Tag: Bartłomiej Halat

The use of a Szirmal myotonometr to evaluate spastic tension in the lower limbs of children with cerebral palsy

Zbigniew Śliwiński, Bartłomiej Halat

Zbigniew Śliwiński, Bartłomiej Halat – The use of a Szirmal myotonometr to evaluate spastic tension in the lower limbs of children with cerebral palsy. Fizjoterapia Polska 2001; 1(3); 261-267

Abstract

Background. The authors present the results of their research on the behavior of spastic muscle tension in the lower limbs of children with cerebral palsy. Material and method. The experiment was conducted with a group of children undergoing treatment at the Zgorzelec Rehabilitation Center. During a month-long hospitalization, an individualized rehabilitation program was developed and realized for each child. The children whose muscle tension was tested received cryostimulation in both lower limbs twice daily for 10 days of therapy. The value of the muscle tone was checked on the surface of the muscle belly of the quadriceps and biceps of the thigh and the triceps of the calf, with measurements made before cryostimulation, 10 minutes afterwards, and again 20 minutes after the conclusion of the procedure. The tests were repeated before the beginning of the rehabilitation program, after the fifth day, and after the tenth day. Muscle tension was measured using a Szirmai myotonometer. Results. A statistically significant difference occurred in the spastic tension at the level of the muscle belies of the quadriceps. There is an observable, though smaller difference in the thigh and the triceps of the calf. The trend line as an average reveals a tendency to markedly reduced spastic tension in the lower limbs after the application of the appropriate rehabilitation program. Conclusion. In the authors’ opinion, the Szirmai myotonometer is a useful tool enabling the objective evaluation of muscle tone.

Key words:
pediatric cerebral palsy, Szirmai myotonometr, spastic tension
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Hippotherapy as one of the elements of comprehensive pediatric rehabilitation at the Zgorzelec Rehabilitation Center

Zbigniew Śliwiński, Anna Morawska, Bartłomiej Halat

Zbigniew Śliwiński, Anna Morawska, Bartłomiej Halat – Hippotherapy as one of the elements of comprehensive pediatric rehabilitation at the Zgorzelec Rehabilitation Center. Fizjoterapia Polska 2002; 2(3); 250-256

Abstract
The hyppotherapy is one of the form rehabilitation in the ICP. This manner of treat used only one kind of horse’s walk which name is walk. The horse riding normalizes the tension of muscles . It is connected with the correct position on horse , the rhythmic movement of rider, alternately flex and relax of muscle and the temperature of horse. The horse riding for children who don’t walk to let the felling the location own body in air space. In the hyppotherapy the authors distinguish ; therapeutic horse riding, horse’s rehabilitation, therapy by the contact with horse, pedagogic and therapeutic bareback riding, the horse riding for disabled people. The authors presented the indication to the horse riding- neurological syndromes, faulty posture genetic illness eg Down’ syndrome, myelomeningocele. They described also the contraindication eg. mental handicap, epilepsy, osteoporosis, injures on the of skin, retinodialises, injures or column, rethrolisteses and allergy to horse’s fur, sweat or odour. The authors presented also the rules comprehensive rehabilitation for children with ICP which is used in the Rehabilitation Center in Zgorzelec.

Key words:
ICP, hipotherapy form, idication and contridication

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High-tone therapy in the comprehensive rehabilitation of children with cerebral palsy

Zbigniew Śliwiński, Bartłomiej Halat, Krzysztof Gieremek, Beata Ufniak, Jolanta Chmarek-Rojczyk

Zbigniew Śliwiński, Bartłomiej Halat, Krzysztof Gieremek, Beata Ufniak, Jolanta Chmarek-Rojczyk – High-tone therapy in the comprehensive rehabilitation of children with cerebral palsy. Fizjoterapia Polska 2003; 3(3); 231-242

