration of physical medicine into comprehensive rehabilitation programs.

I look forward to receiving your contributions.

Dr. Joanna Witkoś
Dr. Magdalena Hartman-Petrycka
Guest Editors

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Keywords

  • physical medicine
  • therapeutic modalities
  • electrotherapy (TENS and related techniques)
  • phototherapy/laser therapy
  • ultrasound therapy
  • vibration therapy/deep oscillation
  • pain management with physical medicine therapies
  • functional recovery
  • quality of life (QoL)
  • rehabilitation
  • spa therapy

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Published Papers (4 papers)

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13 pages, 2825 KB  
Article
Current Intensity and Immediate Analgesic Effects of Transcutaneous Electrical Nerve Stimulation in Patients with Lumbosacral Pain: A Preliminary Observational Study
by Joanna Witkoś, Grzegorz Błażejewski, Galina Mratskova, Ewa Strój-Loranc, Tomasz Kogut and Magdalena Hartman-Petrycka
Healthcare 2026, 14(14), 2121; https://doi.org/10.3390/healthcare14142121 - 15 Jul 2026
Viewed by 274
Abstract
Background: Transcutaneous electrical nerve stimulation (TENS) is widely used for pain management; however, the optimal stimulation intensity remains uncertain. This preliminary observational study investigated the association between TENS current intensity and immediate analgesic effects in patients with lumbosacral pain. Methods: Fifty-three adults with [...] Read more.
Background: Transcutaneous electrical nerve stimulation (TENS) is widely used for pain management; however, the optimal stimulation intensity remains uncertain. This preliminary observational study investigated the association between TENS current intensity and immediate analgesic effects in patients with lumbosacral pain. Methods: Fifty-three adults with lumbosacral pain undergoing routine physiotherapy were enrolled. Participants were classified post hoc according to their preferred stimulation intensity into a low-intensity group (L, n = 26), receiving stimulation at approximately the sensory threshold level, and a high-intensity group (H, n = 27), receiving stimulation at the highest tolerated intensity. TENS was delivered using an ASTAR ETIUS device (100 Hz, 100 μs, biphasic symmetrical waveform) for 20 min. Pain intensity was assessed before and immediately after treatment using a 10-point Visual Analog Scale (VAS). Between-group baseline characteristics were compared using the Mann–Whitney U test. Within-group changes were assessed using the Wilcoxon signed-rank test, and associations between current intensity and pain reduction were evaluated using Spearman’s rank correlation coefficient (rs). Results: Baseline demographic and clinical characteristics did not differ significantly between groups. No significant change in pain intensity was observed in Group L. In contrast, Group H demonstrated a significant reduction in VAS scores following TENS (VAS before Mdn = 5, VAS after Mdn = 4, Z = 4.11, p < 0.001, effect size r = 0.88). In this group, higher stimulation intensity was associated with greater pain reduction (rs = −0.48, p = 0.011). Conclusions: In this study, TENS delivered at the highest tolerated intensity was associated with greater immediate pain relief than stimulation applied near the sensory threshold. Because of the observational design, post hoc group allocation, and lack of randomization, the findings should be interpreted as exploratory and hypothesis-generating. Further randomized controlled trials are needed to determine whether higher stimulation intensities causally improve TENS analgesic efficacy. Full article
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18 pages, 1778 KB  
Article
Impact of Comprehensive Health Resort Treatment on Insomnia and Quality of Life in Older Adults: A Pre-Experimental Study
by Grzegorz Onik, Magdalena Dąbrowska-Galas, Galina Mratskova and Dariusz Górka
Healthcare 2026, 14(14), 2085; https://doi.org/10.3390/healthcare14142085 - 12 Jul 2026
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Abstract
Introduction: Sleep disorders are common in older adults, and quality of life is often diminished due to gradual declines in physical and mental abilities. Among the treatment strategies routinely applied in older adults, comprehensive health resort treatment is considered a promising option because [...] Read more.
Introduction: Sleep disorders are common in older adults, and quality of life is often diminished due to gradual declines in physical and mental abilities. Among the treatment strategies routinely applied in older adults, comprehensive health resort treatment is considered a promising option because of its multifaceted nature and low risk of adverse effects. Objective: The primary objective of this study was to evaluate the impact of comprehensive health resort treatment on insomnia and quality of life in older adults. The secondary objective was to examine whether treatment-induced changes in these parameters were associated with participants’ age. Material and Methods: The study group consisted of 83 participants (14 men and 69 women) with a mean age of 71.94 ± 6.00 years who underwent a 21-day comprehensive, individually tailored health resort treatment for degenerative joint disease. Insomnia was assessed using the Athens Insomnia Scale. Health-related quality of life was evaluated with the European Quality of Life Five Dimensions—Five Levels (EQ-5D-5L) instrument. Assessments were conducted twice: upon admission to and discharge from the sanatorium. Results: The mean Athens Insomnia Scale (AIS) score at baseline was 6.97 ± 6.21 across all participants. Following treatment, the AIS score decreased to 4.78 ± 4.95 (p < 0.0001). The baseline mean EQ-5D-5L index was 0.956 ± 0.064. After health resort treatment, the mean EQ-5D-5L index increased to 0.969 ± 0.042 (95% CI: 0.006 to 0.022; p = 0.001). Age was not associated with the magnitude of changes in the AIS score, EQ-5D-5L index or EQ-5D-5L VAS in the studied population. Conclusions: Comprehensive health resort treatment was associated with improvements in insomnia severity and quality of life in older adults, with similar changes observed across age groups. These findings suggest that comprehensive health resort treatment may be a beneficial component of geriatric health care. Full article
