Tag: Agata Kuźmicka

The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki,
Zbigniew Śliwiński, Maria Kłoda, Michał Sobstyl, Agata Kuźmicka

G. Brzuszkiewicz-Kuźmicka, S. Kuźmicki, Z. Śliwiński, M. Kłoda, M. Sobstyl, A. Kuźmicka  – The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas. FP 2014; 14(3); 66-75

Abstract

The objective of this study is to determine the impact of early physiotherapy on the dynamics of the recovery of the ability to perform daily activities, improvement in functional status, reduction in neurological deficits and change in the consciousness status in patients following surgical treatment of post-traumatic paracerebral hematomas.
The study material consisted of 86 patients undergoing surgical treatment of post-traumatic paracerebral hematomas. All patients were divided into two groups with the type of kinesitherapy performed as the main differentiating factor.
The grade of neurological deficit was assessed by the International Scale of Muscle Weakness, modified Barthel Index, and Rankin Scale, while consciousness was assessed on the basis of the Glasgow Coma Scale.
The return of lost function in patients undergoing rehabilitation according to selected PNF patterns and elements of Bobath therapy as compared to patients subjected to conventional kinesitherapy was characterized by better dynamics, particularly within the initial days, and progressed at a significantly higher rate. However, no relationship of this kind was observed for the recovery of consciousness. Patients have the highest potential for the return of lost functions in the early postoperative period (days 1-5).

Key words:
early physiotherapy, post-traumatic paracerebral hematomas, kinesitherapy

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The effect of carrying out the ‘Test of Infant Motor Performance’ on parental attitudes towards Down syndrome infants during the therapeutic process

Anna Kloze, Grażyna Brzuszkiewicz-Kuźmicka, Agnieszka Stępień, Jolanta Stępowska, Agata Kuźmicka, Małgorzata Łukowicz

A. Kloze, G. Brzuszkiewicz-Kuźmicka, A. Stępień, J. Stępowska, A. Kuźmicka, M. Łukowicz – The effect of carrying out the ‘Test of Infant Motor Performance’ on parental attitudes towards Down syndrome infants during the therapeutic process. FP 2014; 14(4); 34-45

Abstract

Introduction. An initial pre-rehabilitation assessment of motor development is an integral part of physiotherapy for a Down syndrome (DS) child. A precise evaluation of the child and the involvement of the family are prerequisite for effective support of an infant presenting developmental disorders. Test of Infant Motor Performance is a research tool used to evaluate posture and movement patterns in the first months of a patient’s life. The TIMP construction enables the assessment of the basic repertoire of the child’s intrinsic activity occurring in response to environmental stimuli. This paper aims to assess the effect of TIMP on the attitudes of parents and carers of Down syndrome children.
Research material and methods. The study comprised 64 patients with Down syndrome (full trisomy of the 21st chromosome pair), aged 2 – 17 weeks with an average age of 9.4 weeks (SD+/- 4.5). Following the TIMP, parents of both Down syndrome children and infants in the control group completed the author’s questionnaire regarding the educational value of the test. The questionnaire consisted of 10 questions evaluating the research method, including TIMP availability for carers.
Results. The results of Test of Infant Motor Performance performed on Down syndrome infants have demonstrated that neurodevelopmental disorders were recorded in children with Down syndrome, compared to healthy children.
Conclusions. The the results of the questionnaire indicate that parents believe TIMP to be safe and child friendly; they acknowledge that the test validates confidence in the specialist and facilitates the inclusion of parents of Down syndrome infants in the therapeutic process.

Key words:
Down syndrome, TIMP, physiotherapy

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Kinesio Taping and its effect on weight distribution on feet after hallux valgus corrective surgery, assessed with the use of pedobaroscope

Karolina Załoga, Grażyna Brzuszkiewicz-Kuźmicka, Agata Kuźmicka, Zbigniew Śliwiński

K. Załoga, G. Brzuszkiewicz-Kuźmicka, A. Kuźmicka, Z. Śliwiński – Kinesio Taping and its effect on weight distribution on feet after hallux valgus corrective surgery, assessed with the use of pedobaroscope FP 2016; 16(3); 50-57

Abstract
Introduction. Our foot, one of the most important elements of the human musculoskeletal system, is particularly vulnerable to a wide range of strains and injuries. One of the common foot health problems is hallux valgus. The treatment of hallux valgus may involve both preservative and surgical procedures.
Research goal. Kinesio Taping and its effect on weight distribution on feet and its validity as supportive therapy after hallux valgus corrective surgery.
Material and methods. The study comprised 32 patients after hallux valgus corrective surgery. The patients were tested on the ground reaction force platform. Mechanical correction taping on hallux valgus was applied. Results. The level of significance of the load values on the operated limb was calculated as well as the significance of the load on the forefoot of the operated limb; respectively: p = 0.44, p = 0.23. The calculated correlation coefficient of the load on the operated foot and the load on the forefoot of the operated foot, following the application of Kinesio Taping presented statistical significance at the level of p = 0.01.
Conclusions. Mechanical correction using Kinesio Taping can serve as an efficient support to the main therapy. It must be remembered, however, that it ultimately it cannot be used as the treatment substitution. The concluded research indicates that Kinesio Taping helps to restore the proper load distribution on a foot and supports putting more weight on the first foot radius. The most encouraging results were obtained in the tests in which both tapes were used during the treatment.

Key words:
Kinesio Taping, hallux valgus, pedobaroscope, valgus, ground reaction force distribution

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