Abstract

Background. This article describes the possibilities of using high-tone therapy in the comprehensive rehabilitation of children with cerebral palsy (CP). This device stimulates nerves and muscles with an electrical current at a frequency corresponding to acoustic vibrations, from 4400 to 12300 Hz. High-tone therapy produces many desirable effect; it disperses foci of pain and inflammation, intensifies metabolism, increases local blood supply, promotes cellular diffusion, improves tissue nutrition, accelerates resorption of edema, rebuilds original tissue structure (including muscles), and reduces tension in transversely striated muscle. Material and methods. We studied 19 children with CP-related spastic tetraplegia, age 4-17, inpatients at the Pediatric and Adult Rehabilitation Center in Zgorzelec, Poland. Manual dexterity was tested, as well as range of movement in the radiocarpal and ankle joints. The circumference of the hands and feet was measured and the gait stereotype assessed before and after treatment. The therapeutic program included a 30-minute procedure with the hoSti-Scan program, using a WaDiT-12 apparatus, followed by stimulation of the muscles responsible for dorsal flexion of hands and feet. Results. The evaluation of manual dexterity using the Munich Functional Developmental Diagnosis program indicated that a 4-week rehabilitation program combined with high-tone hterapy had a significant impact on improvement in the manual function of the hands in the subject children. All the children tolerated high-tone therapy very well. Conclusions. In view of the improvement in manual dexterity, radiocarpal and ankle mobility, and gait stereotype, hightone therapy is useful in the rehabilitation of children with spastic cerebral palsy.

Key words:
high tone therapy, methodology of procedure, determinants of gait, Munich Functional Developmental Diagnosis
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Thermographic assessment of radiation induced by cryostimulation of both lower limbs and analysis of changes in children with cerebral palsy

Zbigniew Śliwiński, Zdzisław Zagrobelny, Jan Talar, Piotr Płaza, Bartłomiej Halat, Marek Kiljański

Zbigniew Śliwiński, Zdzisław Zagrobelny, Jan Talar, Piotr Płaza, Bartłomiej Halat, Marek Kiljański – Thermographic assessment of radiation induced by cryostimulation of both lower limbs and analysis of changes in children with cerebral palsy. Fizjoterapia Polska 2003; 3(4); 316-330

Abstract

Background. The authors presented the examine of changes temperature results in the children’s with the cerebral palsy legs, which were registrated during treatment in the Rehabilitation Center in Zgorzelec. Material and methods. The changes temperature were checkted by the camera Agema 570 before the treatment and four weeks later. The spastic tension was checked also using the Mionotometer Szirmai and Ashworth test and Brunstrom test. Spontaneous motorial evaluation and the level motorial development were checked using own scale. Results and conclusions. The results shown that the using the cryostimulation in the treatment children with the cerebral palsy decrease the spastic tension in the legs and the spontaneous motorial evaluation was better, the range of motion in joins also were better after treatment. The termal pictures shown that arterial play in the children’s legs was adapted to the cryogenic temperatures.

Key words:
thermoregulation, local cryotherapy, termovision, spastic tension, spontaneous motorial evaluation
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The effect of Kinesio Taping applications on motor activity in children with developmental defects

Zbigniew Śliwiński, Bartłomiej Halat, Wojciech Kufel, Beata Michalak, Marek Kiljański

Zbigniew Śliwiński, Bartłomiej Halat, Wojciech Kufel, Beata Michalak, Marek Kiljański – The effect of Kinesio Taping applications on motor activity in children with developmental defects. Fizjoterapia Polska 2007; 7(1); 52-62

Abstract

Background. The authors present the results of a study of children with developmental defects who underwent a comprehensive physiotherapeutic treatment with the Kinesio Taping method. The children were aged 18 months to 8 years. All patients took part in a 4-week rehabilitation programme at the Rehabilitation Centre in Zgorzelec. Material and methods. The study included 30 children of both sexes. All patients underwent a medical and physiotherapeutic examination, which was the basis for designing a Kinesio Taping-based rehabilitation plan. The application of Kinesio Taping was preceded by Kinesio Taping screening tests, Vojta’s screening tests and an assessment of spontaneous motor activity. The final stage of the study involved analysis of study results and assessment of the utility of the screening tests. Results. Our observations supported by the test results and their analysis prove that Kinesio Taping is a very useful physiotherapeutic modality. If applied properly, it is a valuable adjunct to therapeutic rehabilitation. Kinesio Taping enables the control of muscle tone, which directly translates into new possibilities of locomotor activity of the patients. This method helps to reduce paraesthesias and oedemas. Conclusions. Kinesio Taping applications influenced muscle and fascia tone in our study. Kinesio Taping can be used in combination with other procedures. There are no absolute contraindications to the use of Kinesio Taping as part of comprehensive physiotherapeutic management.