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20 pages, 2381 KB  
Article
Transfer of Energy Capacitive and Resistive Therapy Versus Dry Needling for Active Upper Trapezius Myofascial Trigger Points: Effects on Pain and Cervical Range of Motion a Randomized Controlled Trial
by Tomasz Piętka, Katarzyna Knapik, Grzegorz Onik and Karolina Sieroń
Healthcare 2026, 14(7), 860; https://doi.org/10.3390/healthcare14070860 - 27 Mar 2026
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Abstract
Background and Objectives: This study aimed to evaluate the effectiveness of Transfer of Energy Capacitive and Resistive (TECAR) therapy in treating active myofascial trigger points (MTrPs) in the upper trapezius muscle (UT) and to compare it with the effects of dry needling [...] Read more.
Background and Objectives: This study aimed to evaluate the effectiveness of Transfer of Energy Capacitive and Resistive (TECAR) therapy in treating active myofascial trigger points (MTrPs) in the upper trapezius muscle (UT) and to compare it with the effects of dry needling (DN). Materials and Methods: We recruited 29 men (mean age: 35.52 ± 5.73 years) with active MTrPs in the UT. Participants were randomly assigned to two groups: TECAR (n = 17) and DN (n = 12). Treatment was administered twice, with a 7-day interval between sessions. PPT, pain intensity (NRS), UT muscle strength (dynamometer), and cervical spine range of motion (ROM) were measured before treatment, immediately after each therapy session, and at a 30-day follow-up. Data were analyzed using parametric or non-parametric tests depending on data distribution (p < 0.05). Results: Both groups showed significant increases in PPT, but TECAR reduced NRS significantly more than DN (p < 0.001), demonstrating superior immediate analgesia. While TECAR temporarily decreased unaffected UT strength, it provided broader improvements in cervical mobility (flexion: 19.5%, contralateral rotation: 13.1%). Over 30 days, both groups improved PPT (TECAR: ~110%; DN: ~63%) and NRS (TECAR: ~97.1%; DN: ~84.5%). The TECAR group consistently outperformed DN in long-term pain reduction and achieved more substantial improvements in ROM. Conclusions: TECAR therapy appears to provide immediate and longer-term analgesic effects in the treatment of active MTrPs in the UT, although its impact on cervical ROM seems relatively limited compared with DN. It may therefore represent a useful, though less commonly applied, option for MTrPs management. Full article
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10 pages, 817 KB  
Brief Report
Can Phonotherapy Serve as an Adjunct Treatment for Acute and Chronic Stroke? A Preliminary Report
by Wiktor Rybicki, Katarzyna Kapcia, Marek Krzystanek, Anna Brzęk, Kamil Barański, Iwona Schuster, Dorota Szydlak, Wiktoria Balcerzak and Anetta Lasek-Bal
Healthcare 2026, 14(12), 1689; https://doi.org/10.3390/healthcare14121689 - 12 Jun 2026
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Abstract
Stroke is a leading cause of morbidity and long-term disability worldwide. This study evaluated the feasibility, safety, and preliminary clinical effects of phonotherapy (PHT) as an adjunct to standard care in patients with acute ischemic stroke. This prospective observational study enrolled 140 patients, [...] Read more.
Stroke is a leading cause of morbidity and long-term disability worldwide. This study evaluated the feasibility, safety, and preliminary clinical effects of phonotherapy (PHT) as an adjunct to standard care in patients with acute ischemic stroke. This prospective observational study enrolled 140 patients, who were assigned to receive either phonotherapy in addition to standard care (PHT group, n = 70) or standard care alone (control group, n = 70). Phonotherapy consisted of twice-daily 528 Hz sound stimulation administered for 3 months. Neurological (NIHSS), functional (mRS), and cognitive (MoCA) outcomes were assessed at days 10 and 90. At day 10, patients receiving PHT showed significantly better neurological, functional, and cognitive outcomes compared to the controls. However, these differences were not sustained at 90 days. Phonotherapy was not an independent predictor of favorable functional outcome at 90 days. Recurrent stroke occurred in three patients (4.3%) in the PHT group and nine (12.9%) in the control group (p = 0.07). No intervention-related adverse events were observed. Phonotherapy appears to be a safe adjunct intervention in acute ischemic stroke and may be associated with short-term improvements in selected outcomes. Overall, phonotherapy appeared safe as an adjunctive intervention in patients with acute ischemic stroke and showed possible short-term associations with improvements in selected outcomes, although these preliminary findings require confirmation in randomized controlled trials. Full article
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