Key words:
developmental defects, Kinesio Taping screening tests, Kinesio Taping applications
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Kinesiotaping application in children with scoliosis

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek – Kinesiotaping application in children with scoliosis. Fizjoterapia Polska 2007; 7(3); 370-375

Abstract
Background. Scoliosis is still a serious problem, despite numerous therapeutic methods. Kinesiotapping (KT) is one of the methods, which can prove helpful in scoliosis treatment. Using proper applications, we can affect alteration of stability line and achieve balance of the spine. Material and methods. The studies were conducted in Zgorzelec Rehabilitation Centre. The participants were 18 children, who stayed there for rehabilitation, including 16 girls and 2 boys. The mean age was 12 years in this group. Changes in the waist angle were evaluated before and after KT application. Results. The obtained results indicate that application of KT in the examined group results in waist angle change, on average by 4 degrees. For left waist angle this mean value is 5.27 degrees, while for the right waist angle it is 2.58 degrees. The highest value for correction was 11.2 degrees. Conclusions. Selected KT techniques result in changes in stability line course, which is also manifested by waist angle change. Due to muscular and fascial tone normalization, the posture of a child with scoliosis changes in the frontal and sagittal plane. KT as a new method, using multiple forms and techniques, seems helpful in carrying out rehabilitation programme for children with scoliosis.
Key words:
scoliosis, KT application, angle of waist
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Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients. Fizjoterapia Polska 2008; 8(1); 23-34

Abstract
Background. Cerebral stroke is a very serious life-threatening condition regardiess of the clinical picture at the onset. In most cases cerebral stroke is a consequence of systemic vascular diseases such as atherosclerosis or hypertension. Material and methods. The study group comprised 103 patients, including 52 post-stroke patients with a paretic upper limb and 51 healthy participants. The group of stroke patients included 18 women and 34 men, while the healthy group consisted of 41 women and 10 men. The mean age of the male patients was 55.6 and of the female patients 66.1 years. The mean age of the control group was 37.2 years. Local cryostimulation was applied to the hand and forearm of the paretic limb in the stroke patients and to the hand the forearm of the right upper limb in the healthy group. The limb was exposed to cold for 6 minutes. The temperatures were measured using an Agema 570 thermovision camera.Results. Subjecting only one forearm to cryotherapy procedures results in a decrease in temperature. In the post-stroke patients the return to the basseline value after the procedure was more rapid. This is possibly connected with more efficient mechanisms protecting the body against loss of warmth, since in this group temperature values were higher. In the control group the temperature in the non-cooled limb decreases by an average of 1.6 st.C, compared to only 1.3 st.C in the stroke patients. Conclusions. The temperatures of an area in the forearm exposed to 6 minutes of cryotherapy were different in the post-stroke patients and in the healthy controls. This is probably attributable to stroke-related brain damage. Contralateralization, i. e. the decline of temperature in the non-cooled limb, occurred both in the post-stroke patients and in the healthy controls. Temperature decreases produced by the exposure of limbs to cold were higher in the stroke patients than in the healthy participants. The temperature returned to baseline more rapidly in the post-stroke patients. The temperature in the cooled limb dod not return to, or exceed, baseline value fifteen minutes after the procedure.
Key words:
cerebral stroke, cryostimulation, thermovision, vascular play
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Model of professional activity of psychologist in the Rehabilitation Department in Zgorzelec

Teresa Karadimitris, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Marta Kopa, Zbigniew Śliwiński

Teresa Karadimitris, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Marta Kopa, Zbigniew Śliwiński – Model of professional activity of psychologist in the Rehabilitation Department in Zgorzelec. Fizjoterapia Polska 2008; 8(2); 206-216

Abstract
The professional activity of a clinical psychologist in a rehabilitation departament requires a general knowledge of psychology as well as familiarity with departament-specific issues. There exist a variety of models for the professional activity of a psychologist in rehabilitation. The practice in the Rehabilitation Departament in Zgorzelec is closest to the developmental model’, according to which disability represents a predisposition to experience various problems in life and rehabilitation is the process of interaction between a disabled person and a specialist in a rehabilitation and physiotherapy. This model regards the patient as a partner in the rehabilitation process. Psychologists in a rehabilitation departament need to undertake different activities in the therapy of children and in the treatment of adults. Work wit children (and their carers) includes diagnosis, therapy, stimulation of development, psychoeducation and support for the parents. The psychologist also collaborates with educational institutions: schools and kindergartens that the patients attend as well as the Psychological and Pedagogical Counseling Centre, whose activities aim to support the children’s development. In the case of adult patients with CNS damage, the psychologist begins work with a neuropsychological diagnosis and follws with exercises to restore the affected functions. The basic activity in work with patients suffering from musculoskeletal pain is psychoeducation, which covers the concept of disease, connection between stress and the functioning of the body, identification of needs and skills required to satisfy them, work with emotions and relaxation training.
Key words:
model of professional activity, psychological diagnosis, psychotherapy, psychoeducation
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Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients. Fizjoterapia Polska 2008; 8(2); 197-205

Abstract
Background. High-tone power therapy is a new method of nerve and muscle stimulation with electric current of a frequency corresponding to the acoustic band of electric oscillation between 4 400 Hz to 12 300 Hz. The usa of two pairs of electrodes serves to generate a dynamic electric field deep inside the tissues. The aim of the study was to assess upper limb function in hemiparetic stroke patients who undrwent high-tone power therapy in the course of rehabilitation. Materials and methods. The study group consisted of 16 men aged 46-72 years (mean 54) and 4 women aged 67-74 years (mean 71) who had suffered strokes of various aetiologies. Arm function was determined on the basis of grip strength testing, ranges of motion (ISOM) and spasticity level (Ashworth scale). Results. Grip strength increased with simultaneous improvement in angular ranges of motion in the radiocarpal joint of the paretic limb. Spastic tone in the limb decreased by 0.35 on the Ashworth scale. Analysis of linear measurements revealed statistically significant changes of circumferences only at the upper arm level. Conclusions. Comprehensive physiotherapy including horizontal therapy performed in stroke patients produced significant functional improvements in the paretic upper limb. High-tone power therapy is well tolerated by hemiparetic patients with despite the long duration of the procedure.
Key words:
Ashworth test, high-tone power therapy, hoSti-Scan stimulation, secondary effect
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Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 344-350

Abstract
Present-day physiotherapeutic practice requires the therapist to be able to assess radiographs. University syllabuses in physiotherapy take this into account and students acquire this knowledge. However, there are a number of physiotherapy practitioners working at health care facilities who do not participate in post-graduate training but work with scoliotic children. Our aim is therefore to present a standard of functional and radiographic assessment of patients with scoliosis adopted in the Rehabilitation Centre in Zgorzelec. The radiograph is the fundamental tool of medical diagnostic imaging. A radiograph used for scoliosis assessment should show the entire spine, including the iliac ala and the femoral joints. It should be taken in the AP and lateral views, with the patient in a standing position. Radiographs complying with these requirements make it possible to determine scoliosis characteristics (type, Risser sign, Cobb angle, vertebral rotation angle, kypho-lordotic index, etc.), according to which appropriate physiotherapeutic management is chosen. Radiological work-up is essential for the assessment of scoliosis and for therapeutic management planning. It also allows an objective evaluation of the progress of rehabilitation. Moreover, radiographs can also be used to monitor the time course of scoliosis. Treating scoliosis without an obtaining x-ray images is like driving a car at night with the headlights switched off!
Słowa kluczowe
scoliosis, x-ray image
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